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Enteropathica Acrodermatitis Complicated by Necrotising Fasciitis in an Infant Admitted to the Paediatric Emergency Department of the Gabriel Touré University Hospital

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Open Journal of Pediatrics 2023年第6期13卷 831-837页

作者： aichata keita Bory Traoré Adama Dembélé Rokiatou Diarra Mariam Diarra Elmouloud M. Cissé Mariam Kané Bakary Coulibaly Hawa Konaré Reference Health Center of the Commune VI Bamako Mali Department of Paediatrics CHU Gabriel Touré Bamako Mali Bamako Dermatology Hospital Bamako Mali

Acrodermatitis enteropathica is a rare autosomal recessive genetic disorder characterised by periorificial dermatitis, alopecia and diarrhoea. It is caused by a mutation in the gene that codes for a membrane protein that binds zinc. We report a case in a 7-month-old girl, admitted with altered general condition and scaly, pustular erythematous lesions, initially located in the occipital and cervical regions, and secondarily inguinal and on the knees. Management and outcome in this patient? Genetic assay was not available to confirm this rare genetic disease. A delay in establishing the diagnosis and a disastrous outcome did not save the patient despite the administration of zinc.

关键词： Enteropathica Acrodermatitis Necrotizing Fasciitis Infant

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Prognosis of the Patients in Resuscitation Field in Mali

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Open Journal of Anesthesiology 2019年第12期9卷 213-220页

作者： Broulaye Massaoule Samake Andre Kassogue Blaise Adelin Tchaou aichata Konate Fadima Koureissi Tall Lassina Goita Seydina Alioune Beye Hamadoun Dicko Mamadou Karim Toure Mohamed keita Dieneba Doumbia Service of Anesthesia and Resuscitation Teaching Hospital Gabriel Toure BamakoMali Service of Anesthesia Resuscitation and EmergenciesAcademic Hospitable Center and Department of the Bourgou/AliboriParakouBenin Service of Anesthesia Resuscitation and Emergency of the Academic Hospitable Center of KatiKatiMali Service of Anesthesia Resuscitation and the Emergencies of the Center Hospitable Academic Point GBamakoMali Service of Anesthesia Resuscitation and Emergency of the Academic Hospitable Center Luxemburg BamakoMali

Introduction:The patients whose vital prognosis is immediately threatened by one or several serious organs failures and consecutive to various pathologies are admitted in resuscitations(IUC).The rates of morbi-mortality are raised in ***:To study the prognostic *** and Methods:It was about a transverse survey from January 2015 to April 2016 in the unit of polyvalent resuscitation of the service of anesthesia resuscitation of the academic hospital center of Gabriel *** included all patient admitted for medico-surgical pathologies of more than three hours of *** was about a consecutive recruitment of *** Chi^(2) and Fisher tests were used for the comparison of our results with a p value=0.05 considered as *** consent of the patients or parents was *** survey didn’t include a potentially dangerous ***:During the period,624 patients have been collected of which:50.4%were medical pathologies,19.4%surgical pathologies and 30.2%of gynéco-obstetric *** least a complication had occurred in 11.2%.Mortality was of 27%.The sex-ratio was of *** middle age was of 31.88±17,2 years with extremes of 2 years and 80 *** met complications were:the scab,the syndrome of acute respiratory distress(ARD),the urinary infection,the pneumopathie,the shock,thrust hypertensive,stops cardio circulatory with respectively 35.1%,26.6%,22.3%,6.4%and 3.2%.The middle length of stays was of 4.83±5.32 days with extremes of 1 day to 29 ***:The complications under hospitalization in unit(IUC)of resuscitation in Mali are a major challenge in term of prevention and *** potentially non serious pathologies complicate themselves and compromise the vital prognosis.

关键词： Morbimortality Resuscitation Academic Hospitable Center Mali

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Venous Thromboembolic Disease in the Cardiology Department of the Nianakoro Fomba Hospital in Segou (HNF)

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World Journal of Cardiovascular Diseases 2022年第11期12卷 507-513页

作者： Mariam Sako Mamadou Touré Boureima Dembélé Yves R. Koumaré Massama Konaté Mamadou Diakité Coumba Thiam Aniessa Kodio Samba Sidibé Asmaou keita aichata Dao Youssouf Camara Boubacar Sonfo Bassirima Traoré Souleymane Mariko Souleymane Coulibaly Ichaka Menta Point G Hospital Bamako Mali Mother Child Hospital Luxembourg Bamako Mali Mali Hospital Bamako Mali Kati Hospital Kati Mali Ségou Hospital Ségou Mali Tombouctou Hospital Tombouctou Mali Gabriel Touré Hospital Bamako Mali

Venous thromboembolic disease (VTE) is a nosological group that consists mainly of deep vein thrombosis (DVT) and pulmonary embolism (PE). The objective of our study was to determine the hospital prevalence of VTE in this Nianakoro Fomba Regional Hospital (HNF) in Ségou, Mali, to describe the sociodemographic aspects of these patients and the therapeutic possibilities in this locality. Materials and Methods: We conducted a prospective descriptive study from June 2019 to June 2020 in the cardiology department of the HNF of Ségou. All patients of all ages and both sexes who had VTE on clinical and paraclinical criteria (pulmonary Angio scan and/or venous Doppler echo) during the study period were included. Result: 31 patients were included out of 366 hospitalized patients, with a hospital prevalence of 8.47%. The 41-60 and 61 - 80 age groups were both dominant with 35.48% of cases each. The female sex was the most represented with 58.06% of cases and a sex ratio of 0.97. High blood pressure (hypertension) was the preeminent cardiovascular risk factor in 32.2% of cases and predisposing factors for VTE were dominated by immobilization (41.94%), peripartum (16.13%) and heart failure (16.13%). Dyspnea and chest pain were the frequent reasons for consultation with 93.54% and 83.87% of cases respectively and 6 patients (19.35%) had calf pain. More than 3/4 of the patients had tachypnea or 90.32% and tachycardia in nearly 74.19%. The clinical probability of VTE was intermediate at 51.61% according to the Wells score. D-Dimers were elevated in 38.70%, or all 12 patients who performed it. The electrocardiogram (ECG) recorded a sinus rhythm in 93.54% of cases, a right branch block and atrial fibrillation (AF) in 35.48% and 6.45% of cases, respectively. Dilation of the right ventricle was present in 64.51% of cases with PAH in 61.29% on cardiac Doppler ultrasound. In the majority of cases (82.15%) it was a massive bilateral proximal and distal pulmonary embolism. Treatment was b

关键词： Venous Thromboembolic Disease Nianakoro Fomba-Ségou-Mali Hospital

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