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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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Simultaneous, Asymmetrical, Comminuted and Bilateral Ballistic Fractures by Multiple Gunshot Wounds and a Review of Its Literature: A Case Report in Chad

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Open Journal of Orthopedics 2022年第10期12卷 377-382页

作者： Siniki Fandebnet ngamai kotyade Adamou Abbasi Dingamnodji Magloire Mahamat Bahar Abdelsalam Yusra Aboulbachar Assi Constant Andre Daniel Sane Department of Orthopaedics and Traumatology Renaissance University Hospital N’Djamena Chad Department of Anesthesia Renaissance University Hospital N’Djamena Chad Department of Accident and Emergency Renaissance University Hospital N’Djamena Chad Department of Medicine Renaissance University Hospital N’Djamena Chad Department of Cardiology Renaissance University Hospital N’Djamena Chad Department of Surgery Cheik Anta Diop University Dakar Senegal

Although open leg fractures are very common in orthopedics and traumatology, bilateral open leg fractures are extremely rare and are usually associated with an increased risk of complications. We report a case of a simultaneous, asymmetrical, comminuted and bilateral open fracture of the tibia and fibula by a firearm that occurred during an escape attempt in a 29-year-old prisoner. The pre-operative radiological assessment found an open fracture of both legs of the ballistic type;multiple traumatic gunshot wounds with a narrow entry hole and a wide exit hole. Early surgical intervention of intravenous antibiotics, tetanus prophylaxis and open fracture irrigation and debridement was performed within the 6 hour rule. The treatment consisted of a posterior splint followed by trimming andosteosynthesis using a FESSA external fixator from the military health service. A second operation was not needed. Evolution was favorable with ambulation starting from the 45th day. Simultaneous and bilateral tibia-fibula fractures by a firearm are exceptional, therefore, the treatment was surgical with the pre-operative and post-operative protocols well managed.

关键词： Simultaneous Bilateral Tibia-Fibula Fractures Gunshot Wounds External Fixator Ballistic Fractures

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Giant Cell Tumor of the Wrist: Rare Location of the Distal Ulna

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Open Journal of Orthopedics 2021年第3期11卷 67-72页

作者： Siniki Fandebnet ngamai kotyade A. D. Mahamat Nour Ngarieguem O. Wassim Brahim Massar Orthopedics Department Renaissance University Hospital N’Djamena Chad Faculty of Human Health Sciences University of N’Djamena N’Djamena Chad

Giant cell tumor of the wrist is a rare, benign and usually symptomatic condition. The discovery is sometimes made following a medical imaging examination or a painful symptomatology or more often a visible or palpable swelling with or without vascular and/or nerve compression. At an advanced stage, the X-ray is of paramount importance. The well codified complete surgical resection is part of the therapeutic arsenal. We present a clinical case report of a young woman with a giant cell tumor localized in the wrist in N’Djamena, Chad. This case concerns a 25-year-old patient who presented in July 2020 of a painful swelling lateral to her left wrist bone and whose X-ray radiography showed lysis of the cortical bone in the lower third of the ulna. After the operative resection of the tumor mass, the pathological examination of the operative specimen revealed the diagnosis of a giant cell tumor. A giant cell tumor is a benign condition, with a few symptoms and the location at the ulna is exceptional. Complete surgical resection is a viable treatment option.

关键词： Giant Cell Tumor Complete Surgical Resection Ulna

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