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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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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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Septic Arthritis of the Hip in Lome (Togo)

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Open Journal of Rheumatology and Autoimmune Diseases（风湿病与自身免疫疾病期刊） 2021年第3期

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Evaluation of Therapeutic Adherence in Patients Suffering from Chronic Inflammatory Rheumatism in the Rheumatology Wards of Lomé (Togo)

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Open Journal of Rheumatology and Autoimmune Diseases 2023年第4期13卷 88-97页

作者： Eyram Fianyo Wendlassida Joëlle Stéphanie Zabsonre Tiendrebeogo Viwalé etonam sika koffi-tessio Kodjo Kakpovi Owonayo Oniankitan Moustafa Mijiyawa Department of Medicine and Specialities Faculty of Health Sciences University of Lomé Lomé Togo Department of Medicine and Specialities Health Sciences Training and Research Unit University Joseph Ki-Zerbo Ouagadougou Burkina Faso Department of Medicine and Specialities Faculty of Health Sciences University of Kara Kara Togo

Objectives: Therapeutic compliance can be defined as the degree of adequacy between a patient’s behaviour and his doctor’s recommendations. Non-adherence to treatment has serious consequences in terms of morbidity and mortality. Our aim was to assess adherence among patients treated for chronic inflammatory rheumatism in Lomé. Patients and Methods: This was a multicentre cross-sectional study conducted from January 2015 to December 2021. Patients aged 18 years or older, treated in the rheumatology departments of the Sylvanus Olympio University Hospital or the Bè Hospital during the study period, were included if they were diagnosed with chronic inflammatory rheumatism and started on disease-modifying therapy. Adherence was assessed using the Compliance Questionnaire Rheumatology 19 questionnaire, with a threshold for good compliance set at 80%. Results: Out of 13,214 patients received, 159 suffered from chronic inflammatory rheumatism (hospital frequency 1.5%), and 60 met the inclusion criteria for our study. There were 55 women (91.7%) and 5 men (8.3%), giving a sex-ratio of 1/11. The mean age was 49.5 ± 13.5 years (extremes: 19 and 78 years). Rheumatoid arthritis (68.3%) was the most common rheumatic disease, followed by undefined rheumatic diseases (16.6%) and spondyloarthritis (8.3%). Average compliance with treatment was 76.9% ± 12.4% (extremes 29.8 and 91.2). There was no statistically significant difference according to the type of rheumatism. Conclusion: Overall compliance was poor, with a Compliance Questionnaire Rheumatology 19 of less than 80%. It was non-significantly influenced by socioeconomic status, disease severity and duration of progression.

关键词： Therapeutic Adherence Non-Adherence Chronic Inflammatory Rheumatism Black Africa

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Bone Metastases Indicative of Post Viral Hepatitis C Hepatocarcinoma: About Two Observations

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Open Journal of Rheumatology and Autoimmune Diseases 2021年第4期11卷 144-151页

作者： Prenam Houzou Sadat Oniankitan Omboma Bouglouga Bidamin N’Timon Erika Djougnwe Mba viwale etonam koffi-tessio Kodjo Kakpovi Komi Cyrille Tagbor Eyram Fianyo Awaki-Esso Atake Owonayo Oniankitan Moustafa Mijiyawa Department of Rheumatology University Teaching Hospital of Kara Kara Togo Department of Gastroenterology and Hepatology University Teaching Hospital of Kara Kara Togo Department of Radiology University Teaching Hospital of Kara Kara Togo Department of Rheumatology University Teaching Hospital Sylvanus Olympio of Lomé Lomé Togo Department of Rheumatology Regional Hospital of Kara Tomdè Kara Togo Department of Rheumatology District Hospital of Bè Lomé Togo

Background: Hepatocarcinoma is the most common primary malignant tumor of the liver with rare bone metastases, electively residing in the vertebrae, ribs and sternum. They remain exceptionally revealing. Cases reports: We report two cases of bone metastases indicative of hepatocellular carcinoma in patients with viral hepatitis C. Through these two observations, we describe the various clinical, paraclinical and therapeutic aspects of this condition whose prognosis is poor. Conclusion: Although unusual, osteolytic bone metastases may be indicative of hepatocellular carcinoma, the diagnosis must be made in the event of any tumor bone involvement in a patient with chronic liver disease, particularly viral.

关键词： Bone Metastasis Hepatocarcinoma Viral Hepatitis Togo

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Evaluation of Therapeutic Adherence in Patients Suffering from Chronic Inflammatory Rheumatism in the Rheumatology Wards of Lomé (Togo)

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Open Journal of Rheumatology and Autoimmune Diseases（风湿病与自身免疫疾病期刊） 2023年第4期

作者： Eyram Fianyo Wendlassida Joëlle Stéphanie Zabsonre Tiendrebeogo Viwalé etonam sika koffi-tessio Florence Pahimi Yibe Kodjo Kakpovi Owonayo Oniankitan Moustafa Mijiyawa

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