The Pan African medical journal
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Multidrug-resistant tuberculosis in children is a severe form of tuberculosis, which remains a major health problem especially in developing countries. We report the case of two children treated, during our training, for multidrug-resistant tuberculosis and put on second-line regimen.
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Case Reports
Household exposure and animal-bite surveillance following human rabies detection in Southern Ghana.
Rabies remains a neglected tropical zoonotic disease with 100% case fatality rate and estimated 6,000 global mortality annually, and yet vaccine preventable. In Ghana, rabies outbreaks receive poor response. We investigated rabies in a 5-year old boy to find the source of infection, identify exposed persons for post-exposure prophylaxis and describe animal-bite surveillance in Manya-Krobo District of Ghana. ⋯ Rabies remains a public health burden inGhana with domestic dog as reservoir of the virus and females more vulnerable to secondary exposures. Health education on rabies should be intensified, and robust animal-bite surveillance system put in place.
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Giant congenital lobar emphysema is a rare pathological malformation in infants. Authors report a similar case that is remarkable for its even rarer segmental location and compressive character. The patient underwent successful urgent segmentectomy for the treatment of respiratory distress in a developing country.
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We here report the case of a 32-year old female patient with a 5-year history of recurrent purulent bronchial syndrome. Radiological assessment showed a left basithoracic finely ringed bright areas related to cylindrical bronchiectasis located in the left lower lobe. ⋯ Histological examination of the surgical specimen was in favor of typical carcinoid tumor. Postoperative outcome was uncomplicated and clinical and radiological evolution was good.