Myasthenia Gravis Associated With Autoimmune Thyroid Disease: A Report of Two Patients

Myasthenia gravis (MG) is an acquired autoimmune disorder causing skeletal muscle fatigue and weakness. This is a report of one woman and her daughter presenting with myasthenia and gravis and Grave\'s disease. It highlights possible hereditary component of this condition which has not been commonly reported in our setting.Les gravis de Myasthenia (magnésium) est un désordre autoimmun acquis causant la fatigue et la faiblesse de muscle squelettique. C\'est un rapport d\'une femme et de sa fille présent avec le myasthenia et les gravis et la maladie de la tombe. Il accentue le composant héréditaire possible de cette condition qui n\'a pas été généralement rapportée dans notre arrangement. Keywords: Myasthenia gravis, thyroid disease Annals of African Medicine Vol. 7 (2) 2008: pp. 88-9

Tuberculous Ileal Perforation In A HiV Positive Patient A Case Report And Review Of Literature

Tuberculosis is prevalent worldwide. Even in developed countries there is a resurgence of tuberculosis mainly due to increasing HIV infection. Tuberculous ileal perforation is uncommon. It is, however, a potentially fatal complication of intestinal tuberculosis especially inHIV/AIDS patient. To highlight tuberculous ileal perforation as an underestimated complication of intestinal tuberculosis in anHIVpatient presentingwith acute abdomen. A 42 year old HIV positive long distance truck driver with tuberculous ileal perforation is presented and related literatures reviewed. Intestinal perforation due to abdominal tuberculosis is an aetiological factor in acute HIV abdomen.High index of suspicion remains the key to diagnosis.Keywords: Tuberculosis, Ileal Perforation,HIV Nigerian Journal of Clinical Practice Vol. 11 (4) 2008: pp. 386-38

Plasma insulin pattern in a Hausa-Fulani ethnic group in northern Nigeria

Background: Plasma insulin levels seem to play significant roles in health and disease; and prevailing plasma insulin levels are modulated by racial and ethnic factors. There has been no previous study of the plasma insulin pattern in any northern Nigerian tribe. Methods: Thirty-six (24 males and 12 females) healthy volunteers of a northern Nigerian tribe were studied. Fasting plasma insulin and glucose levels were estimated; this was followed by a standard OGTT to study the plasma insulin response to oral glucose challenge. Results: Although there were marked individual variations with 16.7% of individuals demonstrating fasting hyperinsulinaemia, mean fasting plasma insulin levels were similar to those earlier reported elsewhere. Conclusion: These findings are discussed in view of other factors known to modulate plasma insulin levels. Key Words: Plasma Insulin, northern Nigeria Annals of African Medicine Vol.3(1 ) 2004: 7-

Reliability of a visually read seme-quantitative blood glucose monitoring strip among Nigerian diabetics

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Reliability of a visually read Semi-Quantitative blood glucose monitoring strip among Nigerian diabetics

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Incidence of dog bite injuries and clinical rabies in a tertiary health care institution: A 10-year retrospective study

Background: It is widely recognized that rabies is grossly under-reported even though it is a notifiable disease and a lack of accurate figures has rendered rabies a low public health and veterinary priority. This study aimed at determining the incidence of dog bite injuries and clinical rabies in a tertiary health care centre.Materials and Methods: Case records of patients managed at the accident and emergency unit of Ahmadu Bello University Teaching Hospital, Zaria, between June 2000 and May 2010 with diagnosis of dog bite and rabies were retrieved. Relevant clinical data were extracted using a structured questionnaire designed for the study.Results: Eighty-one persons out of 24,683 consultations in the accident and emergency unit presented with dog bite injuries with two clinical cases of human rabies. Mean age of victims of dog bite injuries was 21.1 ± 14.3 years and the majority (55.6%) were children. Males were more affected than females with a male:female ratio of 4.8:1, lower limb/buttock injuries were significantly higher in children than adults, but the adults sustained significantly more severe (type III) injury. The majority of dog bite injuries were washed with soap and irrigated with water or saline and 87.7% of the victim of dog bite received postexposure anti-rabies vaccine.Conclusion: Hospital incidence of dog bite injuries was low, but the use of postexposure prophylaxis was high