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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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Toxoplasmic Chorioretinitis: About a Case in an Immunocompetent Adult at the Renaissance University Hospital Centre (UHC) in N’Djamena (Chad) and Review of the Literature

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World Journal of Neuroscience 2024年第1期14卷 1-5页

作者： Mahamat Ali Bolti M. Lobe Régis Oumaima Djarma Siddick Oumar Koyo yusra aboulbachar Alain Hernandez Department of Internal Medicine Renaissance University Hospital N’Djamena Chad Ophthalmology Department Renaissance University Hospital N’Djamena Chad Research Laboratory of the Faculty of Human Health Sciences in N’Djamena Farcha Provincial Hospital N’Djamena Chad Emergency Department N’Djamena Renaissance University Hospital N’Djamena Chad

Toxoplasmic chorioretinitis also known as ocular toxoplasmosis is a parasitic infection caused by the obligately intracellular multiplying protozoan called Toxoplasma gondii. Active toxoplasmic chorioretinitis is a rare condition in immunocompetent people. We report a case of a 47-year-old patient who received reduced right visual acuity, left hemiparesis and eye pain. Examination of the right anterior segment of the eye is unremarkable. In the fundus of the right eye, there was a focus of active toxoplasmic chorioretinitis located in the macula at 1.5 mm papillary diameter next to old scar lesions. The ophthalmological examination of the left eye was unremarkable. The paraclinical assessment carried out on the patient shows a positive Remington test on two occasions three weeks apart. The clinical outcome after initiation of treatment was favorable with a healing of the active site within four weeks.

关键词： Chorioretinitis Toxoplasmosis N’Djamena Chad

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Factors Associated with Poor Control of Hypertension in Patients with Non-Dialysis Chronic Renal Failure

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Open Journal of Nephrology 2023年第3期13卷 201-210页

作者： Guillaume Mahamat Abderraman Ali Adam Ahamat Charfadine Senousssi Doune Narcisse Mahamat Hissein Ali Adamou Abbassi Mana yusra aboulbachar Mirene Bourdjo Service de Néphrologie CHU la Renaissance de N’Djamena N’Djamena Tchad Service de Cardiologie CHU la Renaissance de N’Djamena N’Djamena Tchad Service de Réanimation CHU la Renaissance de N’Djamena N’Djamena Tchad

Introduction: Arterial hypertension is frequently encountered in patients with chronic renal failure. Whether primary or secondary to kidney disease, hypertension remains an important risk factor not only for the progression of kidney disease but also for the occurrence of cardiovascular events. Currently, there is no data on the control of hypertension in CKD patients in Chad. The main objective of this study was to determine the factors of poor control of hypertension during CKD and their therapeutic modalities. Methodology: This is a cross-sectional, descriptive and analytical study carried out over a period of 8 months from September 1, 2021 to May 31, 2022 in the Nephrology Department of the Renaissance University Hospital Center in N’Djamena, Chad. During the study period, patients aged 18 years and above, which were hospitalized and/or followed for CKD with uncontrolled hypertension were included. Results: A total of 1013 patients were consulted during the study period, however, 36 cases were included, with a hospital prevalence of 3.5%. The mean age of the patients was 60 ± 9.68 years [22 and 75 years]. The patient’s history was dominated by hypertension (94.4%) and diabetes (41.7%). The main risk factors of hypertension found were diabetes (38.9%), physical inactivity (19.4%) and obesity (36.1%). Type 2 diabetes was pre-sent in 38.9% (n = 14) of the patients. There was a statistical relationship between unbalanced diabetes and poor blood pressure control (p Conclusion: Patients with chronic renal failure are at a risk of developing hypertension. Good control of blood pressure prevents deterioration of kidney function.

关键词： Hypertension Chronic Kidney Disease Chad

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Unilateral Frontal Sinus Aspergillosis: A Case Report and Review Literature

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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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The Management Problem of Miliary Tuberculosis in the Service of Pneumo-Phtisiology at the National References University Teaching Hospital of N’Djamena (Chad): About 103 Cases

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Journal of Tuberculosis Research 2022年第3期10卷 160-169页

作者： Mahamat Ali Bolti Rangar Ngakoutou Abdoulaye Ahmet Mad-Toingue Joseph Dluida Dieudonné Lodoum Mbainadji Josephine Toralta Meurde Nemian Lucien Allawaye Koboye Bonté Adjougoulta yusra aboulbachar Hamit Mahamat Alio Faculty of Human and Health Sciences and The Renaissance University Teaching Hospital of N’Djamena N’Djamena Chad Faculty of Human and Health Sciences and The National Reference University Teaching Hospital of N’Djamena N’Djamena Chad

Introduction: Miliary tuberculosis (MT) is a rare form of tuberculosis (TB) and it is a major public health problem in our countries with limited resources. Materials and Methods: It is a retrospective and descriptive study that started from 1st January 2018 to 31 December 2020 at the pneumo-phtisiology service of the CHU-RN of N’Djamena., All records of patients aged at least 15 years treated for miliary tuberculosis confirmed by X-ray chest were included in our study. Results: The prevalence of TD was 1.5% (n = 103) of all TB diagnosed in the service. The sex ratio was 1.34. The average age was 37.7 years with extremes ranging from 19 to 80 years. A low social economic level was found in 75.7%. The principal comorbidity found in this study was HIV with the prevalence of (22.3%). The general signs were dominated by deterioration of general condition (96.1%) and fever (91.3%). The main symptoms were cough (85.4%) and dyspnea (52.4%). The radiology of chest found a homogeneous dissemination and symmetrical in both lung fields in 100% of cases. Our study reported that 14 (13.6%) of death cases were found among patients. Conclusion: TM is a severe form of TB;it affects a young population in our context. Mortality remains high with prevalence of 13.6% of cases. Early management would improve the prognosis.

关键词： Miliary Tuberculosis CHU-RN N’Djamena (Chad)

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