M. Igala, L. Kouegnigan Rerambiah, L. E. Ledaga Lentombo, A. Ifoudji Makao, S. N. Nto'o Eyene, S. W. Mbiye Cheme, M. B. Bouyou Akotet, J. Boguikouma
{"title":"Anticoagulant-induced pseudothrombocytopenia after a plasmodium falciparum infection in a five-year-old child.","authors":"M. Igala, L. Kouegnigan Rerambiah, L. E. Ledaga Lentombo, A. Ifoudji Makao, S. N. Nto'o Eyene, S. W. Mbiye Cheme, M. B. Bouyou Akotet, J. Boguikouma","doi":"10.1684/mst.2019.0894","DOIUrl":"https://doi.org/10.1684/mst.2019.0894","url":null,"abstract":"Pseudothrombocytopenia or artefactual thrombocytopenia is an abnormally low number of platelets due to their agglutination in a sample tube, with no ex vivo clinical translation. It occurs in ethylene diamine tetraacetic (EDTA) test tubes. Non-EDTA anticoagulants, such as citrate, fluoride oxalate, and heparin lithium, may be responsible for it, alone or in combination. It can occur in patients with autoimmune diseases, neoplasia, atherosclerosis, liver disease, or infections. We report the case of a 5-year-old child, who after falciparum malaria showed persistent thrombocytopenia. Further exploration has led to the conclusion of pseudothrombocytopenia due to three anticoagulants: EDTA, citrate, and fluoride oxalate.","PeriodicalId":18307,"journal":{"name":"Medecine et sante tropicales","volume":"29 2 1","pages":"175-177"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49018138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Baldé, A. Diallo, M. Diallo, O. Baldé, I. Sylla, B. Diallo, T. Sy
{"title":"Sexual violence: epidemiological and clinical aspects and circumstances of occurrence among women seen at the Gynecology-Obstetrics department of the Ignace Deen National Hospital of Conakry University Hospital.","authors":"I. Baldé, A. Diallo, M. Diallo, O. Baldé, I. Sylla, B. Diallo, T. Sy","doi":"10.1684/mst.2019.0892","DOIUrl":"https://doi.org/10.1684/mst.2019.0892","url":null,"abstract":"Sexual violence is widespread in the world and has a negative impact on women's mental, social, and physical well-being. The purpose of this study was to describe the epidemiological and clinical aspects of the occurrence of sexual violence among patients seen in the Gynecology-Obstetrics department at Ignace Deen National Hospital. This is a cross-sectional, descriptive, observational study of victims of sexual violence seen in the department, directly or on court orders, during the two-year period from May 1, 2016, to April 30, 2018. The data were analyzed with SPSS 16.0 software. Sexual violence accounted for 3.5% of all consultations in the department during the study period. They concerned adolescents (64.0%), females (97.1%), students (78.6%), and single individuals (95.7%). More than half of the sexual assaults were committed in the abuser's home (57.1%), by an assailant known to the victim (87.0%), at night (71.4%), by one person (85.7%), and during the weekend (60.0%). The lesions observed included vulvovaginitis (45.8%), vaginal tears (8.7%), facial bruises (8.7%), anal tears (4.4%), and ocular contusions (4.4%). The gynecological examination was normal in 21.4% of cases. Vaginal penetration was the sexual act practiced most often (88.4%) by aggressors, compared with acts of sodomy (4.3%). We noted 7.2% of fondling. Overall, 58.6% had previously had their hymen broken, and 34.3 very recently, while the hymen was intact in 7.1% of cases. The frequency of sexual violence is underestimated in our society. Its prevention involves its punishment, adequate medical care of victims, and improvement of the status of women.","PeriodicalId":18307,"journal":{"name":"Medecine et sante tropicales","volume":"29 2 1","pages":"195-199"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47283146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Utilisation de la technique de la membrane induite pour la reconstruction des os longs en situation précaire","authors":"L. Mathieu, A. Masquelet","doi":"10.1684/MST.2019.0889","DOIUrl":"https://doi.org/10.1684/MST.2019.0889","url":null,"abstract":"","PeriodicalId":18307,"journal":{"name":"Medecine et sante tropicales","volume":"29 1","pages":"127-132"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67571554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Coulibaly, M. Touré, S. Koita, B. Coulibaly, T. Diop, M. Mangane, A. H. Al Meimoune, O. Nientao, A. Dabo, B. Diallo, H. Dicko, M. Konaté, D. Diango, Y. Coulibaly
{"title":"Status epilepticus in black African patients with hypertensive encephalopathy: a rare entity that must not be underrated.","authors":"M. Coulibaly, M. Touré, S. Koita, B. Coulibaly, T. Diop, M. Mangane, A. H. Al Meimoune, O. Nientao, A. Dabo, B. Diallo, H. Dicko, M. Konaté, D. Diango, Y. Coulibaly","doi":"10.1684/mst.2019.0893","DOIUrl":"https://doi.org/10.1684/mst.2019.0893","url":null,"abstract":"The severity of a blood pressure spike is more closely associated with serious organ dysfunction, which can be life-threatening in the short term, than with the blood pressure level itself. A hypertensive emergency is defined as the presence of high blood pressure associated with acute organ dysfunction. The specific nature of high blood pressure in black patients may cause more frequent hypertensive emergencies. In this retrospective case study, we report our experience and highlight the specific prognosis for black African patients. We examined three patients, aged 27, 47, and 59 years, admitted to intensive care for a hypertensive emergency with neurological distress, and all in status epilepticus. Average blood pressure was 171 mm HG. Treatment included intubation, ventilation, and induction of a barbiturate coma, plus antihypertensive treatment. The outcome was favorable, with an average stay of 5 days. The frequency of hypertensive emergencies varies according to age, ethnic origin, and period studied. Black patients often suffer from more severe forms of high blood pressure, arising at an earlier age. Hypertensive encephalopathy can occur in patients with or without chronic hypertension. Without treatment, the encephalopathy induces a coma that can quickly become fatal. Its spontaneous course is catastrophic (10-20% survival at one year), but more favorable with adequate treatment (60-80% survival at five years).","PeriodicalId":18307,"journal":{"name":"Medecine et sante tropicales","volume":"29 2 1","pages":"170-174"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45399918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Cardinale, C. Scheiwe, F. Boubotte-Salmon, P. Laitselart
{"title":"A rare Foreign Body in the bladder: a surgical dressing as a bladder stone.","authors":"M. Cardinale, C. Scheiwe, F. Boubotte-Salmon, P. Laitselart","doi":"10.1684/mst.2019.0902","DOIUrl":"https://doi.org/10.1684/mst.2019.0902","url":null,"abstract":"We report an unusual case of a foreign body removed from the urinary bladder of an 11-year-old boy, which had mimicked a recurrent bladder stone. The diagnosis was suspected by ultrasound. As the clinical presentation appeared typical, no other examination was performed. Open surgery revealed that this foreign body was a surgical dressing forgotten during the first surgery eight years earlier. The absence of clinical evidence or infectious complications related to this foreign body over such a long period was surprising.","PeriodicalId":18307,"journal":{"name":"Medecine et sante tropicales","volume":"29 2 1","pages":"222-224"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44451059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L Fortes Déguénonvo, N A Lakhe, V M P Cisse, K Diop Mbaye, D Ka, N M Manga, S Bougar, N M Dia Badiane, C T MNdour, M Soumaré
{"title":"Postpartum infections in a tropical environment: The experience of the infectious diseases department at Fann Teaching Hospital of Dakar (Senegal).","authors":"L Fortes Déguénonvo, N A Lakhe, V M P Cisse, K Diop Mbaye, D Ka, N M Manga, S Bougar, N M Dia Badiane, C T MNdour, M Soumaré","doi":"10.1684/mst.2019.0881","DOIUrl":"https://doi.org/10.1684/mst.2019.0881","url":null,"abstract":"<p><p>To describe the epidemiology, clinical characteristics, and outcomes of infections in postpartum women admitted to the infectious diseases department at Fann Teaching Hospital. This retrospective descriptive study examined the records of women admitted for infectious diseases within 42 days after childbirth during the five-year period (2007-2011). Data were collected from medical files and analyzed with Sphinx plus<sup>2</sup> V5 software. In all, 54 women were admitted for infections during the postpartum period. Their mean age was 27.4 ± 6.2 years. Fifty women (93%) had had vaginal deliveries. The average interval from delivery to admission was 15.4 ± 11.0 days. Tuberculosis (14 cases), vaginitis (13 cases), and severe malaria (7 cases) were the most frequent infectious diseases. The average duration of hospitalization was 12.1 ± 9.0 days. The mortality rate was 30%, with the main causes of death tuberculosis (25 %) and severe pneumonia of unknown causes (25 %). Tropical diseases remain frequent during the postpartum period, with a high lethality rate, as this study shows. Early diagnosis during pregnancy and better follow-up after delivery should be the best ways of reducing morbidity and mortality from these infections.</p>","PeriodicalId":18307,"journal":{"name":"Medecine et sante tropicales","volume":"29 1","pages":"71-75"},"PeriodicalIF":0.0,"publicationDate":"2019-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37193335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K Lakhdar, M A Berdai, S Benlamkadem, S Labib, M Harandou
{"title":"Cade oil poisoning: about a case.","authors":"K Lakhdar, M A Berdai, S Benlamkadem, S Labib, M Harandou","doi":"10.1684/mst.2018.0843","DOIUrl":"https://doi.org/10.1684/mst.2018.0843","url":null,"abstract":"<p><p>Throughout Morocco, cade oil is used in folk medicine for many purposes, in particular for atopic dermatosis. It is also used as a wormer. Cade oil poisoning of newborns and infants thus often has an iatrogenic origin, resulting especially from the ingestion of a significant amount or from a prolonged and extensive cutaneous application. Thus, this oil, used for therapeutic purposes, is responsible for a non-negligible number of cases of poisoning, some fatal. We report a case of poisoning after cutaneous application of cade oil in a 2-month-old infant. The outcome was fatal. This report calls attention to the real possibility of this event and emphasizes the interest of preventing it by promoting information to families in Morocco.</p>","PeriodicalId":18307,"journal":{"name":"Medecine et sante tropicales","volume":"29 1","pages":"110-111"},"PeriodicalIF":0.0,"publicationDate":"2019-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37191460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M Dorcelus, S Delaigue, S Bourdeau, J-N Saint-Louis, M Cerpa, W Morose
{"title":"Inventory of the epidemiological situation of leprosy in Haiti (2013-2017) for the Five-Year Plan: A first stage toward the implementation of the international strategy to combat leprosy, 2016-2020.","authors":"M Dorcelus, S Delaigue, S Bourdeau, J-N Saint-Louis, M Cerpa, W Morose","doi":"10.1684/mst.2019.0870","DOIUrl":"https://doi.org/10.1684/mst.2019.0870","url":null,"abstract":"<p><p>Leprosy is endemic in Haiti and remains a disease misunderstood by the population. In 2018, the national program to fight tuberculosis and leprosy (PNLTL) produced its first strategic plan against leprosy to implement the international strategy of the World Health Organization (WHO). The objective of this study was to describe the epidemiological situation of leprosy in Haiti, to assess its prevalence and morbidity, and to guide the strategies of the national plan. A retrospective study of all cases of leprosy diagnosed in the three centers providing care for this disease in Haiti reviewed the new cases at these centers from January 2013 through December 2017. In all, 232 new patients were recorded, or 49 new cases a year. Multibacillary leprosy was predominant: 86%, compared with the international mean of 60 %. Children accounted for 14 % of the new cases (7.5 % internationally), a finding that is evidence of active community transmission. Of the new cases in 2017, 8 %, including one child, had grade 2 impairments. Nearly all the leprosy cases - 94 % (218/232) - came from the two districts with treatment centers (West and Artibonite). Efforts must continue to implement the international strategy to fight leprosy to ensure a reduction by 2020 in the rate of grade 2 impairments among new cases and the number of new cases among children.</p>","PeriodicalId":18307,"journal":{"name":"Medecine et sante tropicales","volume":"29 1","pages":"29-35"},"PeriodicalIF":0.0,"publicationDate":"2019-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37191469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F Morin, C Debiton-Morin, F Dufour-Gaume, S Annette
{"title":"Lost in a rain forest.","authors":"F Morin, C Debiton-Morin, F Dufour-Gaume, S Annette","doi":"10.1684/mst.2018.0861","DOIUrl":"https://doi.org/10.1684/mst.2018.0861","url":null,"abstract":"<p><p>A 40-year-old soldier in Guyana consulted at the end of December for skin lesions that had been developing for several weeks after he was lost overnight in the equatorial forest, near the village of Saul. He was bitten by numerous mosquitoes during the night and as he crossed marshy areas. When he arrived at the clinic he had 23 leishmaniasis sites visible.</p>","PeriodicalId":18307,"journal":{"name":"Medecine et sante tropicales","volume":"29 1","pages":"43-45"},"PeriodicalIF":0.0,"publicationDate":"2019-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37191471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dyspepsie et Helicobacter pylori.","authors":"P Bourée","doi":"10.1684/mst.2018.0848","DOIUrl":"https://doi.org/10.1684/mst.2018.0848","url":null,"abstract":"","PeriodicalId":18307,"journal":{"name":"Medecine et sante tropicales","volume":"29 1","pages":"27-28"},"PeriodicalIF":0.0,"publicationDate":"2019-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37191467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}