scholarly journals Non pseudomonal Ecthyma gangrenosum: A case report of an infant seen at a tertiary hospital in Sokoto, North-Western Nigeria

2018 ◽  
Vol 10 (4) ◽  
pp. 22-26
Author(s):  
K. O. Isezuo ◽  
U. M. Sani ◽  
U. M. Waziri ◽  
B. I. Garba ◽  
A. Yusuf ◽  
...  
Keyword(s):  
Case Report ◽  
Tertiary Hospital ◽  
Ecthyma Gangrenosum ◽  
North Western

scholarly journals Management of peno-scrotal wound defects in a tertiary hospital in North-Western Nigeria: a 20-year retrospective review

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Abubakar Sadiq Muhammad ◽  
Ngwobia Peter Agwu ◽  
Abdullahi Abduwahab-Ahmed ◽  
Ahmed Mohammed Umar ◽  
Muhammad Ujudud Musa ◽  
...  
Keyword(s):  
Statistical Significance ◽  
Graft Loss ◽  
External Genitalia ◽  
Tertiary Hospital ◽  
Advancement Flap ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene ◽  
Direct Closure ◽  
Secondary Intention ◽  
North Western

Abstract Background Fournier’s gangrene and trauma to the external genitalia are the commonest causes of peno-scrotal wound defects in our environment. The management of these patients includes initial resuscitation and subsequent wound care with or without wound cover. The aim of this study is to document our experience in the management of peno-scrotal defects in a tertiary hospital of North-Western Nigeria. Methods This is a 20-year retrospective study of patients managed for peno-scrotal wound defects by the Urology Unit in the Department of Surgery of our hospital from January 2001 to December 2019. Data were collected from the patients’ case notes and entered into a proforma. Data were analysed using SPSS version 25.0. Results A total number of 54 patients with peno-scrotal wound defects were managed within the study period with the mean age of 46.27 ± 22.09 years and a range of six weeks to 107 years. The wound defects were sequelae of Fournier’s gangrene in 42 patients (77.8%) and traumatic in 12 patients (22.2%). Healing by secondary intention was achieved in 20 patients (37.0%). Direct closure was done in 17 patients (31.5%), skin graft in nine patients (16.7%), and advancement flap in eight patients (14.8%) depending on the location and size of the defects. Fourteen patients (26.0%) developed surgical site infection ± wound dehiscence and partial graft loss. The complication rate was higher in post-Fournier’s gangrene wound defects, but without statistical significance (p = 0.018). Conclusion Fournier’s gangrene and trauma to the external genitalia are the commonest causes of peno-scrotal wound defects in our environment. Smaller wound defects were healed by secondary intention, while larger defects required either direct closure or the use of advancement flap or skin grafting depending on the location and size of the wound. The study reported a higher post-repair complication in patients that had Fournier’s gangrene.

Intermittent Vagal Nerve Stimulation-Associated Vocal Fold Movement Impairment

2021 ◽  
pp. 000348942110474
Author(s):  
Jennifer Yan ◽  
Julina Ongkasuwan ◽  
Elton M. Lambert
Keyword(s):  
Case Report ◽  
Vocal Fold ◽  
Lateral Position ◽  
Tertiary Hospital ◽  
Vocal Fold Paralysis ◽  
Vagal Nerve ◽  
Deep Penetration ◽  
Endoscopic Evaluation ◽  
Voice Changes ◽  
Refractory Seizures

Objectives: Implanted vagal nerve stimulators (VNS) are an accepted therapy for refractory seizures. However, VNS have been shown to affect vocal fold function, leading to voice complaints of hoarseness. We present a case of intermittent VNS-related vocal fold paralysis leading to dysphonia and dysphagia with aspiration in a pediatric patient. Methods: This is a case report of a patient at a tertiary hospital evaluated in pediatric swallow and voice clinics. Patient and mother gave verbal consent to be included in this case report. Results: Indirect laryngeal stroboscopy was performed demonstrating full vocal fold mobility with VNS off and left vocal fold paralysis in lateral position and glottic gap with VNS on. Voice measures were performed demonstrating decreased phonation time, lower pitch, and decreased intensity of voice with VNS on. Flexible endoscopic evaluation of swallowing demonstrated deep penetration alone with VNS off and deep penetration with concern for aspiration with VNS on. Conclusions: While the majority of cases of vocal fold movement impairment associated with VNS have been noted to have a medialized vocal fold with VNS activation, we describe a case of intermittent vocal fold lateralization associated with VNS activation with resultant voice changes and aspiration.

Ecthyma gangrenosum of the scrotum: a case report

2016 ◽  
Vol 10 (1) ◽  
pp. 101-103
Author(s):  
Wei Phin Tan ◽  
Benjamin A. Sherer ◽  
Jerome Hoeksema
Keyword(s):  
Case Report ◽  
Ecthyma Gangrenosum

Morphological spectrum of excised conjunctival lesions in a tertiary hospital in North-Western Nigeria

2020 ◽  
Vol 17 (1) ◽  
pp. 7
Author(s):  
SaudatGarba Habib ◽  
Sadiq Hassan ◽  
ImamIbrahim Muhammad ◽  
PhilipIfeanyichukwu Ebisike ◽  
Abdu Lawan
Keyword(s):  
Tertiary Hospital ◽  
North Western

A 5-year review of measles cases admitted into the emergency paediatric unit of a tertiary hospital in Sokoto, North-Western Nigeria

2018 ◽  
Vol 21 (3) ◽  
pp. 122
Author(s):  
KhadijatO Isezuo ◽  
Tahir Yusuf ◽  
PaulK Ibitoye ◽  
MaryamA Sanni ◽  
NmaM Jiya ◽  
...  
Keyword(s):  
Tertiary Hospital ◽  
Paediatric Unit ◽  
North Western

Pattern of hearing loss in a tertiary hospital in the North Western Nigeria

2018 ◽  
Vol 21 (4) ◽  
pp. 208
Author(s):  
IliyasuYunusa Shuaibu ◽  
Dotiro Chitumu ◽  
IbrahimBabatunde Mohammed ◽  
NurudeenAdebola Shofoluwe ◽  
MohammedAminu Usman ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Tertiary Hospital ◽  
The North ◽  
North Western

scholarly journals Pattern and management of priapism in a tertiary hospital of North-Western Nigeria

2017 ◽  
Vol 22 (1) ◽  
pp. 66
Author(s):  
A.S. Muhammad ◽  
N.P. Agwu ◽  
A Abdulwahab-Ahmed ◽  
S.B. Abubakar ◽  
A.U. Musa ◽  
...  
Keyword(s):  
Tertiary Hospital ◽  
North Western

scholarly journals Pseudocyesis vera in a health institution, North Western Nigeria

2015 ◽  
Author(s):  
Aremu Saad Bolakale ◽  
Abdullahi Ibrahim ◽  
Abdulrasaq Amusa
Keyword(s):  
Case Report ◽  
Rural Communities ◽  
19Th Century ◽  
Health Institution ◽  
Maternity Services ◽  
North Western ◽  
Antenatal Services

Pseudocyesis was first reported in 19th Century and several others have been subsequently reported. The classes of the illness include Pseudocyesis vera, Delusional Pseudocyesis, Stimulated Pseudocyesis and Erroneous Pseudocyesis. This case report typifies Pseudocyesis vera called true pseudocyesis. It is said to be commoner in rural communities, where people don’t have access to maternity services and where found they were not being used. It is authors’ believe that such illness can be prevented with more enlightenment on advantages of use of available antenatal services.

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