Childhood acute glomerulonephritis in Ibadan Nigeria

Background: Acute glomerulonephritis (AGN) is an important cause of mortality and morbidity in children in developing countries while its incidence has declined in the developed world. This study was to document its present impact in our setting.Aim: To evaluate the sociodemographic features and clinical outcomes in children hospitalized for AGN in the Paediatric Nephrology Unit of the University College Hospital, Ibadan.Subjects and Methods: This was a descriptive analytical study of children aged 2 to 14 years admitted with AGN between 2007 and 2019. Their sociodemographic data, clinical features, complications and outcome were analysed.Results: AGN accounted for 116 (8.9%) of new renal cases admitted over the period. Seventy-four (63.8%) were male, mean age (SD) was 8.2 (3.3) years and peak age incidence between 5 and 9 years. Average annual hospital incidence rose from 4-5 new cases to 8-9 new cases/annum with an upsurge to 17 cases in 2019. Highest yearly monthly incidence was between June and December. Forty -five out of 50 (90%) evaluated subjects were in the middle/ low socioeconomic classes. Stage 2 hypertension occurred in 30/50 (60%) with hypertensive crises in 24%. RPGN occurred in 6/50 (12%) of cases accounting for 5 of the 8 dialysed patients and 4 of the 5 deaths. The case fatality rate was 4.3%.Conclusion: The study showed a progressive increase in the hospital incidence of AGN.RPGN was a major risk factor for death in children with AGN and therefore requires a high index of suspicion and an appropriate early intervention

Tactile Acuity among Commercial Motorcyclists in Uturu, Nigeria.

Aims: To determine and compare tactile acuity of commercial motorcyclists with that of their age and sex matched controls. Study Design: Cross sectional study. Place and Duration of Study: The study was done in Uturu, a suburban university town in South Eastern Nigeria, from July 2014 to August 2014. Methodology: We determined two point discrimination threshold distances on the right thumbs of two hundred (200) consenting commercial motorcyclists aged between 18 to 60 years and two hundred (200) of their age and sex matched controls. Results: The mean values of two point discrimination threshold distances were 6.03 mm (Standard Deviation = 2.484) and 4.31 mm (Standard Deviation = 2.046) in the test and control subjects respectively (t =7.558; p < .001). There was positive linear association between two point discrimination threshold distance and the age of the subjects, and their duration of operation as commercial motorcyclists (r = .752; p < .001 and r = .770; p < .001), respectively. Duration of service as a commercial motorcycle operator (p < .001), age (p = .004) and impaired sense of fine touch (p < .001) were independent predictors of deficits in tactile acuity. Conclusion: Tactile acuity was impaired in the assessed Nigerian commercial motorcycle operators compared with their controls. Measures of mitigating effects of the occupation on tactile acuity should be explored.

Fungal isolation in HIV patients and CD4 count.

Aims: This study aimed to investigate fungal isolation in HIV infected patients and its relationship with CD4 count. Study Design: Cross-sectional study. Place and Duration of Study: This study was carried out in Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria (between March and July 2013). Methodology: A total of 100 positive Human Immunodeficiency Virus (HIV) patients (28 males, 72 females; age range 1-70 years) were included in this study. The sputum specimens were tested for mycobacteria using Ziehl Neelson’s staining technique. Fungal sputum culture was carried out using standard conventional fungal culture method. Identification was done using chromogenic media and standard staining methods. Results: There were significant fungal associations with gender, age and antiretroviral therapy (P≤0.05). Out of 100 sputum samples cultured, 80 had fungal growths; 61 single and19 mixed isolates, while the remaining 20 samples were without fungal growth. Different fungi species were isolated from 5 out of the 9 patients positive for Mycobacterium spp. A total of 8 different fungal species were isolated with Candida albicans, 24(30%), as the predominant species which had a CD4 count range of 10-200 cells/μl, while Aspergillus niveus was the least, 1(1.2%) with CD4 count range of 300-400 cells/μl. Penicillium marneiffei was the second most prevalent fungi, 11(13.8%). Patients with CD4 T-cell count of less than 100 cells/μl had the highest frequency of fungal isolates from sputum 27(76.4 %) (P≤0.05), while those with CD4 counts >400 cells/μl showed no fungal infection. Patients with Aspergillus fumigatus, Candida glabrata and mixed infections had a total white blood cell (WBC) count of <4.0x109 cells /1. Neutropenia was also observed in patients with Candida albicans, Aspergillus fumigatus, Aspergillus niger and Pencillium marneiffei. Conclusion: HIV infection increases the susceptibility to fungal colonization and infection. The CD4 counts of the patients have a strong relationship with the frequency and type of fungal isolates. The lower the CD4 count the higher the frequency of fungal isolates. Since invasive fungal colonization of the lungs remain important causes of death in immunocompromised patients, early isolation and identification of the colonizing fungi can improve the prognosis of patients.

The Effect of Long Term Consumption of Powdered Tobacco Diet on Learning and Memory in Swiss White Mice.

Aim: The effects of long term consumption of powdered tobacco (snuff) diet on learning and memory was studied in 30 Swiss white mice. Design: The mice were randomly assigned into two groups (n = 15 each). Mice in group 1 (test group) were fed 1% tobacco diet while mice in the other group (control) were fed normal rodent chow only. Both groups were fed for 31 days before carrying out behavioural testing. All mice were given free access to clean drinking water. Methodology: Food and water consumption by the animals were measured daily while their body weight was measured every two days. The Morris water maze was used to assess Learning and Memory in the mice. Results: The mean daily water and food intake was significantly higher (p<0.01; 0.001 respectively) in the tobacco diet-fed group than in control. The tobacco diet fed group also had a significantly higher (p<0.05) body weight gain than control. The swim latency during the reversal training was shorter in the tobacco diet-fed mice compared to their controls (p<0.01), showing better learning among the tobacco diet-fed group of mice. Southeast (reversal/retention) quadrant duration was also higher in the tobacco diet-fed mice (p<0.01) showing better memory than control. Conclusion: Long term consumption of 1% tobacco diet increased food and water intake, weight gain and improved learning and Memory in mice.

Comparative Effects of Garcinia kola and Coffee Diets on Learning and Memory in Mice.

Background: Garcinia kola (bitter kola) is one of the most common masticatories in Nigeria having social and ethnomedicinal applications. G. kola seeds are believed to contain caffeine, one of the major constituent of coffee which is also believed to improve memory. Aim: This study was set to ascertain the caffeine content of G. kola and compare the effects of G. kola and coffee diets on learning and memory in mice. Methodology: Thirty male CD1 mice were randomly assigned into three groups, viz; control, Garcinia kola diet (30%w/w) and coffee diet (2%w/w) groups. Chemical content and LD50 of the Garcinia kola and coffee were determined using standard methods. Daily food intake, water intake and body weight changes were also measured for 31 days before testing for learning and memory. The Morris water maze was used to assess learning and memory. Results: The major constituents of Garcinia kolawere alkaloids (high quantities), saponins, tannins, flavonoids, glycosides, sterols and phenols found in moderate quantities. The coffee contained high quantity caffeine (4.7%) whereas alkaloids, saponins, tannins, flavonoids, and phenols were present in slight quantities. Coffee diet decreased food intake, water intake body weight change in the mice when compared to G. kola and control diet groups (p<0.05). On the other hand, coffee diet fed mice showed better learning and memory when compared to G. kola diet-fed and control mice. Garcinia kola diet did not affect learning and memory. Conclusion: Coffee diet decreased food and water intake and body weight, but improved learning and memory in mice when compared to Garcinia kola.