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Septic Arthritis of the Hip in Lome (Togo)

Open Journal of Rheumatology and Autoimmune Diseases 2021年第3期11卷 97-105页

作者： Komi Cyrille Tagbor Viwale Etonam Sika Koffi-Tessio Kodjo Kakpovi Prenam Houzou Eyram Fianyo Sadat Oniankitan Awaki-Esso Atake Parou Kamkote kokou hefoume amegan-aho Owonayo Oniankitan Moustafa Mijiyawa Rheumatology Department Be Hospital Lome Togo Rheumatology Department Sylvanus Olympio Teaching Hospital Lome Togo Rheumatology Department Tomde Regional Hospital Kara Togo Rheumatology Department Kara Teaching Hospital Kara Togo Paediatric Department Ho Teaching Hospital Ho Ghana

Objectives: To determine the epidemiological, clinical, and bacteriological characteristics of septic arthritis of the hip (SAH) among patients hospitalized in the departments of Rheumatology in Lomé. Patients and Methods: This was a multicentre, descriptive study, conducted over a 16-year period, from January 2004 to December 2020 on patients’ records at the three departments of Rheumatology in Lomé. We included in this study only patients with complete laboratory and radiological data. Patients who underwent hip replacement surgery and those with arthritis of the hip due to all inflammatory arthropathies were excluded. The diagnosis of SAH was based on clinical, radiological and bacteriological features. In the absence of bacteriological confirmation, the presumptive etiological diagnosis was based on epidemiological data, contacting with a person with tuberculosis, the presence of high-grade fever, the mode of presentation of the symptoms, the patient’s general appearance, and the result of the tuberculin skin test. The data was collected using Epi info 7.0 and statistical analysis was performed using STATA/IC 11.0. Results: Out of 3776 patients hospitalized in the three departments over the study period, 705 (18.67%) were diagnosed with septic arthritis of which 70 (9.92%) patients with SAH. The 70 patients with SAH were 44 (62.86%) females, and 26 (37.14%) males, with a sex ratio of 1.7 F/M. The mean age of the patients was 42.43 ± 19.37 years (range: 5 years and 80 years) and the mean duration of symptoms was 6.57 ± 8.85 months (range: 2 days and 48 months). The pain was inflammatory in nature in 46 (65.71%) and mechanical in nature in 24 (34.29%) patients. The onset of the disease was progressive in 50 (71.43%) patients and sudden in 20 (28.57%) patients. The locations of the pain were: groin only 25 (35.71%), greater trochanter only 15 (21.43%), groin and lower back 14 (20%

关键词： Septic Arthritis Hip Togo Africa

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Neonatal and Young Infant Sepsis in a Regional Hospital in Ghana

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Open Journal of Pediatrics 2021年第2期11卷 281-300页

作者： Innocent Afeke Misa Hirose kokou hefoume amegan-aho Christoph Haertel Mareike Becker Ahmed Moustafa Paul Schilf Mohamed Tarek Badr Graceful Lord Mensah Hintermann Kobina Mbroh Jan Rupp Saleh Ibrahim Luebeck Institute for Experimental Dermatology University of Luebeck Luebeck Germany Department of Medical Laboratory Sciences School of Allied Health Sciences University of Health and Allied Sciences Ho Volta Region Ho Ghana Department of Paediatrics School of Medicine University of Health and Allied Sciences Ho Volta Region Ho Ghana Department of Paediatrics University Hospital Würzburg University of Würzburg Würzburg Germany Department of Biology Bioinformatics and Integrative Genomics Laboratory American University in Cairo New Cairo Egypt Institute of Medical Microbiology and Hygiene Medical Center-University of Freiburg Faculty of Medicine Freiburg Germany Department of Paediatrics Ho Teaching Hospital Volta Region Ho Ghana Department of Obstetrics and Gynaecology Ho Teaching Hospital Volta Region Ho Ghana Department of Infectious Diseases and Microbiology University of Luebeck Luebeck Germany

Background: Neonatal sepsis is a global health problem that mainly affects low- and middle-income countries. We have previously shown that early neonatal mortality is high at the Ho Teaching Hospital (HTH) of Ghana. We sought to determine the prevalence of neonatal sepsis, sepsis-related mortality, and bacterial species patterns in neonatal and young infant sepsis in this hospital. Methods: A hospital-based study was conducted in the hospital’s neonatal intensive care unit (NICU) from March to June 2018. Blood samples from 96 babies clinically diagnosed with or at risk of sepsis were cultured using the BACTEC 9050® machine. Clinical data including gravida, parity and antibiotic medication before delivery of mother and delivery type, gestation, birth weight and antibiotic medication status were collected for analysis. MALDI-TOF MS identified bacterial isolates, and their identities were confirmed via tuf gene sequence typing. The data were analyzed using GraphPad Prism 8.0.2. Results: Blood cultures were positive in 28 of the babies, with 14 and 12 representing early-onset and late-onset neonatal sepsis, respectively, and two cases of unknown sepsis type. Of the bacterial species that caused sepsis in the babies, coagulase-negative staphylococcus (CoNS)

关键词： Neonatal Sepsis Neonatal Mortality Healthcare-Associated Infections Neonatal Intensive Care Unit Ho Teaching Hospital of Ghana

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Lumbar Spondylolisthesis in Rheumatological Practice in Lome (Togo): Frequency and Semiological Profile

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Open Journal of Rheumatology and Autoimmune Diseases 2022年第1期12卷 21-28页

作者： Cyrille Komi Tagbor Viwale Etonam Sika Koffi-Tessio Prenam Houzou Eyram Fianyo Kodjo Kakpovi kokou hefoume amegan-aho Sadat Oniankitan Awaki-Esso Atake Victor Adjenou Owonayo Oniankitan Moustafa Mijiyawa Rheumatology Department Be Hospital Lome Togo Rheumatology Department Sylvanus Olympio Teaching Hospital Lome Togo Rheumatology Department Kara Teaching Hospital Kara Togo Rheumatology Department Tomde Regional Hospital Kara Togo Paediatric Department Ho Teaching Hospital Ho Ghana Clinic Autel d’Elie Lome Togo

Objectives: To determine the frequency, the clinical and radiological features of lumbar spondylolisthesis in a rheumatological practice in Lomé. Patients and methods: This was a cross-sectional study conducted in the rheumatology department of the Sylvanus Olympio Teaching Hospital in Lomé between January 1997 and December 2019. Medical records of patients with symptomatic spondylolisthesis with radiographic confirmation were reviewed. The Meyerding classification system was used for grading. Results: Of the 350 patients contacted, 118 consented to participate in the study, making a response rate of 33.71%. Of the 118, 104 (88.1%) were females. 109 (92.4%) presented with radicular pain and 9 (7.6%) presented low back pain. The mean age of the patients was 54.24 ± 11.19 years. The average duration of the pain was 4.56 ± 1.32 years. The spondylolisthesis level most involved was the L4 - L5 (92/118), followed by L5 - S1 (23/118). 106 (89.8%) patients had anterolisthesis only, seven (5.9%) combination anterolisthesis and retrolisthesis. The spondylolisthesis was associated with spondylosis in 110 (93.2%) patients. Spondylosis was found at level L4 - L5 in 38.98% patients, followed by L5 - S1 (24.58%), L3 - L4 (18.64%). Grade I slip was found in 108 (91.53%) patients and Grade II slips 10 (8.47%). Isthmic lysis was found in 40 (33.9%) patients and it was located at L4 in 30 (75.0%). Conclusion: Lumbar spondylolisthesis appears to be expected in Lomé patients with nonspecific back pain and mainly affects females.

关键词： Low Back Pain Spondylolisthesis Sub-Sahara Africa Togo

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