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A Severe COVID-19 Infection in Neonates: A Case Report

Journal of Biosciences and Medicines 2021年第12期9卷 118-123页

作者： Idrissa Demba Ba Mohameth Mbodj Fatim Tall Serigne T. ndiaye Safietou Dieye Mouhamed Fattah Amadou Sow Ndeye F. Sow Awa Kane Aita Seck Aminata Mbaye Alioune M. Coundoul Khadim Bop pape S. Sow Amadou L. Fall Papa M. Faye Ousmane ndiaye Albert Royer National Children Hospital Dakar Senegal Cheikh Anta DIOP University Dakar Senegal Abass Ndao Hospital Center Dakar Senegal

Coronavirus disease (COVID-19) is a highly contagious infectious disease. First case was reported at the end of 2019 in China. Children and neonate population appears to be relatively free of the virus. We reported a severe and fatal neonate case of COVID-19 in a 22 days old neonate female due to the delta variant strain during the third wave outbreak. She presented with fever, cough, grunting and diarrhea started 5 days before admission. Physical exam’s revealed severe respiratory distress, hypoxia and bilateral pulmonary condensation. PCR test for COVID-19 was positive. Chest X-ray found bilateral infiltrates. Chest CT showed diffuse ground glass images with 75% of lung parenchymal involvement. She was treated with antibiotics, corticostoid, respiratory support (CPAP and oxygen). Death occurred after 15 days of hospitalization in the context of multiple organ failure and pulmonary hypertension.

关键词： COVID-19 Hypoxia Newborn Variant Delta Senegal

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Management of Pheochromocytoma in Dakar: Diagnostic and Therapeutic Advances throughout 16 Cases

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Open Journal of Endocrine and Metabolic Diseases 2018年第1期8卷 19-28页

作者： Abdoulaye Leye Nafy ndiaye Yakham Mohamed Leye Amadou Fall Cisse Ngoné Diaba Diack Michel Assane Ndour Ameth Dieng Daouda Thioub Baidy Sy Kane Alex Bahati Alpha Omar Touré Cherif Mohamed Dial pape Saloum Diop Internal Medicine and Endocrinology Department Teaching Hospital of Pikine Dakar Dakar Senegal Internal Medicine Department Aristide Le Dantec Teaching Hospital of Dakar Dakar Senegal General Surgery Department Aristide Le Dantec Teaching Hospital of Dakar Dakar Senegal Anatomo-Pathology Department General Hospital of Grand Yoff Dakar Dakar Senegal General Surgery Department General Hospital of Grand Yoff Dakar Dakar Senegal

Introduction: Management of pheochromocytoma faces different challenges leading to misdiagnosis and therapeutic delay in developing countries. The aim of our study was to evaluate the diagnostic and therapeutic features as well as the evolution of our management strategies in hospital setting in recent years in Dakar. Patients and Method: We carried out a retrospective study over 12 years (January 2005 to June 2017), in 4 hospitals in Dakar. We only included patients with established diagnosis of pheochromocytoma upon clinical, biological, radiological and histological arguments. Results: During this period, 16 observations have been collected and were all about female patients. The mean age at the time of diagnosis was 36.81 years. The clinical signs were dominated by hypertension found for 14 patients. At biological examination, hypersecretion catecholamine was found in 13 patients, high urinary metanephrines in 7 patients, high plasmatic metanephrines in 2 patients and raised urinary Vanyl Mandelic Acid (VMA) in 4 patients. Dosage of chromogranin A showed high level for one patient. Abdominal CT scan allowed making the adrenal origin of tumors precise. One patient presented bilateral pheochromocytoma. Before being treated surgically, all patients had had medical preparation. The surgical treatment by median laparotomy consisted of an enucleation of the tumor in 2 patients, and adrenal resection in *** evolution after surgery was favorable in 12 patients out of 13. One patient died 2 days after surgery by hemodynamic instability. In 2 patients who presented metastases, multidrug therapy with cyclophosphamide, vincristine and dacarbazine was decided after a multidisciplinary meeting, but they died before treatment. Conclusion: Management of pheochromocytomas in developing countries is obviously improving, but the mortality rate remains high. Early diagnosis and perioperative care are to be targeted for better outcome and prognosis of this rare tumor in o

关键词： Pheochromocytoma Diagnosis Treatment Dakar

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