Malaria in Egypt, Saudi Arabia and Yemen: a clinical pilot study

Imported malaria is a health problem and needs continuous monitoring as many clinicians are not aware of it. In Yemen malaria is the main public health problem. Malaria cases were 16 in Almaza Military Fever Hospital, Cairo, 53 in Saudi Hospital at Pilgrimage, Yemen and in Saber Hospital at Aden, Yemen were studied. 9 cases [56.2%] of P. falciparum in Cairo were imported and 7 cases [43.8%] acquired P. vivax locally [October 2003 to July 2004]. They were all treated successfully by chloroquine. An imported case [6.3%] died by cerebral malaria due to delayed diagnosis. Five imported cases [31.3%] had severe malaria. In Pilgrimage, an infant [1.9%] had congenital malaria, 17 cases [32.1%] had severe malaria and 2 [3.8%] died by cerebral malaria. 43 patients [81.1%] had P. falciparum and 10 patients [18.9%] had P. vivax. All patients were treated by parenteral or oral quinine. In Aden, one patient [5%] suffered diarrhea without fever, early blood film was negative, and was positive later on. 18 cases [90%] had P. falciparum, 2 [10%] had P. vivax. 4 cases [20%] had severe malaria and a patient [5%] died by cerebral malaria. Patients in Aden severe cases were successfully treated by intramuscular artemether followed by oral Fansidar, and mild ones were treated by oral Quartem

Study of colorectal polyps in Sharkyia, Egypt

In present work, location, histopathological features and complications of endoscopic excision of different colorectal polyps were studied. Data were collected prospectively during colonoscopic examination performed to 592 subjects at Endoscopy Units, Zagazig University Hospitals, Sharkyia, Egypt. The study was performed from April 2003 till July 2007. Colorectal polyps were found in 112 patients [18.9%]. 60 patients [53.6%] were males, and 52 patients [46.4%] were females. The age of the patients ranged from 3.5 to 68 years. 71 patients [63.4%] were children and adolescents. Bleeding per rectum presented in 84 patients [75%], hypochromic microcytic anaemia in 5 patients [4.5%] and bowel disturbances in 20 patients [17.8%]. Screening colonoscopy was performed in 3 patients [2.7%]. Polyps were located in the proximal colon in 23 patients [20.5%], distal colon in 83 patients [74.1%] and diffuse involvement in 6 patients [5.35%]. One patient [0.89%] had bleeding after polypectomy necessitating admission and blood transfusion. 53 patients [48.2%] had juvenile polyps, 22 [20%] had adenomatous polyps, 20 [18.2%] had inflammatory polyps, 5 [4.5%] had bilharzial polyps, 4 [3.6%] had pseudopolyps of ulcerative colitis, 3 [2.7%] had familial polyposis coli, one [0.9%] had malignancy inside adenomatous polyp, one [0.9%] was associated with rectal prolapse and one [0.9%] was associated with sutures of previous operation of rectal prolapse. Histopathological specimens were not available in 2 patients. Juvenile polyps were the most frequent polyps in our study. The low number of bilharzial polyps points to the decreasing prevalence of bilharziasis in Egypt nowadays. Polyps are located mainly in the distal colon. Endoscopic polypectomy had few complications