Medecine tropicale : revue du Corps de sante colonial最新文献_第4页

[Adult-onset Still's disease: case report in Dakar, Senegal]. [成人发病斯蒂尔氏病:塞内加尔达喀尔的病例报告]。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2011-12-01

S B Gning, I Diallo, C A Fall, B Ndiaye, K Ba Fall, F Fall, P D Fall, P S Mbaye

引用次数: 0

[The rehabilitation cares at the lepers]. [麻风病人的康复护理]。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2011-12-01

G De Brier, A Jouvion, J Mercier, T Trappier, I Urseau, L Thefenne

引用次数: 0

[Problems of rehabilitation in patients with sickle cell disease in Cotonou, Benin]. [贝宁科托努镰状细胞病患者的康复问题]。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2011-12-01

G T Kpadonou, E Fiossi-Kpadonou, E Alagnidé, F Bagre, M C Rahimy

{"title":"[Problems of rehabilitation in patients with sickle cell disease in Cotonou, Benin].","authors":"G T Kpadonou, E Fiossi-Kpadonou, E Alagnidé, F Bagre, M C Rahimy","doi":"","DOIUrl":"","url":null,"abstract":"Background: Manifestations of sickle cell disease (SCD) are polymorphous from childhood to adulthood.Objective: The purpose of this study was to assess outcomes of rehabilitation in the patients with SCD.Method: This retrospective analytical descriptive study included 160 SCD patients rehabilitated from 1998 to 2006 at the National University Hospital in Cotonou, Benin.Results: Mean patient was 31 years (range, 3 to 73 years). There was a female predominance (62.5%) with a sex ratio of 0.6. The type of SCD was HbAS in 53.1% of patients, HbSS in 21.3%, HbSC in 16.9%, and HbAC in 8.1%. The main clinical manifestations were classified as ischemic/infectious in 40% of patients, rheumatologic in 40%, and neurologic in 10%. Ischemic manifestations were observed in all patients with HbSS, HbSC, and HbAS while manifestations were preferentially neurological in patients with HbSS (p = 4,43.10(-3)) and rheumatologic in patients with HbAS (p<10(-3)). At the end of rehabilitation, persistent deficiencies, disabilities and limitations involved pain in 43.8% of patients, articular stiffness in 43.8%, muscular weakness in 46.9%, gait anomalies in 33.1%, amyotrophy in 21.2%, shortening of lower extremity in 16.9%, and tilting of the pelvis in 6.3%.Conclusion: This study shows that SCD is a highly debilitating disease. Although rheumatologic manifestations are not specific to SCD, the other complications described including femoral head necrosis, osteomyelitis, and stroke have been extensively documented in the literature. If primary prevention is unfeasible, early multidisciplinary management appears to be the most effective approach to reducing SCD-related disability.","PeriodicalId":18423,"journal":{"name":"Medecine tropicale : revue du Corps de sante colonial","volume":"71 6","pages":"558-61"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40144341","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}

引用次数: 0

[Amputation in low-income countries: particularities in epidmiological features and management practices]. [低收入国家的截肢:流行病学特征和管理做法的特殊性]。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2011-12-01

H Bisseriex, D Rogez, M Thomas, S Truffaut, S Compere, H Mercier, F Dochez, E Lapeyre, L Thefenne

{"title":"[Amputation in low-income countries: particularities in epidmiological features and management practices].","authors":"H Bisseriex, D Rogez, M Thomas, S Truffaut, S Compere, H Mercier, F Dochez, E Lapeyre, L Thefenne","doi":"","DOIUrl":"","url":null,"abstract":"The epidemiological features and management practices associated with amputation in low-income countries, generally synonymous with the tropics, are different from those observed in Western countries. Unlike developed countries, amputation most frequently involves traumatic injury in young active people. However, Westernization of the lifestyle is leading to an increasing number of cases involving diabetes and atherosclerotic disease. In the developing world, leprosy and Buruli ulcer are still significant etiologic factors for amputation. In war-torn countries, use of antipersonnel landmines is another major cause of amputation with characteristic features. Management of amputees in the developing world is hindered by the lack of facilities for rehabilitation and prosthetic fitting. Many international organizations are supporting national programs to develop such facilities. In addition to being affordable, prosthetics and orthotics must be adapted to the living conditions of a mostly rural amputee population, i.e., heat, humidity, and farm work. The rehabilitation process must be part of a global handicap policy aimed at changing attitudes about disability and reintegrating amputees both socially and professionally.","PeriodicalId":18423,"journal":{"name":"Medecine tropicale : revue du Corps de sante colonial","volume":"71 6","pages":"565-71"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40144343","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}

引用次数: 0

[Necrotic lesion of the lip and cough with fever: cutaneous and pulmonary anthrax]. [嘴唇坏死性病变，咳嗽伴有发热:皮肤和肺部炭疽]。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2011-12-01

F Bennaoui, G Draiss, M Bourrous, M Bouskraoui

引用次数: 0

[Negative pressure therapy in austere environments: extremities]. [恶劣环境中的负压疗法:四肢]。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2011-12-01

A Chataigneau, T Peycru, F Mottier, H Gersen Cherdieu, M Allizard, D Ollat

引用次数: 0

[Lithopedion formation leading to acute intestinal obstruction after 6 years: case report from Madagascar]. [6年后结石形成导致急性肠梗阻:马达加斯加病例报告]。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2011-12-01

H Rasataharifetra, J A Randriambelomanana, S A Herinirina, A H Rakotoarijaona

引用次数: 0

[2nd International Symposium on Sickle Cell Disease in Central Africa]. [第二届中非镰状细胞病国际研讨会]。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2011-12-01

B Ngasia, G Kazadi, G Loko, L Sica, G Wamba, J P Gonzalez, L Tshilolo

引用次数: 0

[Functional outcome of tuberculous arthiritis of the knee in a male Moroccan patient]. [一例摩洛哥男性患者膝关节结核性关节炎的功能结局]。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2011-12-01

J Facione, A Stephan, L Thefene, I Loiret, J J Chapus, J Paysant, D Lagauche

{"title":"[Functional outcome of tuberculous arthiritis of the knee in a male Moroccan patient].","authors":"J Facione, A Stephan, L Thefene, I Loiret, J J Chapus, J Paysant, D Lagauche","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: The purpose of this article is to present a case of tuberculous arthritis of the knee and discuss the importance of early diagnosis and rehabilitatin in management outcome.Case report: A 57-year-old Moroccan man with no medical history presented with a mass in the left knee associated with pain and fever. Analysis of aspirated fluid demonstrated sterile inflammatory liquid. Presumptive antibiotic therapy was ineffective. Diagnosis of tuberculous arthritis was made based on positive tuberculin skin test and interferon-release assays. Diagnosis was confirmed by arthroscopic biopsy. Physiotherapy allowed improvement in both function and analytical test findings.Discussion: Tuberculous arthritis is rare occurring in only 2 to 5% of people with tuberculosis. It can be very destructive. Diagnosis is often delayed leading to joint pain, tissue damage, and functional disability (e.g. inability to walk). Since prompt treatment (antibiotics then physiotherapy) can limit complications, early diagnosis is necessary and often requires deep biopsy, except endemic zones. In the acute phase, immobilization of the extremity in a functional position is necessary. When inflammatory signs subside, physiotherapy can be undertaken in short but frequent sessions without excessive weight or resistance.Conclusion: The functional outcome of tuberculous arthritis depends on early multidisciplinary care involving the rheumatologist, infectious disease specialist, orthopedic surgeon and attending physician.","PeriodicalId":18423,"journal":{"name":"Medecine tropicale : revue du Corps de sante colonial","volume":"71 6","pages":"562-4"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40144342","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}

引用次数: 0

[Peritoneal tuberculosis and HIV infection in adults: 32 cases in Lome (Togo)]. 成人腹膜结核和HIV感染:洛美(多哥)32例。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2011-12-01

O Bouglouga, A Bagny, M A Djibril, L M Lawson-Ananissoh, F M'ba, D Redah, A Agbetra

引用次数: 0