Fournier’s Gangrene is a formidable rare disease characterized by high mortality rates despite optimal medical and surgical management. It is an acute surgical emergency and requires a high degree of suspicion. The mainstay of treatment is swift open drainage and early aggressive surgical debridement of all necrotic tissue, followed by targeted antibiotic therapy. The authors report on two patients who were admitted to the surgical ward. Both presented with initial perianal sepsis complicat...
Abstract Cohabitation is when people live together in an emotional and or physically intimate relationship. The West Encyclopedia of American Law defines the term as couples who are not married while Abubakar et al., (2008) defines cohabitation as simply the act of a man and woman living together and having a sexual relationship without being married. Prior to 1970, cohabitation was illegal and even considered as a taboo in most states (Popenoe et al., 1999). Today, the practice has become co...
SUMMARY Objective: We recently described early rigid retrograde endoscopic realignment of the disrupted urethra under caudal anaesthesia in the outpatient setting. This retrospective study was performed to evaluate our medium-term results. Patients and methods: A retrospective review of patients who had early rigid retrograde endoscopic realignment of traumatic urethral disruptions in our institution over a 5-year period was done and the relevant data extracted and analyzed. Results: Fourteen...
Abstract Introduction: Nigeria’s University College Hospital’s PMTCT centre provides voluntary counselling and testing as part of routine care which was assessed in this paper. Methods: Structured face-to-face interview was carried out at exit on participants from the counselling session. Data analysis was by frequency distribution. Results: All clients were assured of confidentiality, had their HIV/ AIDS knowledge assessed and consent taken before the test, 95.45% of participants had the...
ABSTRACT Diabetes Mellitus Foot Syndrome (DMFS) occurs against a background infection, neuropathy and peripheral arterial disease (PAD). Clinical assessment often under diagnoses PAD. However, the use of a hand held Doppler 10 calculate the ankle brachial index (ABI) is an inexpensive, non- invasive and quantitative method of determining the presence of PAD. A retrospective analysis of patients with DMFS who had PAD assessment with a hand held Doppler was done. Data retrieved from the doppler...
ABSTRACT Justification for the requests for homologous blood that accompany major elective maxillofacial surgical procedures is difficult to establish in most cases. This attitude of ordering for cross-matched blood is understandable in today's legal climate, but has led to serious problems in terms of laboratory inefficiency which can no longer be ignored. To evaluate the pattern of ordering and use of homologous blood, and transfusion ratios for major elective maxillofacial surgeries at th...
Inflammatory fibroid polyp is a neoplastic condition affecting the gastrointestinal tract and particularly the gastric antrum. It is virtually a benign submucosal mass comprising mesenchymal cells and numerous small blood vessels with inflammatory cells and commonly eosinophils. Patients with inflammatory fibroid polyps usually present clinically with mechanical intestinal obstruction with or without intussusception. Herein, we present a case of a 48-year-old male with a known history of schi...
ABSTRACT Background: Adenotonsillar hypertrophy remains to be the commonest causes of sleep disordered breathing in paediatric patients and has been implicated as a cause of primary and secondary enuresis. The aim of this study was to determine the effectiveness of adenotonsillectomy in resolution of enuresis in children with sleep-disordered breathing. Methods: A hospital based prospective cohort study was conducted at Ekenywa Specialised Hospital in Dar es Salaam, from May 2018 to ...
Abstract Background: Intestinal parasitic infection is highly prevalent among children in the tropics. Identifying the most at risk group and subsequent targeted intervention will lead to cost effective and easy to implement control programme. We thus aim to determine the prevalence and pattern of intestinal parasite among pupils from public and private schools. Material and Method: This was a cross-sectional survey. Participants were recruited through multistage stratified random sampling....
ABSTRACT Bilaterial orbital rhabdomyosarcoma mimicking Burkitt's lymphoma in an Il-year old girl is reported. The patient presented with bilateral proptosis and rightcervical lymphadenopathy. Despite consultations at a number of hospitals, a definitive diagnosis was not made until presentation at the. University College Hospital, Ibadan, where cytological examination of a fine needle aspiration biopsy specimen of the tumour and the lymph node revealed. changes that were consistent with those ...
ABSTRACT Unsafe abortion is one of the most pressing issues affecting humanity today.
ABSTRACT We report what, as far as we are aware, is the first documented case of Alagille syndrome which is characterized by chronic cholestasis. characteristic facies, pulmonary stenosis and defects at' the vertebral arch, in a Nigerian girl who presented at the age of two days and was followed up intermittently for a period or 10.5 years.
ABSTRACT The clinical and public health implications of the convergence of Human Immunodeficiency Virus (HIV) epidemic and chronic viral hepatitis in Sub-Saharan Africa are poorly understood.
ABSTRACT Various target groups have been identified in Nigeria for studying the prevalence of hepatitis B virus infection;
ABSTRACT There is dearth of information on Hepatitis E virus (HEV) infection and its co-infection with HBV among Nigerian healthcare workers.