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Unilateral Frontal Sinus Aspergillosis: A Case Report and Review Literature

World Journal of Neuroscience 2020年第2期10卷 101-106页

作者： Yannick Canton Kessely Felicien G. Toudjingar loobé regis mwabanyol Mahamat Ali Bolti Aboubakar Aouami Kader Ndiaye Olivier Ouambi Yusra Aboulbachar Ali Momar Code Ba Neurosurgery Department Hopital “La Renaissance de Ndjari” N’Djamena Tchad

Frontal sinus aspergillosis is a rare infection that can be usually associated with immunocompromised states and life-threatening with high mortality rate. The authors report in a developing country a case of immunocompetent patient with left unilateral frontal headache, associated with left eye ptosis. The Brain CT Scan revealed frontal sinus aspergillosis. She underwent surgery followed by itraconazole cure. The outcome is successful after a period of 14 months with resolution of symptomatology. Anatomopathological examination confirmed aspergillosis. They share their experience of management of this disease in a country where neurosurgery is very young specialty and where molecules against aspergillosis are not available.

关键词： Aspergillosis Fungal Infection Sinus Surgery

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Management of Secondary Leyll Syndrome Due to Anti-Covid Vaccine in a Case, at the Renaissance University Teaching Hospital, Ndjamena (CHAD)

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Journal of Biosciences and Medicines 2022年第10期10卷 47-54页

作者： Traoré Sory Adamou Abassi Mana Abdelsalam Hissein Hassan Kader Ndjaye Nouradine Abakar Abdesalam Mahamt Bahar Mahamat Ali Bolti Ngamai Kotyadé mwabanyol loobe regis Michel Slama Hamit Mahamat Alio Anesthesia-Resuscitation Department of the Renaissance University Teaching Hospital N’Djamena Chad Emergency Department of the N’Djamena Renaissance University Teaching Hospital N’Djamena Chad Internal Medicine Department N’Djamena Renaissance University Teaching Hospital N’Djamena Chad Surgery Department of N’Djamena Renaissance University Teaching Hospital N’Djamena Chad Ophthalmology Department of the N’Djamena Renaissance University Teaching Hospital N’Djamena Chad Head of Resuscitation Department CHU Amiens-Picardie Amiens France Laboratory Department of the Renaissance University Teaching Hospital of N’Djamena N’Djamena Chad Faculty of Human Health Sciences of the University of N’Djamena N’Djamena Chad

Introduction: Lyell’s syndrome (SL), called Toxic Epidermal Necrolysis is one of the most serious forms of medication accidents. It is an acute, rare pathology, its incidence is estimated at 1 to 2 cases out of one million inhabitants per year and its evolution can be fatal. Materials and Methods: We report the observation of a 60-year-old patient, with no significant pathological history, admitted to our intensive care unit at the Renaissance University Teaching Hospital in N’Djamena for the treatment of Toxic Epidermal Necrolysis. In whom the onset of symptoms dates back to few hours after vaccination against COVID-19 with Ag Johnson and Johnson. Results: An ophthalmology opinion was requested and the patient was put on Fucithalmic. In our case, in addition to the advanced age of the patient (60 years old), her SCORTEN was ≥5. Conclusion: The late management as well as the absence of a specific department for severe burns, which condition the presence of a technical plate was fatal to her despite multidisciplinary care: Resuscitators, Traumato-Orthopedist and ophthalmologist.

关键词： Lyell Syndrome Renaissance University Teaching Hospital N’Djamena Symptomatology Vaccination Covid-19 SCORTEN

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