A. Abdulkarim, O. Katibi, Ss Mohammed, H. Ekundayo, A. Fadeyi, A. Alarape
{"title":"Cryptococcal Meningitis, A Rare Opportunistic Infection In An HIV Infected Nigerian Boy: A Case Report","authors":"A. Abdulkarim, O. Katibi, Ss Mohammed, H. Ekundayo, A. Fadeyi, A. Alarape","doi":"10.4314/TJHC.V19I2","DOIUrl":"https://doi.org/10.4314/TJHC.V19I2","url":null,"abstract":"Cryptococcal meningitis (CM) is an uncommon opportunistic infection in HIV infected children. Few childhood cases have been reported in literature. This is the second case report in a Nigerian child and the first at our hospital. A 13 year old boy presented with fever, cough, neck pain, convulsions and altered sensorium. He was assessed clinically and results of laboratory investigations supported a diagnosis of CM. He was diagnosed HIV positive at the same time with a history of blood transfusions in a private hospital. Unfortunately, appropriate intravenous anti-fungal to be used for treatment were not available and child died within a week of diagnosis. The pandemicity of HIV requires that a high index of suspicion be maintained to detect invasive fungal infections like CM. Efforts should also be made to ensure availability of appropriate antifungal, such as amphotericin B, for prompt treatment of affected persons. There is similarly the need to reinforce the campaign on screening of blood and blood products to prevent HIV transmission. Key words: Cryptococcal meningitis, Nigerian child, HIV/AIDS","PeriodicalId":23292,"journal":{"name":"Tropical Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76519695","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":"Prevalence Of Sickle Cell Disease In Kilamba Kiaxi Hospital, Luanda, Angola","authors":"Cristina Lussiana, I. Tarquino, Isabel Cal Paulo","doi":"10.4314/TJHC.V19I1","DOIUrl":"https://doi.org/10.4314/TJHC.V19I1","url":null,"abstract":"Sickle-cell disease is one of the most important causes of severe anaemia in Africa. This study intend to determine the prevalence of sickle cell disease among children in Kilamba Kiaxi in Luanda, Angola. Hospital Divina Providencia (Kilamba Kiaxi, Luanda, Angola) laboratory equipe, collected data for all the patients sicklewith diagnosis of sickle-cell disease during 2009 and 2010. More than 10,000 patients were investigated to determine those that will test positive for sickle cell disease. The result showed that sickle-cell disease affects 25% of population. Also the risk of severe anaemia and AS and SS genotypes accounted for the similar prevalence in the studied population. Apositive diagnosis for the sickle-cell disease is not always confirmed by haemoglobin electrophoresis. This present pilot study could be a good beginning to create a drepanocytosis register in Luanda and to correlate drepanocytic patients with blood transfusion requirements. Keywords : sickle cell disease, Angola, haemoglobin electrophoresis The Tropical Journal of Health Sciences Vol 19 No 1 (January 2012)","PeriodicalId":23292,"journal":{"name":"Tropical Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83992721","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. Saka, T. Akande, A. Saka, P. Odusolu, Awo Latinwo, A. Jimoh, H. Raji
{"title":"Assessment of Expectation, Knowledge and Adjustment Behaviour of Menopausal Women in North Central Nigeria","authors":"M. Saka, T. Akande, A. Saka, P. Odusolu, Awo Latinwo, A. Jimoh, H. Raji","doi":"10.4314/TJHC.V18I2.69618","DOIUrl":"https://doi.org/10.4314/TJHC.V18I2.69618","url":null,"abstract":"","PeriodicalId":23292,"journal":{"name":"Tropical Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74017556","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":"Fine Needle Aspiration Cytology in the Diagnosis of Hepatic Disorders","authors":"E. Afolayan, A. Mohammed","doi":"10.4314/tjhc.v18i2.69597","DOIUrl":"https://doi.org/10.4314/tjhc.v18i2.69597","url":null,"abstract":"","PeriodicalId":23292,"journal":{"name":"Tropical Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81634779","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":"Khat (catha edulis) Chewing in the horn of Africa and Arabian Peninsula: A Religion, Socio-Culture or Habit?","authors":"S. Lamina","doi":"10.4314/TJHC.V18I2.69595","DOIUrl":"https://doi.org/10.4314/TJHC.V18I2.69595","url":null,"abstract":"","PeriodicalId":23292,"journal":{"name":"Tropical Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79871672","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":"Characteristics of Nigerian Children With Human Immunodeficiency Virus and Tuberculosis Coinfection","authors":"A. Sadoh, W. Sadoh, N. Iduoriyekemwen","doi":"10.4314/TJHC.V18I2.69619","DOIUrl":"https://doi.org/10.4314/TJHC.V18I2.69619","url":null,"abstract":"","PeriodicalId":23292,"journal":{"name":"Tropical Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79921120","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":"Neurotoxic Effects of Aqueous Leaf Extract of Cannabis Sativa on the Visual Cortex of Adult Wistar Rats","authors":"A. Tijani, D. Adekomi","doi":"10.4314/TJHC.V18I2.69614","DOIUrl":"https://doi.org/10.4314/TJHC.V18I2.69614","url":null,"abstract":"","PeriodicalId":23292,"journal":{"name":"Tropical Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83028255","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":"Verocytotoxigenic Escherichia coli O157 and Non- O157 Serogroups in Human Faecal Samples in Northeast Nigeria","authors":"A. Moses, B. Bassey, A. Umoh","doi":"10.4314/TJHC.V18I2.69602","DOIUrl":"https://doi.org/10.4314/TJHC.V18I2.69602","url":null,"abstract":"","PeriodicalId":23292,"journal":{"name":"Tropical Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75406122","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}
B. Alabi, O. Musa, O. Afolabi, S. Aremu, S. Adebola
{"title":"Knowledge and Attitude of Nigerians on Snoring as a Health Problem","authors":"B. Alabi, O. Musa, O. Afolabi, S. Aremu, S. Adebola","doi":"10.4314/TJHC.V18I2.69612","DOIUrl":"https://doi.org/10.4314/TJHC.V18I2.69612","url":null,"abstract":"","PeriodicalId":23292,"journal":{"name":"Tropical Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90703635","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":"Prevalence and Significance of Sickle Cell Trait in Nigerian Patients with Essential Hypertension","authors":"S. Ahmed, Mijinyawa, A. Kwaru, M. Sanusi, A. Abba","doi":"10.4314/TJHC.V18I2.69607","DOIUrl":"https://doi.org/10.4314/TJHC.V18I2.69607","url":null,"abstract":"Dr Sagir G. Ahmed, Department of Haematology Aminu Kano Teaching Hospital PMB 3452, Kano Kano State, Nigeria. +2348034418015 drsagirahmed@yahoo.com Abstract lifestyle and nutritional culture of the Africans are Global epidemiology shows that hypertension becoming increasingly westernized over time and is severer, commoner and occurs at relatively younger might be partly responsible for rising incidence of nonage in the black Africans in comparison to the whites. communicable diseases, including hypertension, in Since sickle cell trait (SCT) was associated with Africa. This is consistent with the finding of higher hyperviscosity, we hypothesize that SCT is a possible prevalence of hypertension in urban populations in 1 risk factor for hypertension in blacks and it might be Nigeria . Moreover, the prevalence of adult partly responsible for the high prevalence and severity hypertension appears to be rising as previous studies of hypertension in blacks. Hence, we studied reported prevalence rates of about 12% in 1992, 20% in 1, 2, 3 haematological parameters and prevalence of SCT in 1999 and up to 36% in a more recent study in 2008 . hypertensive patients and evaluated the impact of SCT Global epidemiology had shown that hypertension is on response to anti-hypertensive therapy as seen in severer, commoner and occurs at relatively younger 4, 5, Aminu Kano Teaching Hospital, Nigeria. age in the black Africans than in the white Europeans 6 The hypertensive patients had WBC and . 9 9 platelet counts of 5.8 x10 /L and 225 x10 /L that did not Individuals with sickle cell trait (SCT) have significantly differ from the corresponding values of red cells with Hb AS genotype that contain about 40% 9 9 7 6.2 x10 /L and 235 x10 /L seen among the HbS and 60% HbA . The abundance of HbA prevents 7 normotensive controls (p>0.05), but the hypertensive sickling under physiological conditions . The patients had a haematocrit of 0.37L/L that was frequency of SCT is up to 20-25% in West Africa significantly lower than the value of 0.44L/L seen including Nigeria, and the frequency has reached among the normotensive controls (p 0.05). Hypertensive patients with SCT had black Africans with normal Hb AA genotype . mean systolic and diastolic pressures of 158 and 95 Haemorheological studies had revealed that systemic mm Hg that were significantly higher than the arterial blood pressure is generally influenced by corresponding values of 145 and 86 mm Hg seen in vascular peripheral resistance, which is in turn affected 12, 13 patients with Hb AA genotype (p<0.05). These by blood viscosity . We therefore hypothesize that results suggest that SCT was not a risk factor for SCT genotype is a possible risk factor for essential hypertension but it was associated with poor hypertension in blacks and it might be partly response to anti-hypertensive therapy in affected responsible for the high prevalence and severity of patients. Hence hypertensive patients with SCT hypertension in the b","PeriodicalId":23292,"journal":{"name":"Tropical Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84022085","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}