ABSTRACT
Twenty-two of 24 cases of Mycobacterium ulcerans infection in Ibadan are reviewed. The patients included Africans, Caucasians, and Indians. There were no differences between races in the manifestations of the disease. The average age of the patients was higher than that in other reports in the literature. The fact that most cases were originally wrongly diagnosed reemphasizes the need to search for M. ulcerans in cases of "tropical" ulcer that fail to respond to adequate therapy. Early recognition and surgery are the mainstay of treatment. Comexazole seems more effective than clofazimine in the treatment of these ulcers.
Subject(s)
Mycobacterium Infections/diagnosis , Skin Ulcer/diagnosis , Adolescent , Adult , Child , Drug Combinations , Drug Therapy, Combination , Female , Humans , Male , Middle Aged , Mycobacterium Infections/pathology , Mycobacterium Infections/therapy , Short-Wave Therapy , Skin Ulcer/pathology , Skin Ulcer/therapy , Streptomycin/therapeutic use , Sulfamethoxazole/therapeutic use , Trimethoprim/therapeutic useSubject(s)
Bronchial Neoplasms/complications , Carcinoid Tumor/complications , Cushing Syndrome , Paraneoplastic Endocrine Syndromes , Adolescent , Adrenal Gland Neoplasms/diagnosis , Bronchi/pathology , Bronchial Neoplasms/pathology , Bronchial Neoplasms/surgery , Carcinoid Tumor/pathology , Carcinoid Tumor/surgery , Cushing Syndrome/diagnosis , Cushing Syndrome/diagnostic imaging , Cushing Syndrome/therapy , Diagnosis, Differential , Humans , Male , RadiographySubject(s)
Typhoid Fever/complications , Adolescent , Adult , Aged , Autopsy , Child , Child, Preschool , Female , Humans , Intestinal Perforation/etiology , Male , Middle Aged , Nigeria , Typhoid Fever/epidemiologySubject(s)
Hyperthyroidism/epidemiology , Adolescent , Adult , Aged , Carbimazole/therapeutic use , Child , Child, Preschool , Female , Humans , Hyperthyroidism/drug therapy , Hyperthyroidism/pathology , Hyperthyroidism/radiotherapy , Hyperthyroidism/surgery , Iodine Isotopes , Male , Middle Aged , Nigeria , Propylthiouracil/therapeutic use , Thyroid Gland/pathology , ThyroidectomySubject(s)
Cocos , Infusions, Parenteral , Surgical Procedures, Operative , Adult , Female , Humans , Male , Middle AgedSubject(s)
Goiter/surgery , Thyroidectomy , Dermatologic Surgical Procedures , Female , Goiter, Nodular/surgery , Humans , Male , Methods , Muscles/surgery , Postoperative Complications , Trachea/surgery , TracheotomySubject(s)
Hemangioma/complications , Kidney Neoplasms/complications , Lipoma/complications , Tuberous Sclerosis/complications , Adult , Diagnosis, Differential , Female , Hemangioma/pathology , Hemangioma/surgery , Humans , Kidney Neoplasms/pathology , Kidney Neoplasms/surgery , Lipoma/pathology , Lipoma/surgery , Tuberous Sclerosis/diagnosisSubject(s)
Pancreatic Cyst/surgery , Adolescent , Adult , Amylases/analysis , Barium Sulfate , Calcium/blood , Carcinoma/diagnosis , Child, Preschool , Diagnosis, Differential , Duodenal Ulcer/diagnosis , Female , Humans , Infant , Lymphoma/diagnosis , Male , Methods , Middle Aged , Pancreatic Cyst/classification , Pancreatic Cyst/diagnosis , Pancreatic Cyst/diagnostic imaging , Pancreatic Cyst/enzymology , Pancreatic Neoplasms/diagnosis , Radiography , Stomach Neoplasms/diagnosis , Tuberculosis/diagnosisSubject(s)
Sweat Glands , Adult , Axilla , Child, Preschool , Female , Humans , Inflammation , Male , Middle Aged , Neck , PerineumSubject(s)
Arm , Skin Ulcer/etiology , Tuberculosis, Cutaneous/complications , Adolescent , Aminosalicylic Acids/therapeutic use , Biopsy , Child, Preschool , Humans , Isoniazid/therapeutic use , Male , Skin Ulcer/diagnosis , Skin Ulcer/drug therapy , Skin Ulcer/pathology , Tuberculosis, Cutaneous/diagnosis , Tuberculosis, Cutaneous/drug therapy , Tuberculosis, Cutaneous/pathologySubject(s)
Peritonitis/etiology , Strongyloidiasis/complications , Adolescent , Humans , Jejunum/pathology , Male , Strongyloidiasis/pathologyABSTRACT
Forty-five cases of pancreatic calcification are reported, and it is shown that in Western Nigeria this malady afflicts younger people than in Europe and the United States of America. Males and females seem about equally affected in Western Nigeria, whereas it predominantly affects males in France, Britain, and North America. Diabetes mellitus was the commonest complication in this series, and brought many patients to the doctor. In this series chronic relapsing pancreatitis was a rare cause; there was no history of alcoholism; and protein malnutrition was thought to be responsible for pancreatic calcification in over 90% of the patients.