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Disseminated histoplasmosis in a 17-year-old Nigerian male patient:A case report

Asian Pacific Journal of Tropical Medicine 2022年第6期15卷 283-286页

作者： atana uket ewa Bassey ewa Ekeng Glory Ekpo Bassey Enobong Ufot Akpah Osamagbe Aiyudubie Asemota Livinus Nwancho Nweke Department of Paediatrics University of CalabarCalabarNigeria Department of Paediatrics University of Calabar Teaching HospitalCalabarNigeria Medical Mycology Society of Nigeria Department of Medical Microbiology and Parasitology University of Calabar Teaching HospitalCalabarNigeria

Rationale:Disseminated histoplasmosis is the most severe form of histoplasmosis and often associated with fatal *** pulmonary and disseminated forms mimics tuberculosis(TB)and may be *** concerns:A 17-year-old male patient compliant with anti-tuberculosis therapy with complaints of fever,cough productive of thick yellowish sputum,fast breathing,abdominal pain,swelling and *** status was ***:Disseminated ***:Antimicrobials including anti-TB therapy,ceftriaxone,gentamicin,azithromycin and ***:He was responding to anti-TB drugs until about 4 and a half months on treatment when he fell *** blood film done 2 days prior to his demise revealed florid yeast like organisms in monocytes with eccentric chromatin suggestive of Histoplasma ***:Histoplasmosis can both mimic and coexist with TB and so a high index of suspicion is needed for its diagnosis.

关键词： Histoplasmosis Disseminated Tuberculosis Sepsis Case report

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Tuberculosis in Children Living amongst Adults with Tuberculosis at the Tuberculosis and Leprosy Referral Hospital, Eku, Nigeria

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Journal of Tuberculosis Research 2015年第3期3卷 80-89页

作者： atana uket ewa Dominic Fabian Essiet Samuel John Umejei Monu Department of Paediatrics University of Calabar/Teaching Hospital Calabar Nigeria Formerly Department of Haematology Baptist Hospital Eku Nigeria Formerly Delta State Tuberculosis and Leprosy Control Program/Tuberculosis and Leprosy Referral Hospital Eku Nigeria

Background: Tuberculosis (tb) causes significant morbidity and mortality worldwide. In Nigeria, the exact prevalence is not known but a progressive increase of the disease has been observed, with “epidemic states” reported in certain clusters. Even with the newer diagnostic tests for tb, diagnostic difficulties still occur. As a result, several diagnostic criteria have been adopted to aid the diagnosis of tuberculosis in these children. The main objective of this study was to identify Tb in children who were either living with adults who have Tb or in the environment of adults with Tb. Methodology: This was a prospective cross-sectional study conducted in Eku and Oria communities in Ethiope East Local Government Area of Delta State. Eku housed the Tuberculosis and Leprosy Referral Hospital where adults with tb were admitted in the first two months of their treatment. 128 children under 19 years of age were studied over a 3-month period. After obtaining relevant information from every child, a full physical examination and certain laboratory investigations were done. Results: There were 68 males and 60 females. The prevalence of Tb was 68% in those children living among adults with tb within the hospital and 50.6% in those living in the environment or community (p = 0.05). The prevalence of Tb in Bacille Calmette Guerin (BCG) immunized children was 66.2% as against 46.7% in those not vaccinated. Twenty-six of the infected children (57.8%) had only pulmonary disease while 45.7% had affectation of 2 or more organs. The positive predictive values of elevated erythrocyte sedimented rate (ESR), elevated white blood cells (WBC) count and positive gastric aspirates (GA) in diagnosing tb were 60.3%, 70.5% and 0% respectively, while that of abnormal chest X-ray (CXR) and positive Mantoux reaction were 93.6% and 93.7% respectively. Conclusion: The alarming prevalence of tb in these children was not surprising considering their contacts with the tb patients and was representati

关键词： Tuberculosis Case Finding Positive Predictive Values Contacts

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Tuberculosis in Well-Nourished Children in Calabar, Nigeria

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Journal of Tuberculosis Research 2015年第2期3卷 59-61页

作者： atana ewa Aniefon Umana Nta Okoi Francis Akpan Carlistus Enyuma Department of Paediatrics University of Calabar/Teaching Hospital Calabar Nigeria Department of Otorhinolaryngology University of Calabar/Teaching Hospital Calabar Nigeria Department of Family Medicine University of Calabar/Teaching Hospital Calabar Nigeria

Tuberculosis has traditionally been found to occur with weight loss or at least failure to gain weight. Atypical and unusual presentations of various types of tuberculosis have been reported but limited data is available on tuberculosis in well-nourished children with no weight loss. Two case reports from our experience highlight well-nourished children with histologically diagnosed tuberculosis that presented with atypical symptoms and no evidences of weight loss. The usefulness of histological diagnosis cannot be overemphasized. This report aims to highlight this unusual presentation of tuberculosis so as to increase the index of suspicion for early diagnosis and hence, prompt treatment of tuberculosis in this group of children.

关键词： Tuberculosis Weight Loss Atypical Well-Nourished Histological Diagnosis

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分别发酵麦汁和蔗糖溶液酿制啤酒新工艺

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酿酒科技 1994年第2期 83-83页

作者： atana.,W 史幼新江苏常州酿酒总厂

分别发酵麦汁和蔗糖溶液酿制啤酒新工艺ＷＩ．Ａｔａｎａｓｏｗ等著史幼新译江苏常州酿酒总厂（２１３０００）加速啤酒的发酵和成熟有不同的方法，有高浓发酵工艺和分别发酵工艺。ｐｏｌｌｏｃｋ和Ｗｅｉｒ考察了分别发酵麦汁和谷物水... 详细信息

分别发酵麦汁和蔗糖溶液酿制啤酒新工艺ＷＩ．Ａｔａｎａｓｏｗ等著史幼新译江苏常州酿酒总厂（２１３０００）加速啤酒的发酵和成熟有不同的方法，有高浓发酵工艺和分别发酵工艺。ｐｏｌｌｏｃｋ和Ｗｅｉｒ考察了分别发酵麦汁和谷物水解液再混合酿造啤酒的可能性，谷物水...

关键词：麦汁蔗糖溶液啤酒发酵

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