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Pan African Medical Journal

Yassine Abaloun, Abdelhadi Omari
We report the case of a 52-year old man with no previous significant medical history presenting with progressive decrease in visual acuity (VA) of the right eye evolving over 10 years. Corrected visual acuity was 2/10 - P6 in the RE and 10/10 - P2 in the LE. The examination of the anterior segment was unremarkable. Fundus examination showed alteration of the pigment epithelium (APE) in the RE associated with osteoblast-like pigment migrations involving the macula and a wide area due to gravitational descent of the superior temporal arcade onto the lower temporal quadrant...
2017: Pan African Medical Journal
Amadou Diop Dia, Samba Niang
We report the case of a 65-year old patient without a history of alcohol consumption and cigarette smoking but with a history of gastrœsophageal reflux disease for which he had never been examined. He was admitted to the Department of Pneumology for exploration of a dry hacking cough causing insomnia associated with diffuse heaviness in his right chest evolving over a month in a context of evening and night fever without weight loss. Clinical and radiological examination showed right pleural effusion syndrome...
2017: Pan African Medical Journal
Ilhame Naciri, Karima Senouci
Cutaneous pathomimia is a self-induced disease characterized by conscious self-injury to mucocutaneous boundary or its phaneres. We report the case of a 22-year old woman, with no notable medical history, presenting with sudden onset ulceration on her lower lip evolving for 3 months in a context of preservation of patient's clinical status. The patient had previously consulted several dermatologists and had undergone two skin biopsies with non-specific histological diagnosis. Clinical examination showed painful, well-defined ulceration with clean surface and non-indurated basis, measuring 1 × 3 cm in diameter and involving the left half of the lower lip (A)...
2017: Pan African Medical Journal
Engy Ali, Rafael Van Den Bergh, Rob D'hondt, Donat Kuma-Kuma, Anja De Weggheleire, Yves Baudot, Vincent Lambert, Paul Hunter, Rony Zachariah, Peter Maes
Introduction: In a semi-urban setting in the Democratic Republic of Congo, this study aims to understand the dynamic of a typhoid fever (TF) outbreak and to assess: a) the existence of hot spots for TF transmission and b) the difference between typhoid cases identified within those hot spots and the general population in relation to socio-demographic characteristics, sanitation practice, and sources of drinking water. Methods: This was a retrospective analysis of TF outbreaks in 2011 in Kikwit, DRC using microbiological analysis of water sources and a structured interview questionnaire...
2017: Pan African Medical Journal
Kishor Parashramji Brahmapurkar
Introduction: Gender equality is fundamental to accelerate sustainable development. It is necessary to conduct gender analyses to identify sex and gender-based differences in health risks. This study aimed to find the gender equality in terms of illiteracy, child marriages and spousal violence among women based on data from National Family Health Survey 2015-16 (NFHS-4). Methods: This was a descriptive analysis of secondary data of ever-married women onto reproductive age from 15 states and 3 UTs in India of the first phase of NFHS-4...
2017: Pan African Medical Journal
Pirabu Sakthivel, Chirom Amit Singh
No abstract text is available yet for this article.
2017: Pan African Medical Journal
Omar Margad, Jalal Boukhris, Hicham Sallahi, Ouahb Azriouil, Mohamed Daoudi, Khalid Koulali
The fractures of the distal quarter of the leg are characterized by fracture line located at the level of the lower quarter of the tibia, according to Gerard and Evrard definition [1]. They are serious and pose problems for consolidation, immobilization and stability. We here describe our experience in the Department of Orthopaedics and Traumatology at the Avicenne Military Hospital, Marrakech. We report 30 cases of closed fractures of the lower quarter of the leg treated with centro-medullary nailing over a period of 10 years (January 2001-December 2010)...
2017: Pan African Medical Journal
Ahmed Bensaad, Christophe Fircket
No abstract text is available yet for this article.
2017: Pan African Medical Journal
Talla Paul, Tebeu Pierre Marie, Efuetnkeng Bechem
Introduction: Hepatitis B virus infection is a public health concern in Cameroon and worldwide. With hepatitis C virus, it is the first cause of liver cancer in Cameroon. The high prevalence of 11.9% in Cameroon is associated with the premature contamination at the perinatal period, due to vertical transmission, from mother-to-child. To put into practice the preventives measures, actors need a good knowledge on premature contamination of a baby. The general objective of this study was to evaluate the influence of level of knowledge on the attitudes and the professional practices concerning prevention of mother-to-child transmission of hepatitis B (PMTCT/HBV) in Yaoundéhospitals and environs...
2017: Pan African Medical Journal
Lynn Barbara Edwards, Linda Estelle Greeff
Introduction: Cancer is an important health problem in Africa with projections that incidence could double by 2030. While sparse, the literature on cancer control in African low- and middle-income countries suggests poor cancer planning, overburdened services and poor outcomes. South Africa has established oncology health care services but also has low cancer awareness, poor cancer surveillance and widespread service challenges. Methods: Data for this study was derived from 316 photovoice interviews with cancer patients, families of cancer patients and oncology workers across South Africa...
2017: Pan African Medical Journal
Noureddine Njoumi, Nabil Jakhlal, Mohammed Laaroussi, Faicel Mohafid, Mohammed Najih, Hicham Iraki, Aziz Zentar
Adrenal gland hemangioma is a very rare histologic entity belonging to the group of incidentalomas. It is often asymptomatic, unexpectedly detected during imaging examination and resulting from another abdominal affection. We here report a single case to further enrich international case series which are still very limited.
2017: Pan African Medical Journal
Maureen Ugonwa Anetoh, Chiamaka Henrietta Jibuaku, Sunday Odunke Nduka, Samuel Uchenna Uzodinma
Introduction: Tertiary Institutions' Social Health Insurance Programme (TISHIP) is an arm of the National Health Insurance Scheme (NHIS), which provides quality healthcare to students in Nigerian higher institutions. The success of this scheme depends on the students' knowledge and awareness of its existence as well as the level of its implementation by healthcare providers. This study was therefore designed to assess students' knowledge and attitude towards TISHIP and its implementation level among health workers in Nnamdi Azikiwe University Medical Centre...
2017: Pan African Medical Journal
Hamid Jiber, Youssef Zrihni, Hamza Naouli, Abdellatif Bouarhroum
The other reports a case of fibrodysplasic aneurysm of the extracranial internal carotid artery that was successfully treated by resection and direct end-to-end anastomosis of the internal carotid artery.
2017: Pan African Medical Journal
Bouchra Rafiq, Ghizlane El Mghari
Tympanic paragangliomas are common benign tumors of the middle ear, made up of neuroendocrine cells dispersed along the major vascular axes of the head, the neck and the vertebral column. The revealing symptoms are hearing loss and a pulsatile tinnitus. Otoscopy often shows pulsatile retrotympanic reddish mass. MRI and somatostatin analogue scintigraphy (OctreoScan) are the imaging modality of choice. OctreoScan allows physicians to detect other tumor locations. The dosage of urinary methoxyl derivatives is determined, complemented by the screening of other components of multiple endocrine neoplasias (MEN)...
2017: Pan African Medical Journal
Ndeye Fatou Thiam, Evelyne Siga Diom, Cire Ndiaye, Abdou Sy
We report 3 rare cases of post-intubation tracheal lacerations detected during cervical spine surgery. Our study involved 3 patients aged 27, 30 and 42 years admitted to the operating room for total thyroidectomy for heterogeneous multinodular goitre under general anesthesia. Orotracheal intubation using 7.5 rigid guide probe and balloon cuff was performed. During surgery we discovered a protrusion of the balloon cuff at the surgical site through posterolateral tracheal rupture. The treatment was based on closure of the tracheal rupture in 2 cases and on surgical abstention in the third case, followed by a drainage of the thyroid lodge...
2017: Pan African Medical Journal
Hakan Yilmaz, Osman Boyali, Ibrahim Burak Atci, Umit Kocaman
Chronic subdural hematomas often occurs in late middle and old age following trivial head trauma. Surgical intervention is the first treatment option in chronic subdural hematomas which compressed the cerebral parenchym. Hematoma may be calcified or ossified in untreated patients. Spontaneous resolution of post-traumatic chronic subdural hematoma is a rare event. Spontaneous resolution is rarer if the subdural hematoma is bilateral. In the literature, this condition is reported mostly in patients with idiopathic thrombocytopenic purpura...
2017: Pan African Medical Journal
Driss Hanine, Achraf El Bakkaly, Mohammed Amine Essaoudi, Aiat Allah Skiredj, Abderahmane Malihy, Abdelouahed El Amrani, Mohammed Anouar Dendane, Sidi Zouhair Fellouss El Alami, Tarik El Madhi
Tuberculosis of bone is an infectious disease which represents a major public health problem in developing countries where it is endemic. Osteoarticular involvement accounts for 1-5% of all cases of tuberculosis, shoulder involvement is very rare and accounts for 1-2% of all cases of osteoarticular tuberculosis. We here report an uncommon case of TB infection involving the scapula, reaching the scapular body. Tuberculosis is still an important differential diagnosis of rare or chronic bone diseases, including tumors...
2017: Pan African Medical Journal
Rajaonarison Lala Andriamasinavalona, Rasaholiarison Nomena Finiavana
Dissections of cervicocephalic arteries are the main cause of stroke among the young adults. We report the case of a hypertensive and migrainous patient aged 59-years presenting with migrainous cephalea with flashes of light in his left eye and paroxysmal regressive paresthesia of the right hemicorpus. Clinical examination showed apraxia of speech associated with phonemic paraphasia. MRI of cerebral vascular territories with diffusion weighted imaging showed perivascular hyper-intense signal of the left internal carotid artery (intra-petrous portion) and T2 hyposignal suggesting hematoma in the wall with arterial occlusion at this level...
2017: Pan African Medical Journal
Abdelouahab Elkasimi, Ghizlane Elouazzani, Anas Hbali, Nabila Ismaili, Nouha Elouafi
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome (ACS); its prevalence is estimated to be less than 3%. It is defined as a separation within the coronary arterial wall secondary to intramural bleeding with or without intimal tear, creating a false channel. It mainly affects young subjects, mainly women, without coronary atherosclerosis or risk factors for atherosclerosis. However, the occurrence of spontaneous dissection due to atheromatous disease is possible. We here report 2 cases of spontaneous coronary dissection, in order to discuss its pathogenesis, factors favoring its occurrence, its clinical presentation and its therapeutic management...
2017: Pan African Medical Journal
Nisrine Mamouni, Hanane Saadi, Hinde Belfatemi, Sanaa Erraghay, Chahrazade Bouchikhi, Abdelaziz Banani
No abstract text is available yet for this article.
2017: Pan African Medical Journal
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