Vibrio cholera non-01 septicaemia

Vibrio cholerae serogroup non-01 may cause a cholera-like illness but may also cause septicaemia in the compromised host, especially in people with hepatic cirrhosis. This organism was isolated from the blood in a patient presenting at the armed forces hospital with fever who was known to have cirrhosis of the liver. Over the next 5 months he had two further septicaemia episodes with vibrio cholerae non-01, suggesting the possibility of a chronic carrier state. Liver cirrhosis is common in oman and this diagnosis should be considered as a cause of fever in such patients

incidence of correctable congenital anomalies in Bahrain

This prospective study was performed to examine the possible incidence of correctable congenital anomalies in Bahrain. The overall incidence of correctable surgical anomalies is 3.1% of live births excluding congenital heart diseases and congenital orthopaedic abnormalities. The most common urogenital anomalies are undescended testes with an incidence of 158 / 10,000 live births and hypospadias with an incidence of 15.3 / 10,000 live births. The most common gastrointestinal anomalies are gastrointestinal atresia with an incidence of 10.6 / 10,000 and Hirschsprung's disease of 2.9/10,000 live births. Anorectal malformation is very common, but biliary tract anomalies are extremely rare. Congenital inguinal hernia is very common with an incidence of 89 / 10,000 live births, but exomphalos, gastroschisis and exstrophic anomalies are also rare. The most common neurological anomalies are hydrocephalus and myelomeningocele with an incidence of 12.3 / 10,000.Cleft lip and palate are the commonest facial anomalies with an incidence of 11.5 / 10,000

Current experience with Boley's endorectal pullthrough

During the past eight years, thirty one patients with Hirshsprung's disease have been treated in our institution. Seventeen cases within this group have undergone a Boley's modification endorectal pull-through. There are 11 males and 6 females in the series. Fifteen patients with aganglionosis involve the rectosigmoid colon, one involves the rectum and one extends to splenic flexure. None of the patients have urinary tract anomalies. There has been no post operative deaths. Two minor complications have occured. The average follow up period is 9.6 months. The functional results post-operatively have been excellent. The thirteen patients over the age of 3 years are completely toilet trained. The remaining patients are too young to be toilet-trained, but they are continent in the sense that they do not soil between bowel movements