hémodynamique artérielle et marqueurs métaboliques du risque cardiovasculaire dans deux populations camerounaises

Cette thèse évalue l'hémodynamique artérielle et les marqueurs métaboliques du risque cardio-vasculaire associé dans une population HIV et Pygmée du CamerounDoctorat en Sciences médicales (Médecine)info:eu-repo/semantics/nonPublishe

Notions de balistique et prise en charge des plaies par balle au niveau des members

Ballistic trauma is not the prerogative of battlefields and currently extends to civil environments. Any surgeon or emergency room can be faced with such trauma whose management requires an understanding of wound ballistics. The aim of this retrospective is reviewing the management of ballistic trauma within the C.H.U. Saint-Pierre hospital over a period of ten years. Data recorded included demographics data, lesions, clinical parameters, imaging, treatment and outcome. It appears that the wounds of the members have a low mortality rate but a significant rate of complications. Patients should be managed according to the ATLS protocol and according hemodynamic stability and location of the injury, benefit from imaging. Unstable patients will be operated in emergency, stable patients will be treated according to the extent of damage and the type of fracture either conservatively or by external fixator and intramedullary centromedullary. Debridement and antibiotics are recommended as a nerve exploration if there is a peripheral paralysis. The management of trauma in our sample appear not optimal in light of the literature especially in terms of setting the vascular point of debridement, antibiotic and nerve repair resulting in significant consequences. Two management protocols according to patients' hemodynamic status are offered.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Autre cause de mort subite du nourrisson: À propos d’un cas clinique de syndrome du QT long congénital

SCOPUS: ar.jSCOPUS: ar.jinfo:eu-repo/semantics/publishe

Autre cause de mort subite du nourrisson: À propos d’un cas clinique de syndrome du QT long congénital

SCOPUS: ar.jSCOPUS: ar.jinfo:eu-repo/semantics/publishe

Recurrent endocarditis of a bicuspid aortic valve due to Q fever.

A 46-year-old man was referred to our institution for a recurrent endocarditis with negative blood culture. Clinical examination and complementary investigations confirmed the diagnosis of aortic valve endocarditis with left ventricular fistula. Blood culture was negative but serological tests were positive for Coxiella burnetti. Aortic valve replacement and fistula repair were done. A combination of Doxycycline and Chloroquine antibiotics was given postoperatively with a clinical improvement. Coxiella burnetti should be systemically searched for in all cases of endocarditis even with negative blood cultures. This case is interesting because of its rarity, diagnosis, therapeutic problems and its severe complication.Case ReportsJournal Articleinfo:eu-repo/semantics/publishe

Mesocolon liposarcoma :a case report

Le liposarcome est, après le fibrosarcome, le plus fréquent cancer des tissus mous. Les extrémités et le rétropéritoine sont ses localisations les plus fréquentes. La cavité abdominale et particulièrement le mésocôlon sont des localisations rares. Nous rapportons le cas d’une patiente de 64 ans avec un liposarcome du mésocôlon droit de grade histologique 1 traité par une hémicolectomie droite étendue. Aucun traitement adjuvant n’a été proposé vu le bas grade et la résection en marges saines. La patiente ne présente aucun signe de récidive à un an. Rev Med Brux 2006 ;27 :111-3Liposarcoma is the second most common soft tissue sarcoma in adults after fibrosarcoma. Extremities and retroperitoneum are the most common sites. Intraabdominal and particulary mesocolic liposarcoma is a rare localisation. We report the case of a 64-year-old woman with a localized grade 1 liposarcoma of the right mesocolon treated by an extended right hemicolectomy. No further treatment was done because of the low grading and the disease-free margins. The patient is without any evidence of recurrence after one year. Rev Med Brux 2006 ;27 :111-3info:eu-repo/semantics/publishe

Anévrysme de l’aorte thoracique d’origine traumatique: Cas clinique suspect

SCOPUS: ar.jinfo:eu-repo/semantics/publishe

La myiase furonculeuse: Cas clinique d'une parasitose cutanée souvent confondue avec un abcès

Furuncular myiasis is a wel l established cutaneous parasitosis in tropical area. In Europe, most of cases have been described in patients returning from risk areas. We report a case of a 4-year old child with a furuncular lesion on his left thigh considered as an abscess and who was send to emergency department for surgical drainage.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Impact of heavy load activity on cardiovascular system: echocardiographic assessment of informal construction workers heart in Cameroon.

Introduction: Physiological cardiac hypertrophy and dilation are common findings in heavy physical load activity. We carried out this study to investigate the relationship between construction work and cardiac parameters adaptations, by comparing healthy masons to office workers on heart ultrasound. Methods: The study was carried out on, 50 construction workers and 50 office workers matched for their weight, height and age. Systolic and Diastolic blood pressures, Left Ventricular diameter and thickness, Septum wall thickness and Left ventricular mass index were measured and calculated Results: Heart rate, systolic and diastolic blood pressures were lower in construction workers, as compared to office workers: respectively 63±7 bpm vs. 75±6 bpm (p=0.000); 120.1±7 mmHg vs. 130.5±9 mmHg (p=0.000) and 68.5±7 mmHg vs. 77.0 ±9 mmHg (p=0.000). Construction workers had a thicker septum and posterior wall: respectively 10.3 ± 1.1 mm vs. 8.9 ± 0.9 mm (p=0.000); and 9.0 ± 1.2 mm vs. 8.1 ± 0.8 mm (p=0.000). Conclusion: Conclusion We deducted that heavy load work has an impact on the heart mensuration. The past occupational history has to be taken into consideration during initial medical assessing of a worker in for a new job so as to avoid erroneous conclusions.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Légionellose compliquée d’une rhabdomyolyse et d’une insuffisance rénale aiguë: À propos d’un cas

Legionnaires’ disease is a bacterial disease of the respiratory system caused by a gram-negative germ whose clinical manifestation can be benign limiting to flu-like syndrome or can be more severe being characterized by pneumonia which may be complicated by multisystem disease that can lead to death. We report the case of a 48 year-old patient with rhabdomyolysis complicated by acute renal failure following Legionella pneumophila pneumonia. We here highlight the pathophysiological aspects and treatment of this rare complication during Legionella infection.SCOPUS: ar.jinfo:eu-repo/semantics/publishe