Appendicular peritonitis in situs inversus totalis: a case report

<p>Abstract</p> <p>Introduction</p> <p><it>Situs inversus </it>is a congenital anomaly characterized by the transposition of the abdominal viscera. When associated with dextrocardia, it is known as <it>situs inversus totalis</it>. This condition is rare and can be a diagnostic problem when associated with appendicular peritonitis.</p> <p>Case presentation</p> <p>We report the case of a 20-year-old African man who presented to the emergency department with a 4-day history of diffuse abdominal pain, which began in his left iliac region and hypogastrium. After examination, we initiated a surgical exploration for peritonitis. We discovered a <it>situs inversus </it>at the left side of his liver, and his appendix was perforated in its middle third. A complementary post-operative thoracic and abdominal tomodensitometry revealed a <it>situs inversus totalis</it>.</p> <p>Conclusion</p> <p>Appendicular peritonitis in <it>situs inversus </it>is a rare association that can present a diagnostic problem. Morphologic exploration methods such as ultrasonography, tomodensitometry, magnetic resonance imaging, and laparoscopy may contribute to the early management of the disease and give guidance in choosing the most appropriate treatment for patients.</p

Migrations et urbanisation au sud du Sahara: quels impacts sur les politiques de population et de développement?

La première phase du" Programme Population, Migrations, Urbanisation et Développement" du CODESRIA a été intitulée: Population et développement en Afrique". Les travaux effectués dans ce cadre ont été rassemblés dans un livre édité par Edi Jemaï coordonnateur du projet. Le livre publié dans la présente" Série des livres du CODESRIA", aborde le développement économique et social à partir de problèmes démographiques précis. Ainsi, a-t-il été articulé autour de trois thèmes principaux à savoir: celui des migrations internes et internationales en relation avec le phénomène de colonisation des terres en Côte d'Ivoire, au Ghana, au Burkina Faso, au Nigéria et au Sénégal; celui des interactions de la croissance démographique et de la croissance économique en Afrique, et le dernier thème consacré à la mortalité en rapport avec le développement économique. Le présent ouvrage est le produit de la deuxième phase du programme du CODESRIA sus-mentionné, à travers le projet intitulé: Politique de population, migrations, urbanisation et crise des zones rurales en Afrique au Sud du Sahara. En effet, dans le cadre de ce projet, au départ, douze équipes pluridisciplinaires de chercheurs africains ont été constituées pour travailler entre octobre 1986 et juillet 1989 dans onze pays: Burundi, Centre Afrique, Congo, Côte d'Ivoire, Lesotho, Mali, Nigéria, Sénégal, Sierra Léone, Tanzanie et Zambie

Rapid susceptibility testing of Mycobacterium tuberculosis by the Mycobacteria Growth Indicator Tube (MGITAST SIRE)

ObjectiveTo evaluate the reliability of the Mycobacteria Growth Indicator Tube (MGITAST) for susceptibility testing of Mycobacterium tuberculosis.MethodsSeventy strains of M. tuberculosis were tested for susceptibility to streptomycin, isoniazid, rifampicin and ethambutol by comparing MGITAST results to those obtained by the method of proportion (MOP) on Lowenstein–Jensen (LJ) and Middlebrook 7H10 media. The 7H10 MOP was considered the method of reference.ResultsThe turnaround time for MGITAST was 6.2days (5–10days) and for MOP it was 18–21days. With rifampicin, MGITAST agreed for all isolates with both MOP. For streptomycin, MGITAST and 7H10 MOP agreed for 64 isolates (91.4%); 61 were susceptible and three resistant. LJ MOP and 7H10 MOP agreed for 64 isolates (92.2%); 62 were susceptible and three resistant. With isoniazid, both MOP agreed for all isolates, while MGITAST and 7H10 MOP had two discrepancies. For ethambutol, MGITAST and 7H10 MOP were concordant for 66 isolates; 65 were susceptible and one resistant. Both MOP were concordant for 67 isolates; 66 were susceptible and one resistant.ConclusionsBased on these results, MGITAST is a time-saving method and can be used as an alternative to the BACTEC System. MGITAST is reliable as far as rifampicin and isoniazid are concerned; however, additional studies are needed for streptomycin and ethambutol

Evaluation of cowpea accessions for resistance to flower bud thrips (Megalurothrips sjostedti) in Mali

Open Access JournalFlower bud thrips (Megalurothrips sjostedti) is one of the most damaging pests to cowpea in Africa and varietal resistance is one of the effective approaches to minimize the pest damage. Study was conducted to assess variability among 117 genotypes in addition to two resistant (Sanzisabinli and TVu 1509) and one susceptible (Vita7) checks at Cinzana and N’Tarla locations under natural and artificial infestations of thrips. Parameters such as total number of pods per plant and damage scoring were used to assess the test entries. Genotypes CIPEA82672, Suivita2, TVu 1509 and Sanzisabinli were found highly tolerant, Diaye and TVu7677 moderately tolerant whilst nine genotypes were found tolerant to thrips attacks. CIPEA82672 and Suivita2 had higher grain yield than the resistant checks. Year by genotype, year by location and year by location by genotype interactions were significant for most traits. Genotype by genotype by environment (GGE) effect on yield showed CIPEA82672 most stable across both locations while Suivita2 was only stable at N’Tarla. High broad sense heritability (H2b) was observed for some traits such as damage scoring across locations. Highest genotypic coefficient of variation (GCV) of 81.24 and phenotypic coefficient of variation (PCV) of 75.62 were attributed to total number of pods per plant. Positive correlations were detected between the damage scoring and the number of adult thrips from Cinzana (R2= 0.264) and N’Tarla (R2= 0.603) locations. Confirmation of identified cowpea genotypes highly and moderately tolerant to thrips attacks could be used to improve farmers’ preferred cowpea genotypes susceptible to thrips

Evaluation of cowpea accessions for resistance to flower bud thrips (Megalurothrips sjostedti) in Mali

Open Access JournalFlower bud thrips (Megalurothrips sjostedti) is one of the most damaging pests to cowpea in Africa and varietal resistance is one of the effective approaches to minimize the pest damage. Study was conducted to assess variability among 117 genotypes in addition to two resistant (Sanzisabinli and TVu 1509) and one susceptible (Vita7) checks at Cinzana and N’Tarla locations under natural and artificial infestations of thrips. Parameters such as total number of pods per plant and damage scoring were used to assess the test entries. Genotypes CIPEA82672, Suivita2, TVu 1509 and Sanzisabinli were found highly tolerant, Diaye and TVu7677 moderately tolerant whilst nine genotypes were found tolerant to thrips attacks. CIPEA82672 and Suivita2 had higher grain yield than the resistant checks. Year by genotype, year by location and year by location by genotype interactions were significant for most traits. Genotype by genotype by environment (GGE) effect on yield showed CIPEA82672 most stable across both locations while Suivita2 was only stable at N’Tarla. High broad sense heritability (H2b) was observed for some traits such as damage scoring across locations. Highest genotypic coefficient of variation (GCV) of 81.24 and phenotypic coefficient of variation (PCV) of 75.62 were attributed to total number of pods per plant. Positive correlations were detected between the damage scoring and the number of adult thrips from Cinzana (R2= 0.264) and N’Tarla (R2= 0.603) locations. Confirmation of identified cowpea genotypes highly and moderately tolerant to thrips attacks could be used to improve farmers’ preferred cowpea genotypes susceptible to thrips