Bilharzioma of the fallopian tube - a case report

A case report on bilharziasis of the Fallopian tube as diagnosed in a Caucasian woman in Zimbabwe.We present a 37 year old, Caucasian woman who presented to a gynaecologist with a history of amenorrhea and subsequent per vaginal bleeding. In her gynaecological history, she was Gravida 3, Para 2, and her youngest child was 12 years old. Her periods had always been regular and she had a copper T contraceptive device in situ. She missed her period and subsequently had a PV bleed. She was found to have an incomplete abortion, for which a D&C and removal of the IUCD, as well as ligation fallopian tubes was arranged. At laparoscopy, she was found to have a 30mm “tumour at” the fimbrial end of her left fallopian tube. A mini-laparotomy was performed to remove the “tumour”, and seedlings on the contralateral fallopian tube, adjacent ovary as well as on the uterine surface. Peritoneal nodules were also seen but no peritoneal fluid was evident. The “tumour” was resected, and the following day post-operatively, the patient was counselled for a TAH and BSO and consent was obtained

Bilateral HIV related ocular surface squamous neoplasia: a paradigm shift

A CAJM research article on HIV related ocular surface squamous neoplasia at an eye unit hospital in Zimbabwe.Four patients with bilateral ocular surface squamous neoplasia attended to at Sekuru Kaguvi Hospital Eye Unit are being presented to alert practitioners that OSSN is potentially a bilateral disease and its prevalence is likely to increase as the life expectancy of HIV infected patients is being positively affected by antiretroviral therapy. Reports on ocular diseases should be clear on laterality to avoid confusion between number of patients affected and number of eyes involved since the two cannot be used interchangeably

Bilharzioma of the fallopian tube: A case report

Schistosomiasis, also known as bilharzia is an infection caused by trematode flatworms of any species of the genus Schistosoma. At least 261 million people in 74 countries are infected, and of these, 90% are in Sub- Saharan Africa.' In Zimbabwe, the prevalence is 38,2% for S. haematobium and 8,3% for S. mansonu A “bilharzioma†is a localised mass of fibrous and inflammatory tissue, which contains numerous eggs frequently involving the serosa and mesentery.1'4 Schistosomiasis caused by Schistosoma haematobium generally is asymptomatic, and if symptomatic, presents with terminal haematuria and rarely with other symptoms.5 Even in endemic areas, very rarely, will Schistosomiasis result in formation of a “bilharziomaâ€.3 The most commonly reported site is the intravesical part of the ureter resulting in stricture formation, but rarely bilharziomas are found in other sites including the female genital tract. Here we report a case of a “Bilharzioma†masquerading as a malignant tumour with seedlings in the fallopian tube

A rare case of primary mucocutaneous histoplasmosis presenting as a non-healing and disfiguring upper lip ulcer

BA 27-year-old female patient presented with a non-healing disfiguring upper lip ulcer for 10 months. At the time of presentation 50% of her lip had been eroded. She had had several consultations and had been on several antibiotic courses without improvement. Histopathological evaluation of an incisional biopsy specimen revealed that she had histoplasmosis. This prompted an HIV test, as this disease is common in immunocompromised patients. Once the diagnosis was clinched she was commenced on Itraconazole with complete resolution of the ulcer. Antiretroviral therapy was also initiated.Keywords: HIV, Histoplasmosis, Histoplasma Capsulatum, mucocutaneous, ulcer, immunocompromised, Itraconazol

Bilateral HIV related ocular surface squamous neoplasia: A paradigm shift

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Pneumomediastinum in an HIV-infected patient with cytomegalovirus pneumonitis.

A pneumomediastinum is an unusual complication of respiratory infections in HIV-positive patients, usually reported in association with pneumocystis pneumonia. We describe a case of an HIV-positive patient with a pneumomediastinum who had cytomegalovirus pneumonitis. This is an important reminder to clinicians, since cytomegalovirus pneumonitis and pneumocystis pneumonia have a similar clinical and radiological presentation

Seborrheic keratosis of the conjunctiva: a case report

Seborrheic Keratosis (SK) is a benign neoplasm of the epithelium that occurs commonly on the eyelid skin. It is rarely found on the conjunctiva. We report a case of a 71 year old HIV positive man who presented with a pigmented conjunctival growth in his right eye. A working diagnosis of a pigmented Ocular Surface Squamous Neoplasia (OSSN) with malignant melanoma as a differential was made and an excisional biopsy done. The histology showed acanthotic epithelium with areas of pseudo-horn cysts, keratin pearls and squamous eddies. A histological diagnosis of seborrheic keratosis of the conjunctiva was made. Conjunctival Seborrheic Keratosis is extremely rare and the pigmentation makes it easily confused clinically with malignant melanoma or pigmented OSSN in the setting of HIV

SARS-CoV-2 infection in medical trainees after bedside exposure at a teaching hospital in Zimbabwe: case report

Corona Virus Disease 2019 (COVID-19) is predominantly a pneumonic illness caused by a novel coronavirus, severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). It has rapidly become a pandemic and has affected all facets of life with medical education not spared as well. We are presenting a case of a patient admitted with a pneumonia which turned out to be due to SARS-CoV-2 infection and subsequent transmission to exposed medical trainees. The impact of COVID-19 disease on medical education and different proposals on how medical education can proceed in the face of COVID-19 pandemic are discussed

Chronic knee stiffness and swelling in a Zimbabwean adolescent.

A 12-year-old Zimbabwean girl presented with tuberculous monoarthritis. She was moderately wasted, stunted and sexually immature. These clinical findings lead to the diagnosis of underlying HIV infection, which was thought to have been acquired from mother-to-child transmission