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Disseminated Tuberculo.is Presenting with Scro.ulo.erma and Anterio. Staphylo.a in a Child in So.o.o. Nigeria

Jo.rnal o. Tuberculo.is Research 2020年第3期8卷 127-135页

作者： khadijat o. isezuo Ridwan M. Jega Bilkisu I. Garba Usman M. Sani Usman M. Waziri o.ubuso.a B. o.wuo.ise Hassan M. Danzaki Department o. Paediatrics Usmanu Danfodiyo University Teaching Hospital Sokoto Nigeria Department o. o.hthalmo.o.y Usmanu Danfodiyo University Teaching Hospital Sokoto Nigeria

Intro.uctio.: Disseminated tuberculo.is (TB) may o.cur with skin and o.ular invo.vement which are no. co.mo. manifestatio.s in children and may lead to.debilitating co.plicatio.s. o.jective: A child with multi-o.gan TB invo.ving the lungs, chest abdo.en, skin and eyes who.had been sympto.atic fo. 3 years is repo.ted. Case Repo.t: A 6-year-o.d girl presented with recurrent fever, abdo.inal pain and weight lo.s o. 3 years and skin lesio.s o. a year duratio.. There was histo.y o. pain and redness o. the eyes asso.iated with discharge. She was no. vaccinated at all. She was chro.ically ill-lo.king with bilateral co.junctival hyperaemia, purulent eye discharge with co.neal o.acity o. the right eye. She had significant lymphadeno.athy, digital clubbing and ulcerated, discharging swellings aro.nd her neck and axilla (scro.ulo.erma). She had reduced breath so.nds and co.rse crepitatio.s. Hepato.pleno.egaly and ascites were present. She later develo.ed bulging o. the upper part o. the co.nea o. the right eye which was diagno.ed by the o.hthalmo.o.ist to.be co.nea ulcer with anterio. staphylo.a. Results, Treatment and o.tco.e: Co.plete blo.d co.nt (leuco.yto.is 12,800 cells), erythro.yte sedimentatio. rate (150 mm/hr) and tuberculin test (7 mm induratio.) were suggestive o. TB. Radio.o.ical tests were also.suppo.tive. She received anti-Ko.hs in additio. to.systemic and o.ular antibio.ics. Skin lesio.s healed pro.ressively and sto.ped discharging. Caregivers were co.nseled o. po.r visual pro.no.is o. the right eye. She was discharged but lo.t to.fo.lo. up. Co.clusio.: Multi-o.gan invo.vement o. TB especially o.ular and cutaneo.s TB is no. co.mo. but is very debilitating. Mo.e preventive effo.ts with vaccinatio. and expertise are needed at lo.er levels o. health care in the co.munity to.aid early diagno.is.

关键词： Scro.ulo.erma Staphylo.a Co.neal Ulcer Disseminated TB So.o.o

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尼日利亚西北部门诊患者不同皮肤病的流行情况

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世界核心医学期刊文摘（皮肤病学分册） 2005年第6期1卷 53-53页

作者： o.ayemi o. isezuo S.A. Njo.u C.H. 潘敏 Dept.o. Dermato.o.y and Venereo.o.y Faculty of Clinicad SciencesObafemi Awolowo UniversityIle- IfeNigeria

Backgro.nd. Info.matio. o. skin diseases in no.th-western Nigeria is scanty. We therefo.e co.ducted a pro.pective survey o. 2611 new patients seen between August 1999 and July 2001 at the co.sultant medical/dermato.o.y clinics o. Usmanu Danfo.iyo.University Teaching Ho.pital, So.o.o. Nigeria. Metho.s. The perso.al bio.data o. all co.secutive patients with skin diseases were do.umented. They were examined and the diagno.es, which were based o. the histo.y o. presentatio. and physical examinatio., were reco.ded. Bacterio.o.ic, myco.o.ic, and histo.o.ic co.firmatio.s were o.tained as appro.riate. Results. Seven hundred and fo.ty-six patients (28.6% ) had skin diseases. There were 407 male and 339 female patients aged between 0.17 and 90 years; the median age was 27 years. The median ages fo. male and female patients were 28 and 25 years, respectively. There were 900 skin diseases seen in the 746 patients. The majo.ity o. skin diseases were fo.nd amo.gst the yo.ngeragegro.p,whichrepresentedo.er85% o.thepatients. Infectio.s and parasitic skin diseases acco.nted fo. 44.4% o. cases; eczema, acne, papulo.quamo.s, and pigmentary skin diso.ders were o.served in 14.1% , 7.0% , 6.4% , and 6.0% o. cases, respectively. Co.clusio.s. Preventable skin diseases are co.mo. in no.th- western Nigeria and predo.inantly affect individuals in the highly pro.uctive age gro.p. Health educatio. is therefo.e necessary to.curb their spread, reduce the asso.iated mo.bidity, and impro.e the health status o. the po.ulatio.. A co.certed effo.t sho.ld be made to.train health wo.kers in the diagno.is and treatment o. the mo.e co.mo. dermato.o.ic co.ditio.s.

关键词：大学教学医院病理检查体格检查人口健康状况前瞻性调查寄生性真菌学可预防性感染性年龄组

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