A case of dengue fever in a health worker in university of Port-Harcourt teaching hospital

Dengue fever is a mosquito borne disease which can easily be missed or misdiagnosed in early stages as a result of poor surveillance, similarity with other febrile illness and unavailability of PCR necessary for its diagnosis. We hereby report a 44year old female nurse living around a bushy and swampy environment, who presented to university of Port-Harcourt teaching hospital (UPTH) with high grade fever of 1week duration, also developed joint pains, passage of coke colored urine, sensor neural deafness, hyperglycemia and petechial hemorrhage while on admission. Patient continued to have persistent fever despite having completed her anti-malaria and antibiotics, viral studies were subsequently done for her and she was found to have dengue virus. Patient was conservatively managed and discharged for follow-up in medical outpatient and Ear nose and throat clinic

Body Image Dissatisfaction and Mental Health among Patients with Dermatological Disorders

The self-perception of one's body image could influence mental health outcome. Body image dissatisfaction is a growing research area that is under-diagnosed and under-reported in Nigeria and Africa. The study aimed to assess body image dissatisfaction among patients with dermatological disorders and determine its relationship with perceived stigma and depressive feelings. The study employed a cross-sectional hospital-based design. The study population comprised 94 adult patients attending the dermatology out-patient clinic of the University of Port Harcourt Teaching Hospital (UPTH). Body Image Disturbance Questionnaire (BIDQ), a validated and reliable tool was used to determine body dissatisfaction scores. Scores greater than or equals to 18 were categorized as body image dissatisfaction. Mental health outcomes (perceived stigma and depressive feelings) were assessed from the open-ended responses of the BIDQ. Statistical analyses were performed using IBM Statistical Package for Social Sciences version 25 at p<0.05. The mean (±standard deviation) BIDQ score was 11.0 (±5.6). The differences in the mean scores across the dermatological disorders were not statistically significant (ANOVA=1.507; p=0.111). The prevalence of body image dissatisfaction was 12.8% (n=12). A significantly higher proportion of participants with body image dissatisfaction had depressive feelings (66.7% versus 22.0%; p=0.003) and perceived stigma (41.7% versus 9.8%; p=0.011) in comparison to those that had no body image dissatisfaction. Significantly higher odds of depressive feelings (Odds Ratio=7.1; 95%CI=1.9- 26.3) and perceived stigma (Odds Ratio=6.6; 95%CI=1.7-25.7) were reported among patients with body image dissatisfaction. Body image dissatisfaction is associated with perceived stigma and depressive feelings. Measures to promote mental health are advocated among patients with skin problems

Adult onset still's disease: a rare disorder

Adult onset disease is a variant of systemic onset juvenile idiopatic arthritis characterised by seronegative poly arthritis in association with multi systemic inflammation. it is often seen in young adults. Authors have report a case of a 28 year old male who presented to us with a predominantly systemic symptoms. patient presented with a 6 month history of high grade fever, with associated recurrent joint pains, sore throat, generalized tonic-clonic seizures and skin rashes. Patient remained markedly ill for most of his in-patient stay. Aesilogy is unknown, though it is currently thought that there is interplay between a genetic predisposition, an immune dysregulation and environmental play mainly infectious. Therapeutic decisions should be based on the extent and severity of organ involvement