{"title":"Giant hepatic adenoma managed with anatomical right hepatectomy: A case report","authors":"U. Bello, C. Nwachukwu, Nasirudeen Oloko","doi":"10.4081/pjm.2022.179","DOIUrl":"https://doi.org/10.4081/pjm.2022.179","url":null,"abstract":"We report the case of a 38-year-old Nigerian female who presented with right hypochondrial pain. She had previously used oral contraceptive pills for about a year. Physical examination revealed tender hepatomegaly. Her liver function tests were within normal limit as well as alfa-feto protein. Abdominopelvic magnetic resonance imaging showed hepatomegaly with a lobulated mass occupying segments VII and VIII of the liver. She underwent right hepatectomy, and she recovered well post operatively. She is currently being followed up.","PeriodicalId":430358,"journal":{"name":"Pyramid Journal of Medicine","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128127522","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":"Impact of COVID-19 pandemic on care of victims of snakebite","authors":"M. Hamza","doi":"10.4081/pjm.2022.183","DOIUrl":"https://doi.org/10.4081/pjm.2022.183","url":null,"abstract":"As the world battles COVID-19, other longstanding global health challenges continue to cause illness, disabilities, and death. Among them is the neglected crisis of Snakebite Envenoming (SBE). COVID-19 pandemic comes with lockdowns and movement restriction, however, exposure to snakes did not change in many rural agrarian communities, where incidences are usually highest. For instance, in the year after the COVID-19 pandemic was declared, an estimated 2.7 million SBE led to over 100,000 deaths and 400,000 long-term disabilities in the poorest and most rural communities of the world. [...]","PeriodicalId":430358,"journal":{"name":"Pyramid Journal of Medicine","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115830637","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":"The effect of calf and thigh circumferences in determining brain lesion characteristics in patients with acute stroke: A hospital-based study","authors":"M. Bashir, Anas Ibrahim Yahaya, Mukhtar Muhammad","doi":"10.4081/pjm.2022.107","DOIUrl":"https://doi.org/10.4081/pjm.2022.107","url":null,"abstract":"The role of stroke risk factors in stroke patterning and differentiation is poorly investigated, especially for measures of body composition. This study aimed to investigate the effect of skinfold thickness, waist and limb circumference measurements in patterning and differentiation of stroke in hospitalized patients. Prospective study of acute stroke patients hospitalized in Aminu Kano Teaching Hospital in Nigeria was conducted in 16 months. Biceps brachii, triceps brachii, suprailiac and subscapular skinfold thickness measurements were taken using Skyndex Research Caliper. Upper arm, waist, thigh, and calf circumferences were taken, using an inelastic measuring tape according to the same standards. The data was analyzed using descriptive statistics, unpaired sample t-test, and Binary logistic regression using SPSS IBM version 20. The results shown that the studied anthropometric parameters, do not only predispose to stroke but tend to determine the specific stroke pathologic type. Thigh circumference predisposes more, and calf circumference predisposes less to ischemic stroke subtype. This means that these studied anthropometric parameters can predict stroke subtype and serve as predisposing factors conclusively.","PeriodicalId":430358,"journal":{"name":"Pyramid Journal of Medicine","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121272227","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}
Y. A. Misau, D. Mogere, S. Mbaruk, S. Bello, O. Oduwole
{"title":"Prevalence and reasons associated with antibiotics misuse and self-medication among adults in Nigeria: A systematic review and meta-analysis [Protocol]","authors":"Y. A. Misau, D. Mogere, S. Mbaruk, S. Bello, O. Oduwole","doi":"10.4081/pjm.2022.211","DOIUrl":"https://doi.org/10.4081/pjm.2022.211","url":null,"abstract":"There is consistent increase in prevalence of antibiotics misuse and self-medication in Nigeria. The exact quality of information available in the public domain is unknown. There is no previous systematic review and meta-analysis that address antibiotics misuse and self-medication in Nigeria. Being the most populous country in Africa, understanding the drivers of antibiotics misuse and self-medication will impact in not only Nigeria, but Africa as a whole. The aim of this systematic review and meta-analysis is therefore to determine the prevalence and factors associated with antibiotics misuse and self-medication among adults in Nigeria. Attempt will be made to find and include published papers on prevalence and reasons associated with antibiotics misuse and self-medication among adults in Nigeria from 2011-2021. Systematic search for the literature will be conducted according to the Preferred Reporting Item for Systematic Reviews and Meta-Analysis (PRISMA) guidelines to identified published studies based on our predetermined inclusion and exclusion criteria in PubMed, EMBASE, PsychINFO, CINAHL and Web of Sciences. Two independent reviewers will assess all identified studies and another set of reviewers will extract data for analysis and evidence synthesis.","PeriodicalId":430358,"journal":{"name":"Pyramid Journal of Medicine","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116894783","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":"Pediatrics ear syringing in a tertiary health institution of a developing country: Our experience","authors":"W. Adegbiji, AbdulAkeem Adebayo Aluko, S. Aremu","doi":"10.4081/pjm.2022.161","DOIUrl":"https://doi.org/10.4081/pjm.2022.161","url":null,"abstract":"Ear syringing is a common otologic procedure in otorhinolaryngologic practice worldwide. This study aimed at determining the prevalence, indications, contraindications, complications and sources of referral that are associated with ear syringing among children in a tertiary health institution of a developing country. This was a retrospective study of all patients that had ear syringing in the Ear, Nose and Throat department of our center over two years. Data was analyzed using SPSS version 18.0. Statistical significance was set at pvalue ≤0.05. There were 176 (59.9%) male participants with a male to female ratio of 1.5:1. The prevalence of ear syringing in children less than 18 years was 9.1%. Main indications for ear syringing were impacted earwax 173 (58.8%), impacted foreign body in the ear 62 (21.1%), fungal debris 41 (13.9%) and dried pus debris (post otitis externa) 15 (5.1%). Unilateral ear syringing 227 (77.2%) was more common than bilateral ear syringing 67 (22.8%), with the right ear syringing done in138 (46.9%). The majority 201 (68.4%) of the earsyringing was done by specialist ENT nurses and 86 (29.3%) by resident doctors. Two hundred and nineteen (74.5%) were performed in outpatient clinics while 67 (22.8%) were in the emergency ward. Relative contra-indications to ear syringing occurred in 184 (62.9%). Some of the contraindications were hard impacted earwax and acute otitis externa in 132 (44.9%) and 42 (14.3%) respectively. Complications occurred in 63 (21.4%) and these were failed procedures in 26 (8.8%), otalgia in 9 (3.1%), and irritating cough 9 (3.1%). The main sources of referral were Family physicians in 82 (27.9%) and Paediatricians in 76 (25.9%). Prevalence of pediatric ear syringing was 9.1%. Common indications are preventable diseases. The procedure appears very simple, but it is associated with some complications.","PeriodicalId":430358,"journal":{"name":"Pyramid Journal of Medicine","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115790059","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}
U. Bello, C. Nwachukwu, Nasiru Abdullahi Ismail, Umar Mohammed Mukhtar
{"title":"Splenic pseudocyst with splenocutaneous fistula: Case report and review of literature","authors":"U. Bello, C. Nwachukwu, Nasiru Abdullahi Ismail, Umar Mohammed Mukhtar","doi":"10.4081/pjm.2022.177","DOIUrl":"https://doi.org/10.4081/pjm.2022.177","url":null,"abstract":"Splenic cyst with splenocutaneous fistula is extremely rare. It is mainly caused by trauma or parasitic infestation. Splenic cyst mainly present with right upper quadrant abdominal pain and swelling. It can be complicated by rupture however presentation as splenecutaneous fistula is extremely rare as only one case was reported in the literature. Management of splenic cyst can be partial or total splenectomy and can be done open or laparoscopic. In this case we present a case of splenic cyst with splenocutaneous fistula that was managed surgically with resection.","PeriodicalId":430358,"journal":{"name":"Pyramid Journal of Medicine","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126330006","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. Hamza, Abubakar S. Balla, Yakasai Ahmad Maifada, Nashabaru Muhammad Ibrahim, Nalado Aishatu Muhammad, A. Habib
{"title":"Severe neurotoxic envenomation following cobra bite in Northern Nigeria: A report of three cases","authors":"M. Hamza, Abubakar S. Balla, Yakasai Ahmad Maifada, Nashabaru Muhammad Ibrahim, Nalado Aishatu Muhammad, A. Habib","doi":"10.4081/pjm.2022.180","DOIUrl":"https://doi.org/10.4081/pjm.2022.180","url":null,"abstract":"Cobra is a common snake throughout Africa and Asia, however, there are few literatures reporting neurotoxic cobra bite from Sub-Saharan Africa (SSA), including Northern Nigeria. Here, we report 3 cases that were bitten by cobra in the savannah region of Nigeria. All the 3 cases presented with features of severe neurotoxic envenomation: generalized hypotonia, ptosis, and features of autonomic dysfunction, which include excessive salivation and sweating. One of the 3 victims progressed to develop respiratory paralysis that resulted in death. The other 2 cases survived after receiving polyvalent anti-snake venom.","PeriodicalId":430358,"journal":{"name":"Pyramid Journal of Medicine","volume":"121 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116838499","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}
Lawal B. Abdullahi, M. Mohammad, L. Anyanwu, Mohammad S. Aliyu, Bilya I. Liman
{"title":"Outcome of intussusception among children in Kano","authors":"Lawal B. Abdullahi, M. Mohammad, L. Anyanwu, Mohammad S. Aliyu, Bilya I. Liman","doi":"10.4081/pjm.2021.104","DOIUrl":"https://doi.org/10.4081/pjm.2021.104","url":null,"abstract":"Intussusception is defined as the telescoping of a segment of the gastrointestinal tract within the lumen of the adjacent segment usually proximal to distal. It is a common cause of intestinal obstruction in children, rarely it can occur in adult. This condition is reported in both developed and developing countries, however there are few publications in Nigeria about the incidence, presentation and outcome of its management, most especially in children. This is a prospective study of pediatric patients managed in single center Kano over a period of 18months. The demographic data, clinical features, treatment and outcome of the management were evaluated and analyzed using SPSS version 23. Between June 2018 to December 2019, twenty-five children were managed with intussuception at Aminu Kano Teaching Hospital, there were 16 males and 9 females. The age of the patients ranges between 5 months to 6 years with most of patients in the ager range between 6 and 12 months. All of the 25 patients had exploratory laparotomy with manual reduction in 12 patients, while 13 patients had resection and anastomosis. Non-operative reduction using normal saline under ultrasound guidance was attempted for 2 patients, which was not successful. The length of hospital stay ranged between 4 days and 22 days. Few complications were observed which includes surgical site infection, wound dehiscence, postoperative ileus. One patient was re-operated for recurrent intussuception. Two patients died post operatively, while 23 patients were discharged home alive. Intussuception is still a common cause of intestinal obstruction in children in Kano. Late presentation was found to be associated with higher morbidity (complications).","PeriodicalId":430358,"journal":{"name":"Pyramid Journal of Medicine","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128895570","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":"Right destroyed lung due to tuberculosis in a Nigerian child: Case report and review of the literature","authors":"H. Ibrahim, H. Kabir, M. Jahun","doi":"10.4081/PJM.2021.46","DOIUrl":"https://doi.org/10.4081/PJM.2021.46","url":null,"abstract":"Destroyed Lung Syndrome (DLS) is total lung destruction from recurrent and chronic infections especially Tuberculosis (TB). It is rare in children and associated with chronic morbidity. It presents with chronic cough, progressive difficulty in breathing, hemoptysis and progressive respiratory failure. The pathology of DLS includes lung fibrosis, collapse, tracheal and mediastinal shift. We report the case of a 9 years old girl referred after three courses of anti-TB treatment for suspected TB reinfection with worsening clinical and radiologic features. Investigations revealed a destroyed right lung. Genexpert was initially positive and subsequently along with TB culture was negative. She improved on antibiotics and chest physiotherapy. Destroyed lung though rare in children should be considered in those who despite TB treatment present with worsening clinical and radiologic features. Early diagnosis and multi- disciplinary approach will prevent irreversible lung damage.","PeriodicalId":430358,"journal":{"name":"Pyramid Journal of Medicine","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131642976","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. YunusaDahiru, H. UmarUmar, Dahiru Aminu Mc, A. Usman, Suleiman Sa'ad, P. Ibinaiye, Yusuf Hadiza
{"title":"Computed tomographic pattern of stroke among adult patients in north-eastern Nigeria","authors":"M. YunusaDahiru, H. UmarUmar, Dahiru Aminu Mc, A. Usman, Suleiman Sa'ad, P. Ibinaiye, Yusuf Hadiza","doi":"10.4081/PJM.2021.50","DOIUrl":"https://doi.org/10.4081/PJM.2021.50","url":null,"abstract":"Stroke and its complications are major health problems in developing countries including Nigeria. It could be a major cause of death or disability especially when only clinical assessment is relied upon for diagnosis. Computed Tomography (CT) is a valuable tool for the diagnosis of stroke. CT pattern of stroke in the North Eastern Nigeria has not been fully described. This was a prospective descriptive study conducted at the Federal Teaching Hospital, Gombe, Nigeria from June 2016 to December 2016. One hundred and eleven patients who presented with clinical features of stroke and were referred to Radiology department for cranial CT were consecutively selected. Data were analysed using SPSS version 16.0 package. A p-value of ≤ 0.05 and confidence interval of 95% were adapted for statistical analysis. The variables were expressed as range, percentage and mean plus standard deviation. All comparison of variables was done applying kappa statistic and point-biserial correlation coefficient for the correlation analysis. There were 69 (62.2%) males and 42 (37.8%) females aged 18-90 years (mean ± SD of 57.49±13.47 years). Ninety-four (94) patients (84.7%) had ischaemic stroke, while the remaining 17 (15.3%) had haemorrhagic stroke. Lobar location was identified as the most common site of ischaemic stroke while thalamo-ganglionic area was the commonest location for haemorrhagic stroke. Age and hypertension were found to be the commonest risk factors associated with stroke. It is evident from this study that ischaemic stroke is the most prevalent stroke subtype. The middle cerebral artery territory was the commonest vascular territory involved in stroke while hypertension and age are common risk factors for both ischaemic and haemorrhagic stroke.","PeriodicalId":430358,"journal":{"name":"Pyramid Journal of Medicine","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127626038","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}