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1.
Prog Urol ; 30(11): 597-603, 2020 Sep.
Article in French | MEDLINE | ID: mdl-32675016

ABSTRACT

OBJECTIVE: To describe epidemiologic, anatomic and clinical characteristics of urogenital and rectovaginal fistula and the issue of their surgical management in Togo. MATERIAL AND METHODS: A retrospective study permit us to collect the operated cases during five years in the national center of obstetrical fistula. The parameters evaluated were sociodemographic aspects of patients, clinical characteristics and the issue of surgical repair. RESULTS: The number of patients who enderwent surgery was 197, during 217 surgical interventions. The middle age of patients was 40,7 years with extrems of 18 and 70 years. The main causes of fistula were obstetrical (95%) and 3,5% were caused by surgery. Concerning anatomoclinic characteristic, vesicovaginal fistula was the most comon type representing 87,3%, where vesicouterine fistula represented 4,1%. Multiparity has been a risk factor for obstetrical fistula and ceasarien section was necessary in 70% with a high rate of fœtal mortality (88,2%). Surgical management was late in majority of cases, estimated at 10 years between occurrence of fistula and its reparation. The recovry rate was 78,1%. CONCLUSION: Urogenital fistula are principaly caused by obstetric conditions in Togo and multiparity is a risk factor. Treatment is often late but has a good rate of recovery. Their prevention goes through the fight against dystocia. LEVEL OF EVIDENCE: IV.


Subject(s)
Rectovaginal Fistula , Vesicovaginal Fistula , Adolescent , Adult , Aged , Female , Humans , Middle Aged , Rectovaginal Fistula/diagnosis , Rectovaginal Fistula/epidemiology , Rectovaginal Fistula/surgery , Retrospective Studies , Togo/epidemiology , Vesicovaginal Fistula/diagnosis , Vesicovaginal Fistula/epidemiology , Vesicovaginal Fistula/surgery , Young Adult
2.
Bull Soc Pathol Exot ; 110(4): 238-241, 2017 Oct.
Article in English | MEDLINE | ID: mdl-29019164

ABSTRACT

Our study aimed to describe the epidemiological, clinical and histological aspects of mammary tuberculosis in Togo. This is a descriptive cross-sectional study of breast tuberculosis for which the diagnosis was presumed on histological grounds in the pathology department (LAP) of the Lomé Tokoin university hospital from January 1995 to December 2016 (20 years). A total of 28 presumed cases of mammary tuberculosis were identified. There were 26 women and 2 men, with an average age of 34.2 ± 0.3 years. The clinical signs were nodule (84.1%), tumefaction (75%), abscess (63.6%) and tumefaction with cutaneous fistulization (59.1%). Breast involvement was isolated in 31.8% of cases and associated with pleuropulmonary tuberculosis in 54.5% of cases. Co-infection with HIV was found in 63.9 % of cases. Histology showed inflammatory granulomas made of Langhans giant cells, epithelioid cells and lymphocytes around the foci of caseous necrosis. Thoracic radiography was abnormal in 16 patients (57.1%).Mammary tuberculosis is not rare in our country. Clinical presentation is often misleading and is a diagnostic challenge, more particularly with breast abscess or cancer.


Subject(s)
Breast Diseases/pathology , Tuberculosis, Endocrine/pathology , Adolescent , Adult , Aged , Breast Diseases/epidemiology , Breast Diseases/microbiology , Child , Cross-Sectional Studies , Diagnosis, Differential , Female , Granuloma/epidemiology , Granuloma/microbiology , Granuloma/pathology , Hospitals, University , Humans , Male , Middle Aged , Retrospective Studies , Togo/epidemiology , Tuberculosis, Endocrine/epidemiology , Young Adult
3.
J Fr Ophtalmol ; 35(6): 432-6, 2012 Jun.
Article in French | MEDLINE | ID: mdl-22498505

ABSTRACT

AIM: The purpose of this study is to screen the neonatal conjunctivitis in order to evaluate its incidence and especially to seek for the causative germs. PATIENTS AND METHODS: We have realized cross-sectional study in three health centers of the prefecture of Kozah from March 24 to May 12, 2009. All the newborns followed in these centers are examined in the search of signs of conjunctivitis. A biological diagnosis of conjunctival secretions was carried out at the suspect newborns. RESULTS: During the study period, 348 newborns were examined including 185 boys and 163 girls corresponding to a sex-ratio (M/F) of 1.1. The middle age was 3.7 days. Twenty-eight newborns presented conjunctivitis, that is to say a rate of incidence of 8%. The cases of conjunctivitis were observed the first four days of life in 39.3% of cases. Eighteen of the newborns presenting conjunctivitis were vaginal deliveries (64.3%) against ten (35.7%) by caesarian. All the mothers of the ill newborns had a syndrome of sexually transmissible infection (STI) during the third quarters of pregnancy. After biological diagnosis, Staphylococcus aureus was found in 25% of the cases. CONCLUSION: Despite the common herd of neonatal conjunctivitis prophylaxis by Crede's method, its remains in the prefecture of Kozah. In hope for neonatal conjunctivitis eradication, treatment of STI on pregnant women associated to education and communication on the prevention of the infection in neonatal health care centers and at home by hygiene rule application are necessary.


Subject(s)
Ophthalmia Neonatorum/epidemiology , Age of Onset , Female , Hospitals, County/statistics & numerical data , Humans , Incidence , Infant, Newborn , Infectious Disease Transmission, Vertical/statistics & numerical data , Male , Ophthalmia Neonatorum/diagnosis , Ophthalmia Neonatorum/microbiology , Pregnancy , Pregnancy Complications, Infectious/epidemiology , Pregnancy Complications, Infectious/microbiology , Staphylococcal Infections/congenital , Staphylococcal Infections/epidemiology , Staphylococcal Infections/transmission , Staphylococcus aureus/isolation & purification , Togo/epidemiology
4.
Arch Pediatr ; 18(10): 1037-43, 2011 Oct.
Article in French | MEDLINE | ID: mdl-21868207

ABSTRACT

OBJECTIVE: To assess the glycemia of low-weight newborns (LWNBs) during their first 24h of life as well as their mother's glycemia. PATIENTS AND METHOD: This was a cross-sectional prospective study within a case-control group, conducted at Lomé University Hospital (nationwide main hospital) from January to May 2006. One hundred thirty-nine LWNBs and 150 eutrophic term newborns (ETNBs), 98 mothers of LWNBs (MLWNBs), and 145 mothers of ETNBs (METNBs) were screened and monitored on glycemia dosage. RESULTS: The average glycemia level of the LWNBs (0.34 ± 0.27g/l) was significantly greater than the ETNBs' glycemia level (0.30 ± 0.14 g/l); it was nearly the same for the mean glycemia level of the MLWNBs (0.82 ± 0.2g/l) and the METNBs (0.77 ± 0.1g/l). Neonatal hypoglycemia during the first 24h of life was less frequent (RR=0.8) in the LWNBs (61.15%) than in the ETNBs (80%). The positive correlation between gestational age and glycemia was higher in the ETNBs (r=0.17) than in the LWNBs (r=0.07). This positive correlation between birthweight and glycemia was lower in the LWNBs (r=0.17) compared to the ETNBs (r=0.37); this was not the case within the group of the ETNBs (r=0.02) compared to the group of the LWNBs (r=0.34) concerning the correlation between the glycemia of mothers and newborns. CONCLUSION: The early hypoglycemia was much greater in the ETNBs compared to the LWNBs. Therefore, it is necessary to systematically start breastfeeding all newborns within their first hours of life whatever their gestational age, in order to solve these metabolic disorders.


Subject(s)
Blood Glucose/metabolism , Hypoglycemia/blood , Infant, Low Birth Weight , Infant, Premature , Adult , Algorithms , Breast Feeding , Cross-Sectional Studies , Female , Hospitals, University , Humans , Hypoglycemia/epidemiology , Hypoglycemia/therapy , Infant, Newborn , Male , Mothers/statistics & numerical data , Pregnancy , Prevalence , Prospective Studies , Risk Factors , Time Factors , Togo/epidemiology
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