Edwardsiella ictaluri, an unusual cause of bacteraemia in a Nigerian child with acute bloody diarrhoea

Enteric septicaemia of catfish was first detected in 1976 as an economically significant disease associated with commercial catfish production. Initially, Edwardsiella ictaluri was a host specific pathogen of catfish species but has also been reported from other hosts other than the catfish such as the zebrafish. E. ictaluri has not been isolated in humans hence it is not a zoonotic infection. There has been no previous report of isolation of this organism in humans. This was a case report of a 5 year old boy who presented with fever, vomiting, passage of bloody stool of 6 days and abdominal pain of a day duration. In the case of this 5 year old boy who presented with features of dysentery, blood culture using BACTEC™ grew E. ictaluri. E. ictaluri may be a pathogen which can infect humans just like another closely related species, Edwardsiella tarda. Although, E. ictaluri has not been reported in humans, could this be the first case? Non availability of diagnostic technique appropriate for its diagnosis may explain the rare incidence of the organism in humans, hence many cases would have been treated without isolating the organism

Evaluation of the Histo - Gastroprotective and Antimicrobial Activities of Heliotropium Indicum Linn (Boraginaceae)

Heliotropium indicum of the family Boraginaceae is used locally in Nigeria to treat ailments such as ulcer and fever. In this study, ulceration of the gastric mucosa in Wistar rats was induced via the oral administration of 80mg/kg/bodyweight of Indomethacin. Histological analyses of the stomach body wall in the rats of Groups 2 and 4 (which received 100mg/kg/bodyweight of extract before oral administration of 80mg/kg/bodyweight Indomethacin and 80mg/kg/bodyweight Indomethacin only respectively) showed erosion of the mucus-secreting cells, gastric pit, upper and middle parts of gastric glands and some of the parietal cells. Histological observations of the stomach body wall in rats of Group 5 (which received 200mg/kg/bodyweight of extract before oral administration of 80mg/kg/bodyweight of Indomethacin) showed erosion of the mucus-secreting cells, gastric pit and the upper most part of the gastric gland. Histological observations of the stomach body wall in rats of Groups 1, 6 and 3 (which received 50mg/kg/bodyweight of Ranitidine and 400mg/kg/bodyweight of extract before oral administration of 80mg/kg/bodyweight Indomethacin; and only 80mg/kg/bodyweight of Normal Saline respectively) showed normal morphological appearance of the different components of the mucosa layer. Thus, the aqueous extracts of the dried leaves of Heliotropium indicum have dose dependent histo-gastroprotective effects

Zinc phosphide (rodenticide) poisoning: A case report of deliberate self-harm in an eleven-year-old

Zinc Phosphide(Zn3P2) is a common rodenticide freely available in Nigeria for use against rodents. Occasionally human consumption occurs either accidentally or intentionally with potential consequences of multiorgan toxicity and death. An 11-year-old boy consumed an unknown quantity of zinc phosphide marketed as Push Out® with the intention of committing suicide and killing some members of the family as his response to chastisement for a misdemeanour. Patient presented in the hospital 4 days after ingestion of zinc phosphide with a history of profound vomiting and abdominal pain. Laboratory evaluation showed evidence of hepatic dysfunction, acute kidney injury and elevated serum amylase. He was managed conservatively and discharged home after two weeks of admission. We report this case to emphasise the need for Paediatricians to consider ingestion of rodenticides as a differential diagnosis of hepatoxicity and pancreatic enzyme elevation, as well as to highlight the possibility of suicide among children. There is need to control the indiscriminate use of rodenticides, strengthen public health education on poisoning as well as establish Poison Information Centres in our environment

Lipid Profile and Liver Histochemistry in Animal Models Exposed to Cigarette Smoke

Cigarette smoke is known to be an important predisposing factor to many diseased conditions, such as cardiovascular diseases, liver disease, atherosclerosis and other metabolic disorders. The aim of this study was to examine the effects of exposure to smoke from burnt cotton wool and cigarette on plasma lipids, liver biochemistry and histology, in adult Wistar rats. The animals were divided into three groups of Control A: exposed to fresh atmospheric air; Group B: exposed to cotton wool smoke; and, Group C, exposed to cigarette smoke; and the experiment lasted for 35 days. The animals exposed to cigarette smoke and cotton wool smoke showed higher values of low density lipoprotein (LDL), and lower values of high density lipoprotein (HDL) compared to the control. The observation of the micro architecture and enzymes of the liver tissue revealed reduction in the number and size of liver cells, numerous fibrous tissues, elevated liver transaminases and reduction in endogenous anti-oxidants, with evidence of fatty degeneration, in animals exposed to cigarette smoke compared to those exposed to cotton wool smoke and fresh atmospheric air. Cigarette smoke caused accumulation of lipids in the liver cells, with evidence of on-going necrosis and fibrosis, which indicated the presence of non-alcoholic fatty liver disease

Lipid Profile and Liver Histochemistry in Animal Models Exposed to Cigarette Smoke

Cigarette smoke is known to be an important predisposing factor to many diseased conditions, such as cardiovascular diseases, liver disease, atherosclerosis and other metabolic disorders. The aim of this study was to examine the effects of exposure to smoke from burnt cotton wool and cigarette on plasma lipids, liver biochemistry and histology, in adult Wistar rats. The animals were divided into three groups of Control A: exposed to fresh atmospheric air; Group B: exposed to cotton wool smoke; and, Group C, exposed to cigarette smoke; and the experiment lasted for 35 days. The animals exposed to cigarette smoke and cotton wool smoke showed higher values of low density lipoprotein (LDL), and lower values of high density lipoprotein (HDL) compared to the control. The observation of the micro architecture and enzymes of the liver tissue revealed reduction in the number and size of liver cells, numerous fibrous tissues, elevated liver transaminases and reduction in endogenous anti-oxidants, with evidence of fatty degeneration, in animals exposed to cigarette smoke compared to those exposed to cotton wool smoke and fresh atmospheric air. Cigarette smoke caused accumulation of lipids in the liver cells, with evidence of on-going necrosis and fibrosis, which indicated the presence of non-alcoholic fatty liver disease