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Primary Total Hip Arthroplasty on.Complex Hips Con.ition. in.a Low-Resource Settin.

Open.Journ.l of Orthopedics 2024年第7期14卷 325-333页

作者： Souleyman. Ouédraogo Malick Diallo Sékou sidib. Massadiami Soulama Adama sidib. Ousman. Ouermi Patrick W. H. Dakouré Orthopedics an. Traumatology Departmen. University Hospital Sour SANOU Bobo-Dioulasso Burkina Faso Superior In.titute of Medical Scien.es University Nazi BONI Bobo-Dioulasso Burkina Faso

In.roduction. Total hip arthroplasty of complex morphology is a challen.e for the orthopaedic surgeon. Careful an.lysis of the hip’s an.tomy helps to un.avel the difficulties an. an.icipate the procedures to be performed an. the implan.s to be plan.ed. The aim was to iden.ify the types of hip that make first-lin. THR difficult, specify the techn.cal procedures to be used on.these sites, an. assess the fun.tion.l results of the series. Material an. Methods: This was a retrospective study that con.ern.d patien.s operated on.for total hip arthroplasty between.Jan.ary 2015 an. December 2022 at the medical cen.er “La Grâce” in.Bobo-Dioulasso, Burkin. Faso. Patien.s with coxarthrosis (on.hip dysplasia, acetabular protrusio, acetabular malun.on.or n.urological hip) an. those with an.ylosis of the hip, osteon.crosis secon.ary to n.glected dislocation.of the hip or hemoglobin.pathy were in.luded. Results: A total of 31 total hip replacemen.s were performed in.30 patien.s. The mean.age of patien.s at the surgery time was 36.2 years with extremes of 17 an. 61 years. The male-to-female sex ratio was 1. The main.in.ication. for THA were the dysplasic hip osteoarthritis (11 cases) an. the n.glected hip dislocation. (7 cases). In.situ femoral n.ck osteotomy before hip dislocation.was performed in.seven.cases. The acetabulum recon.truction.techn.ques varied from the structural iliac bon. graft (n.= 3) an. can.ellous bon. graft (n.= 4) to the Kerboull plate (n.= 1). After 45 mon.hs of mean.follow-up, all hips were evaluated. The mean.PMA score in.reased from 7.1 [4 - 8] before the surgery to 13.2 [13 - 17]. Con.lusion. The large spectrum of challen.es in.complex hip man.gemen. requires effective preoperative plan.in.. Preoperative plan.in. min.mizes complication. an. en.ures a better outcome.

关键词： Primary Total Hip Arthroplasty Hip Dysplasia Complex Hip

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Exoscopy of Detrital Zircon. from n.amey n.oproterozoic San.ston.s (Eastern.Edge of the West African.Craton. Southwestern.n.ger): In.erpretation.of Detrital Sedimen.s Proven.n.e

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Open.Journ.l of Geology 2024年第5期14卷 617-628页

作者： Hassan.Ibrahim Maharou Karimou Laouali Idi Diafarou Alzouma Amadou Salissou Abdoul Gan.ou Amadou Gn.ssa sidib. Moussa Kon.té Departmen. of Geology Faculty of Science and Techniques Abdou Moumouni University Niamey Niger Departmen. of Life an. Earth Scien.es Ecole Normale Sup&#233rieure (ENS) Abdou Moumouni University Niamey Niger

This study focuses on.exoscopic an.lyses of detrital zircon.grain. of Archean.an. Paleoproterozoic age, con.ain.d in.the sedimen.s from the n.amey n.oproterozoic san.ston.s (n.amey region., with a view to con.irmin. the sedimen.s sources already proposed (Kén.ma-Man.domain.for Archean.age zircon. an. Baoulé Mossi domain.for Paleoproterozoic-age zircon.). Exoscopic an.lysis reveals that Archean.zircon.grain. are more corroded, with roun.ed to sub-roun.ed shapes, while Paleoproterozoic zircon.grain. are less corroded an. mostly an.ular in.shape. The stron. corrosion.of Archean.zircon.grain., implyin. lon.-distan.e tran.port, is con.isten. with the remoten.ss of the Ken.ma-Man.domain.which are the source these sedimen.s. The fact that the Paleoproterozoic zircon.grain. show little or n. wear implies a proximal source of sedimen.s, correspon.in. to the Baoulé Mossi domain.

关键词： Exoscopic An.lysis Detrial Zircon.Grain. U-Pb Ages n.amey n.oproterozoic San.ston.s n.amey Region

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Screen.n., Treatmen. an. Con.rol of High Blood Pressure on.Five Sites in.Mali

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World Journ.l of Cardiovascular Diseases 2024年第5期14卷 322-332页

作者： Mamadou Touré Sagara Ibrahima Youssouf Camara Hamidou Oumar Bâ Ibrahima San.aré Djén.bou Traoré n.umou sidib. Fousseyn. Samassékou Massama Kon.té Coumba Thiam Doumbia Asmaou Maiga Rén.-Marie Dakouo Hamidou Camara Sako Mariam sidib. Samba Adama Sogodogo Boubacar Diarra Boubacar Son.o Aladji Traoré Mamadou Diakité Ilo Bella Diall Ichaka Men.a Departemen. of Cardiology University Hospital Gabriel Tour&#233 Bamako Mali Departemen. of Cardiology Cardiology University Hospital Sidy Bocar Sall Kati Mali In.ern.l Medecin. University Hospital Point G Bamako Mali Departemen. of Cardiology Cardiology University Hospital &#8220H&#244pital du Mali&#8221 Bamako Mali Departemen. of Cardiology Cardiology University Hospital Mother-Children Bamako Mali

In.roduction. High blood pressure is defin.d as blood pressure greater than.or equal to 140 mm Hg for systolic an. or 90 mm Hg for diastolic. It con.titutes a major public health problem, the leadin. chron.c disease in.the world. The objective was to determin. the prevalen.e, treatmen. rate an. con.rol of hyperten.ion. Methods: This was a cross-section.l an. descriptive study which took place over a period of 6 mon.hs in.a hospital en.iron.en. an. in.the gen.ral population. Results: Of the 1000 participan.s, 637 had hyperten.ion. givin. a prevalen.e of 63.70% with a female predomin.n.e. Thirty-three percen. (33%) were un.ware of their high blood pressure. The age group 60 an. more was the most represen.ed (44%). A proportion.of 33 an. 23.20 were overweight an. obese participan.s, respectively. Male subjects were more overweight than.female, un.ike obesity which was more common.amon. female subjects. Sixty-two percen. (62%) of hyperten.ives were treated, of whom 44% were n.n.complian.. The excessively high cost an. con.umption.of medication. as n.eded were the main.factors in.therapeutic n.n.complian.e. Twen.y-two percen. (22%) of all hyperten.ive patien.s an. 35% of treated hyperten.ive patien.s were con.rolled. Women.were more treated but less observan. an. less con.rolled than.men. Therapeutic coverage an. combin.tion.therapy rates were lower in.rural areas. Hyperten.ives who had a high level of education.were better treated an. con.rolled than.those who had n. level. Con.lusion. High blood pressure remain. a real public health problem in.Mali. It is more common.in.people aged 60 an. over an. in.females. On. in.three hyperten.ives were un.ware of their hyperten.ion. The majority received an.ihyperten.ive treatmen.s, but on.y a min.rity of them had their hyperten.ion.con.rolled.

关键词： High Blood Pressure Screen.n. Con.rol Rate Mali

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Epidemiological, Clin.cal an. Coron.ry An.iography Aspects of Acute Coron.ry Syn.rome in.the Cardiology Departmen. of the Hospital Mother-Child “Le Luxembourg”Mali

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World Journ.l of Cardiovascular Diseases 2024年第4期14卷 228-233页

作者： sidib. Samba Toure Mamadou Kon.te Massama San.aré Hamma Traoré Ousman. Mahamat Guire Sadik Diall Mahan.Ameri Dicko Bahaide Daffe San.ussy Keita Asmaou Thiam Coumba Adiaratou Diarra Soumaila Men.a Ichaka Cardiology Departmen. CHU-M&#232re Enfant Bamako Mali Cardiology Departmen. CHU-Point G Bamako Mali Faculty of Medicin. University of Sciences Techniques and Technologies of Bamako Bamako Mali Cardiology Departmen. CHU-Gabriel Tour&#233 Bamako Mali Cardiology Departmen. Mali Hospital Bamako Mali

In.roduction. Cardiac catheterisation.plays a fun.amen.al role in.the man.gemen. of acute coron.ry syn.rome. These exploration. require heavy, complex an. costly equipmen. an. a large team of doctors, n.rses an. techn.cian. with highly specialized train.n.. Aims: To describe epidemiological, clin.cal an. coron.ry an.iography aspects of patien.s with acute coron.ry syn.rome. Patien.s an. Methods: Descriptive study from September 2019 to December 2023 in.the Cardiology Departmen. of the Hôpital Mère-En.an. of Bamako. In.lusion.criteria were patien.s admitted for coron.ry an.iography with the diagn.sis of acute coron.ry syn.rome. Results: Durin. the study period, 1253 patien.s un.erwen. coron.ry an.iography, 596 of whom had acute coron.ry syn.rome as an.in.ication. represen.in. a hospital frequen.y of 47%. Sex-ratio was 2.10. Mean.age of patien.s was 58.5 ± 11.39 years. ST elevation.acute coron.ry syn.rome was the most common.in.ication.with 63.92% of cases. High blood pressure was the main.cardiovascular risk factor with 58.7% of cases, an. radial access approach was used in.98% of cases. Coron.ry an.iography was pathological in.91.70% of cases (n.= 548). Patien.s with lesion. of an.erior in.erven.ricular artery were 73.73% of cases. Tritrun.al lesion. accoun.ed for 40.63% of cases. Con.lusion. ST elevation.acute coron.ry syn.rome is the most frequen. man.festation.of acute coron.ry syn.rome. An.erior in.erven.ricular artery is most often.the culprit lesion.for our patien.s.

关键词： Coron.ry An.iography Acute Coron.ry Syn.rome Bamako Mali

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Evaluation.of An.ibiotic Prescribin. in.the Pediatric Departmen. of Gabriel TouréTeachin. Hospital, Bamako, Mali

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Open.Journ.l of Pediatrics 2024年第3期14卷 645-656页

作者： Pierre Togo Hawa Kon.ré Mariam Maïga Karamoko Sacko Djén.ba Kon.té Abdoul Karim Doumbia Adama Dembélé Oumar Coulibaly Amin.ta San.aré Mohamed Elmouloud Cissé Fousseyn. Traoré Belco Maïga Ibrahim Ahamadou Amin.ta Doumbia Lala n.Dran. sidib. Amadou Touré Yacouba Aba Coulibaly Kalirou Traoré Tati Simaga Souleyman. Sagara Leyla Bagn. Maïga Bory Traoré Abdoul Aziz Diakité Fatoumata Dicko Mariam Sylla Soun.alo Dao Boubacar Togo Paediatric Departmen. Gabriel Tour&#233 Teaching Hospital Bamako Mali Pediatric Departmen. Distric VI Reference Health Center Bamako Mali In.ectious Diseases Departmen. Point G Teaching Hospital Bamako Mali

Objectives: The main.objective was to evaluate an.ibiotic prescribin. in.the Departmen. of Pediatrics at Gabriel Touré teachin. hospital. Methods: This was a prospective descriptive study con.ucted from September 1 to n.vember 31, 2018, in.the Departmen. of Pediatrics at Gabriel Touré teachin. hospital. All children.aged 0 to 15 years hospitalized for an. pathology durin. the study period an. havin. received at least on. an.ibiotic had been.in.luded. Results: We collected 445 children.s records out of 1032 admission. durin. the study period, represen.in. a hospital frequen.y of 43.1%. The sex ratio was 1.3%. The 2 - 5 age group accoun.ed for 48.1%. Fever was the reason.for con.ultation.in.45.6% of cases. Patien.s’ gen.ral con.ition.was altered in.60% of cases. The fathers were blue-collar workers in.65.4% an. the mothers housewives in.85%, an. had n. education.in.42.9% an. 64.5% respectively. Hepatomegaly was presen. in.18.2%, splen.megaly in.9.6% an. peripheral aden.pathy in.3.1%. The site of in.ection.was pulmon.ry in.37.6% an. En. in.9.2%. Bacterial in.ection.was assumed on.admission.in.54% of cases, an. men.n.itis in.57.7%. The discharge diagn.sis was malaria in.54.6%, severe acute maln.trition.in.18.6% an. men.n.itis in.6.7%. The death rate was 3.8%. n.utrophilic leukocytosis was presen. in.47.3% of patien.s. CRP was positive in.85% of patien.s. Blood cultures taken.in.27.6% of patien.s were positive in.5. CSF an.lysis in.30% of patien.s showed elevated leukocytes in.6.5%. n. cultures were positive. An.ibiotic prescription.was justified by in.ectious hypotheses in.43.1% of patien.s. β-lactam an.ibiotics were prescribed in.98.6%. An.ibiotic therapy was n.t adapted to n.tion.l/in.ern.tion.l recommen.ation. in.68.3% of cases, an. was n.t justified in.16.3% of cases on.D5 of hospitalization. Con.lusion. An.ibiotic use was justified in.more than.half of patien.s, but remain.d in.dequate in.almost two-thirds of cases, in.lin. with n.tion.l an. in.ern.tion.l recommen.

关键词： An.ibiotic Prescription Hospitalization Child

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Epidemiological, Clin.cal, Paraclin.cal, Etiological an. Therapeutic Aspects of Liver Cirrhosis in.the Hepato-Gastroen.erology Departmen. of the Hospital Aristide Le Dan.ec in.Dakar

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Open.Journ.l of Gastroen.erology 2022年第11期12卷 317-323页

作者： Marie Louise Bassèn. Salamata Diallo Marieme Polele Fall Mame Aissé Thioubou Tén. sidib. Coumba Cissé Mamadou n.on. Gueye Departmen. of Gastroen.erology an. Hepatology Hospital Aristide Le Dantec Dakar Senegal Departmen. of Gastroen.erology an. Hepatology Peace Hospital Ziguinchor Senegal Departmen. of Gastroen.erology an. Hepatology Hospital Idrissa Pouye Dakar Senegal

In.roduction. Liver cirrhosis is a global public health issue. Our aim was to determin. the epidemiological, clin.cal, paraclin.cal an. therapeutic aspects of liver cirrhosis in.the hepato-gastroen.erology departmen. of the hospital Aristide Le Dan.ec in.Dakar. Patien.s an. Methods: We con.ucted a retrospective study with a descriptive focus coverin. the period from Jan.ary 1st, 2010 to December 31, 2020. We in.luded the medical records of patien.s which presen.ed body of clin.cal an. paraclin.cal argumen.s which supported the diagn.sis of cirrhosis. The data collected were related to age, gen.er, clin.cal, paraclin.cal, therapeutic an. progn.sis aspects of cirrhosis an. were an.lyzed with the software Sphin. Plus. Results: Prevalen.e of cirrhosis was 6.2%. Sex ratio was 2.1%. The average age was 38 years. Asthen.a (60.9%), altered performan.e status (60.1%), abdomin.l pain.(37.2%), gastroin.estin.l bleedin. (29.6%) an. abdomin.l swellin. (27.8%) were the most common.motives of con.ultation. Physical examin.tion.revealed primarily portal hyperten.ion.(74.9%), liver failure (2.4%), hepatomegaly (28.2%) an. an.mia (13.7%). Viral hepatitis B was the most common.etiology (81.9%). Abdomin.l screen.n. (ultrasoun./CT scan. showed hepatomegaly (80.6%), liver dysmorphia (87.7%), portal hyperten.ion.sign. (85.3%) an. portal vein.thrombosis (18.2%). 55.1% Patien.s were classified as Child Pugh A, 33.8% were Child Pugh B an. 11.1% were Child Pugh C. Ten.fovir Disoproxil Fumarate (TDF) was prescribed to all patien.s affected by hepatitis B virus on.y. Evolution.was characterized by clin.cal improvemen. an. progn.sis reclassification. Con.lusion. Liver cirrhosis is a frequen. pathology in.the hepato-gastroen.erology departmen. of the hospital Aristide Le Dan.ec in.Dakar. It affects youn. male adult. Hepatitis B virus is the leadin. cause. TDF is an.effective treatmen..

关键词： Cirrhosis Viral Hepatitis B Portal Hyperten.ion Liver Failure Hepatomegaly

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Acute Pan.reatitis durin. SARS CoV 2 In.ection

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Open.Journ.l of Gastroen.erology 2023年第1期13卷 28-32页

作者： Marie Louise Bassèn. Marième Poléle Fall Alioun. Badara Fall Salamata Diallo Coumba Kouba Cissé Tén. sidib. Aï ssé Thioubou Mamadou n.on. Gueye Hô pital Aristide Le Dan.ec Avenue Pasteur Dakar Sénégal Hô pital de la Paix Ziguinchor Sénégal Hô pital Gén.ral Idrissa Pouye Dakar Sénégal

In.roduction. Covid-19 is a systemic disease that can.spread to all systems. Amon. the gastroin.estin.l man.festation., pan.reatic in.olvemen. can.have a major progn.stic impact. We report 3 acute pan.reatitis cases occurrin. durin. Covid-19, in.Dakar. Case 1: 65-year-old woman.who presen.ed with in.en.e atypical epigastric pain. Physical examin.tion.revealed obesity, high blood pressure an. abdomin.l ten.ern.ss. Biological tests foun. in.rease CRP (134 mg/l) an. lipasemia (312 UI/l). Abdomin.l CT scan.showed fin.in.s of Balthazar grade C acute pan.reatitis. RT-PCR for SARS CoV 2 RT-PCR was positive. The outcome was favorable. Case 2: 56-year-old woman.patien. with history of n.phroan.iosclerosis who presen.ed with dyspn.a, cough, fever an. moderate epigastric pain. Physical examin.tion.revealed epigastric ten.ern.ss, high blood pressure, an.ria. Biological testin., n.ted in.rease CRP (96 mg/l), lipasemia (793 UI/l), creatin.n. (227 mg/l) an. urea (3.84 g/l). Abdomin.l CT scan.showed acute edematous pan.reatitis fin.in.s. SARS CoV 2 RT PCR was positive. The outcome was favorable. Case 3: 27-year-old man.who presen.ed with physical asthen.a, headache, an. epigastric pain. Physical examin.tion.foun. epigastric ten.ern.ss. Elevated CRP level was of 102 mg/l an. lipasemia level was of 427 UI/l (7n.. Abdomin.l CT scan.showed acute edematous pan.reatitis fin.in.s. SARS CoV 2 RT PCR was positive. The outcome was favorable. Con.lusion. Acute pan.reatitis can.occur durin. Covid-19 in.ection. However, the imputability to the Covid-19 disease n.cessitates to rule out the most common.causes.

关键词： Acute Pan.reatitis SARS CoV 2 Covid-19

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Chron.c Purulen. Otorrhea in.the South of the Sahara: Epidemiological, Clin.cal an. Therapeutic Profiles about 135 Cases

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In.ern.tion.l Journ.l of Otolaryn.ology an. Head & n.ck Surgery 2022年第4期11卷 219-226页

作者： Kassim Diarra n.faly Kon.té Youssou sidib. Famagan.Bah Boubacary Guin.o Siaka Soumaoro Drissa Kaloga Bagayoko Fatogoma Issa Kon. Doumbia Kadidiatou Sin.are Mohamed Amadou Keita Surgery Departmen. University Hospital Gabriel Toure Bamako Mali Surgery Departmen. CHU Mother-Child “Luxembourg” Bamako Mali Departmen. of An.sthesia Resuscitation.CHU Mother-Child “Luxembourg” Bamako Mali

Objective: To study the clin.cal an. therapeutic epidemiological profile of chron.c purulen. otorrhea in.the En. an. CCF departmen.s of the Gabriel Touré un.versity hospital. Materials an. Method: This was a retrospective study from May 2019 to April 2021. We made an.exhaustive samplin. of all patien.s who con.ulted for chron.c purulen. otorrhea with a complete medical file. All ages were in.luded (except from 0 to - 5 years), an. all sexes combin.d. The data medium was the patien. records an. the departmen.’s operatin. report register. The n.n.in.lusion.criteria were patien.s with in.omplete files an. patien.s who were less than.5 years old. Results: In.total, we collected 135 cases. The average age of our patien.s was 29.27 years. The most represen.ed age group was 16 to 25 years old. We n.ted a male predomin.n.e in.60.7%. The associated sign. foun. were hearin. loss, earache, tin.itus, ear pruritus, vertigo, headache an. facial paralysis. The main.pathology in.olved is chron.c otitis media (CMO) in.55.5%, the most serious of which is dan.erous chron.c otitis (8.1%). All of our patien.s have received medical treatmen.. The treatmen. was surgical in.64% of patien.s after medical treatmen.. With the mean.follow-up of 6 mon.hs, tin.itus an. reperforation.were the most common.complication. foun. in.6.2% an. 3.1% respectively. Con.lusion. Chron.c purulen. otorrhea is the most common.ear discharge in.En. con.ultation. The main.pathology in.olved is CMO, the most formidable of which is cholesteatoma. Medico-surgical treatmen..

关键词： Chron.c Otorrhea Cholesteatoma Myrin.oplasty Bamako

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Head an. n.ck Cellulitis of Den.al Origin.an. HIV In.ection. 24 Cases

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In.ern.tion.l Journ.l of Otolaryn.ology an. Head & n.ck Surgery 2022年第1期11卷 18-24页

作者： Amady Coulibaly Abdoulaye Kassambara Youssouf sidib.#233 Dioman.é n.#233 Camara Abdraman. S. Maï ga Kadia Keita Alphoussein. Touré Boubacar Ba Hamady Traoré Daouda K. Min.a Departmen. of Stomatology an. Maxillofacial Surgery CHU-CNOS Bamako Mali Faculty of Medicin. an. Odon.ostomatology Bamako Mali Departemen. of Otorhin.laryn.ology CHU M&#232 re-En.an. “le Luxembourg” Bamako Mali Departmen. of In.ectious Diseases CHU-Point G Bamako Mali

Cervico-facial cellulitis is a serious poly-microbial in.ection.of the deep fascial spaces of the face an. n.ck which may be life-threaten.n.. The existen.e of an.un.erlyin. groun. that causes immun. failure may promote or complicate this in.ection. The aim of this work was to describe the socio-demographic an. clin.cal aspects of den.al cervicofacial cellulitis associated with HIV in.our con.ext. It was a descriptive cross-section.l study that con.ern.d all cases of cervico-facial cellulitis with positive HIV serology en.oun.ered at the CHU-Cn.S of Bamako from May 2017 to Jan.ary 2018. Twen.y-four cases were collected. Cellulite with positive HIV accoun.ed for 1.14% of con.ultation. in.the service. Females accoun.ed for 67.66% of cases with a sex ratio of 0.5. The average age was 33.58 years old. Housewives accoun.ed for 33.33% of cases. The bride an. groom represen.ed 83% of the cases. The triad (pain. swellin., an. trismus) was the most common.reason.for con.ultation.with 41.7% of cases. The tooth 37 was in.olved in.25% of the cases. In.87% of cases, patien.s were screen.d in.the service. HIV-1 was foun. in.75.0% of cases. Complication. such as peripheral facial palsy were foun. in.three cases. The medico-surgical treatmen. was performed in.23 cases with a favorable evolution. The search for an.un.erlyin. groun., in.particular HIV in.ection. must be systematic in.the face of diffuse cervicofacial cellulitis.

关键词： Cellulitis Cervico-Facial In.ection HIV

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Ven.us Thromboembolic Disease in.a Region.l Hospital in.Mali

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World Journ.l of Cardiovascular Diseases 2023年第12期13卷 837-844页

作者： Coulibaly Souleyman. Taoré Djén.bou sidib. Samba Sako Mariam Guin.o Aissata San.go Alpha Kodio An.éssa Dao Aissata B. A. Hamidou Oumar Diakité Mamadou Kon.té Massama Men.a Ichaka Cardiology Departmen. CHU Point G Bamako Mali Departmen. of In.ern.l Medicin. CHU Point G Bamako Mali Cardiology Departmen. n.an.n.oro Fomba Hospital in.Ségou Ségou Mali Cardiology Departmen. CHU Gabriel Touré Bamako Mali Mali Hospital Medicin. Service Bamako Mali

In.roduction. Ven.us thromboembolism (VTE) is a n.sological group which main.y in.ludes deep vein.thrombosis (DVT) an. pulmon.ry embolism (PE), it is frequen.ly associated with high morbidity an. mortality. We in.tiated this study with the aim of studyin. VTE in.a cardiological hospital en.iron.en. in.a region.l hospital in.Mali. Methodology: This was a descriptive study with prospective recruitmen. over 1 year from Jun. 20, 2019 to Jun. 20, 2020, coverin. patien.s hospitalized an. followed in.con.ultation.in.the cardiology departmen. of the Ségou region.l hospital in.Mali. Results: We collected 31 cases of VTE out of 366 patien.s, represen.in. a frequen.y of 8.47%. The sex ratio was 0.88. VTE risk factors were domin.ted by immobilization.(29.03%), pregn.n.y an. postpartum (16.12%), heart failure (16.12%). The reason.for con.ultation.was dyspn.a (93.54%) followed by chest pain.(83.87%). On.admission.the clin.cal man.festation. were tachycardia (74.19%), tachypn.a (90.32%), muffled heart soun.s (70.96%), global heart failure syn.rome (51.6%). Accordin. to VTE probability scores;51.61% of patien.s had an.in.ermediate clin.cal probability accordin. to the simplified Wells score for PE an. 54.84% had an.in.ermediate clin.cal probability for the simplified Gen.va score for DVT. D-Dimers were on.y performed in.12 patien.s (38.70%) an. were elevated in.all. A chest CT an.iogram showed PE in.90% of patien.s (n.= 28/31). Ven.us Doppler ultrasoun. of the lower limbs showed ven.us thrombosis in.3 patien.s. Con.lusion. Ven.us thromboembolism, although un.erdiagn.sed, is common.in.our health structures. Preven.ion. particularly heparin.prophylaxis an. early recovery in.a hospital en.iron.en., remain. the effective mean. of combatin. this con.ition.

关键词： Ven.us Thrombosis Pulmon.ry Embolism n.an.n.oro Fomba Hospital Ségou

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