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Pan African Medical Journal

Chimae Eddaoudi, Mohammed Achraf Grohs, Abdilhay Filali
Uterine inversion is a rare but potentially serious complication of labour characterized by "glove-finger" introflexion of the uterine body protruding into the vagina or out of the vulva. This disease commonly occurs just after delivery and it is characterized by severe pain associated with hemorrhagic shock. The diagnosis is essentially based on clinical examination and must be immediate in order to allow quick reinversion before the formation of a constriction ring. Mortality rate is low if patients are early diagnosed and treated...
2018: Pan African Medical Journal
Ema Waliyanti, Fatwa Sari Tetra Dewi, Supriyati Supriyati, Renske Fles
Introduction: Nasopharyngeal cancer ranks first among head and neck cancer. About 60-95% of nasopharyngeal cancer patients seek for treatment at advanced stage. Attitudes and behavior of cancer patients in choosing healthcare is affected by the level of socio-economic and cultural backgrounds. Surgery and treatment costs are also the reasons patients to late seek treatment. This study aims to explore what contributes the treatment seeking behavior of nasopharyngeal cancer patients. It conducted in the Yogyakarta, Indonesia...
2018: Pan African Medical Journal
Beatrice Ohunene Bello-Ovosi, Sunday Asuke, Shehu Ozovehe Abdulrahman, Muhammed Sani Ibrahim, Joseph Ogirima Ovosi, Modupe Arinola Ogunsina, Felicia Ohunene Anumah
Introduction: Worldwide, hypertension and diabetes mellitus (DM) are major causes of morbidity and mortality. This study assesses the prevalence and correlates of hypertension and DM in an urban community in northwestern Nigeria. Methods: This was a cross-sectional descriptive study. Adults aged 18 years and above, who attended a medical outreach program were interviewed and screened for hypertension and DM. Anthropometry, blood glucose and blood pressure were measured with standard instruments and methodology...
2018: Pan African Medical Journal
Hind Cherrabi, Salahoudine Idrissa, Hind Abouljaoud, Abdoulaye Harouna Diallo, Karima Atarraf, Aziz El Madi, Khalid Khattala, Youssef Bouabdallah
Claudius Amyand's hernia is defined as the incarceration of the vermiform appendix in the hernia sac. The first reported appendicectomy was performed in 1735. It is very rare among children, hence its frequency is not yet established. We report the case of a 22-day old new born with untreated simple inguinoscrotal hernia who had an urgent admission to the Emergency Department due to occlusive syndrome with no evacuation of faeces and no passing of flatus, inflammatory inguinoscrotal swelling and bilious vomiting persisting for 2 days...
2018: Pan African Medical Journal
Youssef Zemmez, Mohammed Boui
We report the case of a 48-year old female patient with a pathological history of chronic venous insufficiency which required a surgical treatment 5 years before, presenting in the Department of Dermatology with increased left lower limb evolved over the past 4 years. Clinical examination showed increased lower limb, compared to the contralateral limb, with surgical scar at the level of the external face of the left leg and some papillomatous lesions involving the entire left foot and covering the five left toes...
2018: Pan African Medical Journal
Placide Kambola Kakoma, Emmanuel Kiyana Muyumba, Clarence Kaut Mukeng, Jaques Mbaz Musung, Christian Ngama Kakisingi, Olivier Mukuku, Dophra Ngoy Nkulu
Introduction: This study aimed to highlight blood pressure (BP) profile in adolescents aged 15-19 years at school in Lubumbashi, Democratic Republic of the Congo. Methods: We conducted a cross-sectional study of adolescents aged 15-19 years through random sampling of the secondary schools in Lubumbashi during the school years 2013-14, 2014-15 and 2015-16. Blood pressure was measured three times in the same day. Results: Our study included 1766 adolescents aged 15-19 years, of whom 995 were females and 771 boys...
2018: Pan African Medical Journal
Marie-Pierrette Ntyonga-Pono
Chronic adrenal insufficiency is regarded as a rare disease in its primary stage. However, secondary adrenal insufficiency, which essentially occurs after stopping corticosteroids, is more frequent, ranging from 4.2% to 60%, depending on the pathology treated, but it is often unrecognized. We report the case of a 66 year old female patient with a history of chronic fatigue for more than 2 years. The patient consulted several clinicians but symptoms were wrongly attributed to a depressive disorder rather than to adrenal corticotropic adrenal insufficiency...
2018: Pan African Medical Journal
Hayat El Maataoui, Amina Fahi, Bouchra Oukkache
In this paper we analyze the combination of HbAS disease and haemophilia A must be exceedingly rare. Because of this rarity we report the case of two brothers with sickle cell trait and major haemophilia A. We conclude that it is about a post-circumcision bleeding due to major hemophilia A associated to sickle cell AS, this association was a systematic discovery.
2018: Pan African Medical Journal
Mohamed El Amraoui, Naoufal Hjira
Atherosclerosis is a frequent and life-threatening complication in elderly patients with multimorbidity as well as with one or multiple cardiovascular risk factors. It can affect all the arterial trunks of the lower limbs and can cause obliterative arterial disease of the lower limbs. We here report the case of an elderly patient with ecchymotic livedo reticularis of the right thigh revealing ipsilateral obliterative arterial disease of the lower limb with septic loosening of total hip prosthesis. The study involved a 70-year old man with favorable atheromatous condition complicated 6 months before by ischemic heart disease revascularized with double prostheses (stent) and with right total hip prosthesis implanted 10 years before...
2018: Pan African Medical Journal
Catherine Nduku Kiama, Joyce Njeri Wamicwe, Elvis Omondi Oyugi, Mark Odhiambo Obonyo, Jane Githuku Mungai, Zeinab Gura Roka, Ann Mwangi
Introduction: Metabolic syndrome affects 20-25% of the adult population globally. It predisposes to cardiovascular disease and Type 2 diabetes. Studies in other countries suggest a high prevalence of metabolic syndrome among HIV-infected patients but no studies have been reported in Kenya. The objective of this study was to assess the prevalence and factors associated with metabolic syndrome in adult HIV-infected patients in an urban population in Nairobi, Kenya. Methods: In a cross-sectional study design, conducted at Riruta Health Centre in 2016, 360 adults infected with HIV were recruited...
2018: Pan African Medical Journal
Ibrahim Elaraoud, Erica Damato
No abstract text is available yet for this article.
2018: Pan African Medical Journal
Pirabu Sakthivel, Chirom Amit Singh
No abstract text is available yet for this article.
2018: Pan African Medical Journal
Mohamed El Amraoui, Naoufal Hjira
Salmonelloses are bacterial infections of the faecal peril; they are endemic in some regions of the world. They can colonize almost any organ hematogenously, hence, severe forms may be observed. We report a case of typhoid fever in a 16-year old young adolescent with no medical history, sexually transmitted diseases or sexual intercourses, presenting with necrotic scrotal ulcerations evolving over the past 3 weeks in a context of fever, diarrhoea, weight loss and alteration of the general state. Paraclinical assessment showed 7g/dl hypochromic microcyticanemia with target cells in blood smear and normal hemoglobin electrophoresis, biologic inflammatory syndrome, malabsorption syndrome, cytolysis and hepatic cholestasis 20 times above the normal, hepatosplenomegaly, normal viral serologic testing (HBV, HCV, HIV, EBV and CMV) and positive testing for salmonella...
2018: Pan African Medical Journal
Assiya El Kettani, Nabiha Kamal
We here report the case of a female infant with perinatal asphyxia requiring resuscitation. She was referred with sclerema neonatorum which had been observed by parents on her tenth day of life. The lesions appeared as hard erythematous nodular plaques, suggesting neonatal cytosteatonecrosis in the gluteal region. Patient's evolution was marked by progressive hypercalcemia reaching a peak of 128 mg/L (80-110 mg/L) for which re-hospitalization was required 1 month after birth. Renal ultrasound showed medullary nephrocalcinosis...
2018: Pan African Medical Journal
Mahtat El Mehdi, Ahmed Alayoude, Mohamed Amine Hamzi, Wafe Arache, Kawtar Hassani, Selim Jennane, Hicham Eddou, Kamal Doghmi, Mohamed Mikdame
Myelodysplastic syndromes may be associated with autoimmune diseases. Renal involvement is rare but, if occurs, it manifests predominantly as glomerular diseases. Extramembranous glomerulonephritis associated with myelodysplastic syndrome has been reported very rarely. We here report the case of a patient presenting with glomerulonephritis associated with anemia, revealing low-risk myelodysplastic syndrome. In the light of this case, we conducted a review of the literature of previously published cases and discussed the pathogenic link between these two entities...
2018: Pan African Medical Journal
Georges Rosario Christian Millogo, Ragomzingba Frank Edgard Zongo, Anita Benao, Estelle Noëla Hoho Youl, Blaise Alexandre Bazona Bassoleth, Moussa Ouédraogo, Patrice Zabsonré, Innocent Pierre Guissou
Medicinal treatment of arterial hypertension (AH) may cause adverse effects which can be annoying and thus influence patient's compliance with treatment. Our study focused on these undesirable effects in patients followed up for AH on an ambulatory basis in the Department of Cardiology at the University Hospital Yalgado Ouédraogo from July to September 2015. Our aim was to determine their rates and their characteristics. Data were obtained from patients' interview, from the examination of patients' follow-up records and of medical consultation forms...
2018: Pan African Medical Journal
Said Benlamkaddem, Imane Iken, Nawfal Houari, Abderrahim Elbouazzaoui, Brahim Boukatta, Hicham Sbai, Sanae Achour, Nabil Kanjaa
Paracetamol is the most widely drug involved in accidental paediatric exposures and deliberate self-poisoning cases because of its availability. N-acetyl cystein is the main treatment for this poisoning. We report a case of a 24-year-old Arab female who has deliberately ingested 100 tablets of 500 mg paracetamol each (50g). Her first examination was normal. She has received oral N-acetyl cystein (NAC) 6 hours after the ingestion. Serum paracetamol level done 18 hours post ingestion was 900 mg/l. On review the next days, she did not develop any symptoms of liver failure...
2018: Pan African Medical Journal
Gabriel Waari, Joseph Mutai, Joseph Gikunju
Introduction: Medication non-adherence is a common problem facing health care providers treating adult type 2 diabetes mellitus patients. Poor glycaemic control associated with increased morbidity and mortality are resulting consequences. The objective of this study was to assess medication adherence among Type 2 diabetes mellitus patients. Methods: This is a cross-sectional study conducted at Kenyatta National Hospital from November 2015 to January 2016. 290 Type 2 diabetic patients were enrolled...
2018: Pan African Medical Journal
Abib Diop, Ousmane Thiam, Mouhamadou Lamine Guèye, Mamadou Seck, Alpha Oumar Touré, Mamadou Cissé, Madieng Dieng
We conducted a retrospective study of 15 patients with complicated Meckel diverticula treated in the emergency surgery at the Aristide Le Dantec Hospital, Dakar, over a period of 13 years (January 2003-June 2016). The study included 10 men and 5 women, whose average age was 27.8 years, ranging between 1 months and 73 years. The two main circumstances of detection were occlusive syndrome and peritoneal irritation. Emergency laparotomy allowed clinicians to affirm the involvement of Meckel diverticulum in the clinical picture...
2018: Pan African Medical Journal
Houssam Laachach, Bachrif Mohamed, Ilham Benahmed, Alaa Fliti, Noha El Ouafi
Acute coronary syndromes may occur in young adults and have a non-atheromatous origin. We report the case of a young man admitted with acute coronary artery disease with systematic ST-segment elevation. Coronarography showed no abnormality and MRI confirmed acute myocarditis. Outcome was favorable under medical treatment.
2018: Pan African Medical Journal
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