Le Mali medical最新文献

We report an unusual observation of a child aged 07, who consulted us for a chronic odynophagia rebellious to multiple treatments. It dates back to one year followed by pediatrics under antibiotic therapy and anti-inflammatory in whom the examination found hypertrophy noninflammatory obstructive tonsillar. The last episode would go back a month. The rest of the general exam was unremarkable. An indication for tonsillectomy was made and was performed. We fortuitously find a large fishbone skewered in his right tonsil. The postoperative consequences were simple. With a follow-up of 12 months, the patient is doing well.

Objectives: to study risk factors for mortality in SAM children within the first 72 hours of hospitalization.

Methods: We conducted a retrospective study on data from 0-59-month-old SAM children hospitalized from June 1th, 2016, to May 31th, 2019, at CHUSourô Sanou of Bobo-Dioulasso. A logistic regression was performed to determine risk factors for death. Variables with odds ratio (OR) > 1, and p <0.05 were predictors of death.

Results: Of 646 SAMs included, most were 12-23-month-yearold (34.83%). Death rate was 19.04%. Deep coma [OR :27.2, 95%IC: 9.62-91.1], OAP [OR :16.3, 95%IC: 1.58-383], Signs of in particular low pulse volume [OR :5.45, 95%IC: 1.74-17. 1], cold extremities [OR :4.66, 95%IC: 1.03-20.8], capillary refilling time (CRT) >3seconds [OR :3.55, 95%IC: 1.50-8.27], sepsis[OR :3.39, 95%IC: 1.33-8.50] were the risk factors predictive of mortality.

Conclusion: Training and ongoing supervision of healthcare staff in the management of paediatric emergencies, the use of the WHO SAM management protocol and the availability of emergency kits could improve SAM management.

During the dissection of 11 stiffs, we observed the presence of an accessory muscle in the axillary fossa, known as the dorsalis major muscle arch or axillary Carl Langer muscle. This is the main anatomical variation in the walls of the axillary region. This case was reported because of the low frequency of this variation in the axillary region, and the vital importance of incorporating the possible presence of these notions into axillary curage techniques, which may find themselves modified intraoperatively. Ignorance of the dorsalis major muscle arch may be the cause of intra- and postoperative complications during axillary curage or breast reconstruction using a dorsalis major flap.

Polythelia also known as supernumerary is an anomaly in the breast development by extra number of nipples. We report a case of polythelia in the Gynecology-Obstetrics department of the CHU Gabriel Touré. This was a 32-year-old woman received for pregnancy monitoring, in whom we accidentally discovered three pairs of nipples located on both breasts. In the postpartum period, five of the six nipples were found to secrete milk.

Objectives: The objective was to evaluate mental disorders and addictive behaviours in gold miners treated in the psychiatry department of the Yalgado Ouédraogo University Hospital in Burkina Faso.

Patients and methods: This was a descriptive, cross-sectional, and analytical study with retrospective recruitment of 174 patients over a 10-year period from 1 January 2010 to 31 December 2020. Data were analyzed using SPSS 22 software.

Results: The study population was exclusively male and predominantly young, with a mean age of 28.16 +/- 5.79 years. Most patients were single (59.8%) and had a low level of education (58.82%). Acute psychotic disorders (48.85%) and the mental and behavioral disorders related to the use of psychoactive substances (41.38%) were the most common. 78.73% of patients were users of psychoactive substances (PAS). The most used psychoactive substances were tobacco (75.28%), cannabis (62.64%), alcohol (48.27%) and tramadol (32.18%).

Conclusion: The occurrence of mental disorders among gold miners has become a real public health problem in Burkina Faso, given the growing number of gold mining sites throughout the country.

Introduction: the occurrence of breast cancer in men is an indication for genetic counseling and must be systematically sought. The objective of this work was to describe the histopathological and molecular aspects of human breast cancer.

Material and methods: This was a cross-sectional study with retrospective collection from January 2007 to September 2021, including all cases of male breast cancer diagnosed by histology with immunohistochemical examination. The variables studied were histopathological and molecular. The samples were fixed in 10% formalin and processed using the standard hematoxylin-eosin and immunohistochemistry technique.

Results: A total of 8 cases of male breast cancer were collected. Each case underwent histological and immunohistochemical examination. Age ranged from 8 to 77 years with a mean age of 50.63±20.79. Consultation time of less than 12 months was common with the presence of a breast nodule as the reason. The left breast was as affected as the right breast. Tumor size T3 (5 cm and more) predominated with 3 cases. The nature of the sample received was: 04 biopsies and 04 lumpectomies. Infiltrative carcinoma of non-specific type was common: 7 cases (or 87.5%) with Elston and Ellis grade II in 75% of cases. Luminal A and triple negative were predominant with 3 cases each (37.5%).

Conclusion: Breast cancer is increasingly diagnosed in men at all ages.

Aims: Malaria remains a health problem. The objective was to study cerebral malaria (CM) epidemiology before and after the implementation of seasonal malaria chemoprevention (SMC).

Materials and methods: This was a retrospective cross-sectional study carried out from January 01, 2014 to December 31, 2018 in children aged 0 to 15 years hospitalized for CM at the paediatrics' department of CHU Gabriel Touré.

Results: We recorded 1336 cases of CM, 803 boys and 533 girls with a sex ratio of 1.5. CM accounted for 92.1% and 83.5% respectively two years before and three years after the SMC implementation (p = 0.013). The overall lethality was 9.2% varying according to the years of follow up (p = 0.001) The SMC led to decrease of CM frequency of 8.6%.

Conclusion: SMC could have an impact on the expression of severe malaria phenotypes, with an increase of frequency of CM and CM associated with pulmonary oedema, a decrease of the frequency of CM associated with severe anaemia. Prospective studies will enable to understand the increasing case lethality rate observed during SMC period.

Objective: To describe the epidemiological characteristics of occupational accidents occurring in 2022 among workers at a cashew nut processing plant in Côte d'Ivoire.

Material and method: We conducted a retrospective descriptive study of occupational accidents occurring between January 1 and December 31, 2022. Data were recorded on a survey form using information from work accident registers and declaration forms.

Results: We recorded 211 work-related accidents, most of them involving women (77%) with an average age of 28 ± 8.21 years. The workers most affected were huskers (42.7%), day laborers (92.4%), not affiliated to a social security organization. Work-related accidents per se (95%) occurred between 6 a.m. and 2 p.m. (74%), after contact with a chemical substance (32.2%) or intraocular projection of a foreign body (27%). Injuries were superficial trauma and wounds (40.7%), burns (32.3%) and intraocular foreign bodies (25.1%).

Conclusion: Occupational accidents are a reality in cashew nut processing. Preventing these accidents requires not only collective preventive measures, but also the effective use of appropriate personal protective equipment.

Introduction: The objective is to evaluate factors associated with Covid 19 vaccine hesitancy in Mali.

Methods: A cross-sectional survey was conducted among the general population aged 18 and over, in rural and urban areas in Mali. Two-stage sampling was used. The number of participants to be surveyed was determined using probability proportional to size. For the identification of the households, we used the technique of the coordinates of the satellite positioning system. Logistic regression was applied to examine associations.

Results: The age group of 31 to 59 years represented 58.04% of the participants. The male sex represented with 53.26. Vaccination coverage represented 29.13% and hesitation to vaccination represented 49.30%. Participants who aged up to 60 are 49% less likely to hesitate to get vaccinated.

Conclusion: Public health interventions targeted at populations in the age group 31 to 59, women living in urban areas and who have attended school could reduce hesitation to vaccinate against Covid-19.

Helicobacter pylori (Hp) infection plays an important role in the genesis of peptic ulcer disease. In the absence of susceptibility testing, concomitant quadruple therapy is one of the most widely used eradication methods. In the absence of a study on four-drug therapy and the difficulty of studying antibiotic susceptibility in our context, we initiated this work in order to evaluate the efficacy of an empirical treatment with concomitant four-drug therapy currently available.

Method: This was a prospective study from May 2020 to April 2021 in the Hepato Gastroenterology Department of the Gabriel Touré University Hospital, the "Les ETOILES" Clinics, "Promenade des Angevins", FARAKO". The study included peptic ulcer patients who underwent gastric biopsies for Hp, concomitant quadruple therapy, and patients were screened for endoscopic ulcer control with biopsies for Hp eradication at least four weeks after treatment.

Result: We obtained an overall frequency of Hp infection at 79% of the general population in peptic ulcer disease. This frequency was 80% in duodenal ulcer and 77.4% in gastric ulcer. The mean age was 49.05 ±17.25 years with extremes of 22 and 105 years and a sex ratio of 2.4 M/F. Epigastric pain dominated the symptomatology and with 81.6% of cases. The eradication rate was 94.7% (36/38) of cases with a healing rate of 89.5% (34/38) of cases. Histological lesions remained almost constant after treatment.

Conclusion: Concomitant quadruple therapy is effective on Hp eradication.