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Multifocal Tuberculosis Revealed by Facial Paralysis

Open Journal of Pediatrics 2023年第5期13卷 613-618页

作者： Sollim Myriam Talboussouma Ouro-Bagna Tchagbele Léhleng Agba Kokou Agbékogni Réné Segbedji Missoki Azanlédji Boume Dodji Adama Gbadoe komi deladem azoumah Pediatrics Department University of Kara Kara Togo Medicine Department and Specialities University of Kara Kara Togo Surgical Department and Specialities University of Kara Kara Togo Pediatrics Department University of Lomé Lomé Togo

Introduction: Tuberculosis is a chronic infectious disease that remains a global public health problem. Children, accounting for 10% of cases, are particularly vulnerable to this disease. Based on a case of multifocal tuberculosis in a 14-month-old infant, the authors conducted a literature review on this condition. Observation: The case involved a 14-month-old infant referred from a health center for persistent symptoms including anemia, fever, and lateral deviation of the mouth during crying. Clinical examination revealed an infectious and meningeal syndrome, as well as facial paralysis. The results of brain imaging, cerebrospinal fluid examination, fundus examination, and gastric lavage fluid examination led to the conclusion of multifocal tuberculosis in the infant without association with HIV. Improvement was observed one week after the start of antituberculosis treatment, with complete recovery without sequelae after 12 months. Conclusion: Although rare, multifocal tuberculosis does exists and its diagnosis remains challenging in infants. Early treatment generally leads to favorable outcomes, especially in the absence of HIV coinfection.

关键词： Multifocal Tuberculosis Choroidal Tubercles Child Cerebral Tuberculosis Togo

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Practices of Maternity’s Care Providers in the Municipality of Kozah 1 Regarding the Administration of Vitamin K1, Eye Care, and Umbilical Cord Care in Immediate Postpartum Newborns

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Open Journal of Pediatrics 2023年第4期13卷 484-495页

作者： Ouro-Bagna Tchagbele Kokou Agbékogni Réné Segbedji Missoki Azanledji Boume Sollim Myriam Talboussouma Kadji Kombieni Fidèle Comlan Dossou Alouki Essossinam Constantine Adom Flore Djath Palabié Lare Pouhawè Zato Koffi Edem Djadou Adama Dodzi Gbadoe komi deladem azoumah Pediatrics Department University of Kara Kara Togo Surgical Department and Specialities University of Kara Kara Togo National School of Midwifery Kara Togo Pediatrics Department University of Lomé Lomé Togo

Background: Neonatal mortality is a real public health problem in the world and particularly in countries with limited resources. Essential care remains an effective means of reducing this mortality. Objective: To evaluate the practice of administering of vitamin K1, ocular and cord care in maternity wards in the Kozah 1 municipality. Method: This is a cross-sectional study conducted from March 1st to June 30th, 2022 in all maternity wards in the Kozah 1 municipality. Socioprofessional aspects of providers and those related to the administration of vitamin K1, ocular and cord care were studied. Results: Eighty-five (85) maternity providers were included in this study. The average age of the providers was 36.2 years with extremes of 21 and 55 years. Providers were midwives (51.8%), childbirth attendants (35.3%), and matrons (12.9%). The average length of practice was 9.5 years with extremes of 1 and 28 years. For three out of four providers (75.3%), the postpartum period was defined as a period of 02 hours following delivery. The importance of cord, ocular care, and administration of vitamin K1 in postpartum was known respectively by 84.7%, 98.8%, and 92.9% of the providers. Chlorhexidine gel was used by 81.2% of providers for umbilical cord care. For ocular disinfection, more than half of the providers (52.9%) reported using half-diluted povidone iodine. No center had displayed care protocol. Conclusion: This study highlighted the level of knowledge and practice of three essential postpartum care practices. The products used for the different care practices are consistent with recommendations but vary according to the care providers.

关键词： Essential Care Newborn Immediate Postpartum Maternity Togo

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Epidemiological Aspects of Diseases Seen in Pediatric Surgery Consultation at the Kara Teaching Hospital

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Open Journal of Pediatrics 2021年第4期11卷 646-655页

作者： Missoki Azanlédji Boume Kwami Edem Edoh Bikor Ouro-Bagna Tchagbele Kokou Agbekogni Réné Ségbedji komi deladem azoumah Gamédzi Komlatsè Akakpo-Numado Pediatric Surgery Department in Kara Teaching Hospital Kara Togo Pediatric Surgery Department in Campus Teaching Hospital Lomé Togo Pediatric Department in Kara Teaching Hospital Kara Togo

Background: Pediatric surgery in developing countries faces serious problems of inadequate infrastructures and equipment. Since July 2019, a new department was created in the north of Togo. It is in this context that this study is initiated, with the aim of taking stock of the epidemiological distribution of pediatric surgical diseases. Material and methods: This was a retrospective and descriptive study over a period of eighteen months, from October 30, 2019 to April 30, 2021. It took place in the pediatric surgery department of the Kara teaching hospital. It concerns pathologies seen at the consultation in the department collected in consultation register. Epidemiological parameters were studied. Results: In eighteen (18) months, two hundred and fifty-nine children, were seen in pediatric surgery consultation at the Kara Teaching Hospital. The annual frequency of consultations was 172.66. The monthly frequency was 14.39. The average age of the children was 4.56 years with extremes of 2 days and 15 years. There were 194 boys (74.90%) and 65 girls (25.10%). At the consultation, whatever the reason, the examination was normal in 17 children and 242 children had abnormalities. Two hundred and twelve children (81.85%) had each one abnormality and 30 children (11.58%) had each at least two. A total of 298 diseases were reported in the 242 children. These were 218 congenital diseases (73.15%) dominated by urological abnormalities with 37.16% of cases and 80 acquired diseases (26.85%). Acquired diseases were for 26.85% and dominated by limb trauma and infectious pathologies including chronic osteomyelitis. Conclusion: Patholo

关键词： Pediatric Surgery Congenital Malformation Children

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Risk Factors for Birth Asphyxia in Togo: A Case-Control Study

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Open Journal of Pediatrics 2021年第4期11卷 816-831页

作者： Foli Agbeko Ayoko Améyo Kétévi Mawouto Fiawoo Bouwereou Bi-Labna Tata Kokouvi Evenyo Abalo Elom Ounoo Takassi Baguilane Douaguibe Djatougbé Ayaovi Elie Akolly Homba Daké Batalia Rollin Arnaud Djomaleu Rachel Bayahou Kérékou Manani Hemou Mazama Pakoudjare Magnoulelen Nzonou Essèboè Koffitsè Sewu Sollim Talboussouma Bayaki Saka deladem komi azoumah Edem Koffi Djadou Kokou Nadiedjoa Douti Adama Dodji Gbadoe Yawo Dzayissé Atakouma Paediatric Department University of Lomé Lomé Togo Paediatric Ward CHU Campus Lomé Togo Gynécology-Obstétric Ward CHU Sylvanus Olympio Gynecology-Obstetric Department University of Lomé Lomé Togo Paediatric Ward CHU Sylvanus Olympio Lomé Togo Paediatric Ward Bè Hospital Lomé Togo African Center of Research in Epidemiology and in Public Health Lomé Togo Paediatric Ward CHU Kara Kara Togo Dermatology Ward CHU Sylvanus Olympio Université of Lomé Lomé Togo Paediatric Department University of Kara Kara Togo

Background: Birth Asphyxia (BA) is one of the leading causes of neonatal death in developing countries. In Togo, 30.55% of neonatal deaths were related to BA and caused by several risk factors. The purpose of this piece of work is to analyse the antepartum, intrapartum, and foetal risk factors of BA. Methods: This is a case control study, conducted from 1st December 2019 to 28th February 2020 in obstetrics wards and at neonatal intensive care of paediatric ward at the Sylvanus Olympio university teaching hospital (CHU-SO) in Lomé, Togo. Neonates diagnosed with BA (Apgar score th minute) were considered as “cases” (N = 200) while neonates born either with normal vaginal delivery or by cesarean section having no abnormality were considered as “control” (N = 200). Results: The prevalence rate of BA was 9.13%. Age (p = 0.0391), gravidity (p = 0.0040), type of facility for prenatal follow-up (p 0.0001), use of Long-lasting impregnated mosquito nets (LLIN) (p 0.0001), notion of maternal fever (p 0.0001) and chronic pathology (p 0.0001) were related to occurrence of BA. Significant antepartum risk factors observed were age <

关键词： Birth Asphyxia Neonate Risk Factor Togo

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