RESUMO
Acute renal failure (ARF) is a common problem in the Congo. This is a six-year retrospective study aiming at analyzing the etiology and the outcome of ARF at the Brazzaville's University Hospital from 1989 through 1994. One hundred and five cases of ARF (0.99%), including 54 boys (51.4%) and 51 girls (48.6%), out of 10,512 children admitted in the department of Pediatrics have been recorded. ARF represented 13.09% of the causes in 802 patients with renal disorder. The main etiologies of ARF included acute gastroenteritis with dehydration (25.7%), nephrotic syndrome (14.7%), sepsis (15.23%), malaria (12.38%), and acute glomerulonephritis (9.5%). Most cases were managed conservatively, while peritoneal dialysis (PD) was used in eight cases (7.62%). The outcome of ARF was recovery in 50.5 %, death in 37 % and chronic renal failure in 12.5% of cases. Preventive measures may help in reducing the high mortality rate and the need for dialysis.
RESUMO
We report a case of porocephalosis in a 35-year-old Congolese adult who habitually ate large amounts of snake. The principal nonspecific clinical sign was abdominal pain. Diagnosis was based on X-ray examination of the abdomen without preparation and abdominal ultrasound scan.
Assuntos
Artrópodes , Doenças Parasitárias/diagnóstico , Dor Abdominal/etiologia , Adulto , Animais , Antinematódeos/uso terapêutico , Diagnóstico Diferencial , Humanos , Enteropatias Parasitárias/diagnóstico , Enteropatias Parasitárias/diagnóstico por imagem , Pneumopatias Parasitárias/diagnóstico , Pneumopatias Parasitárias/diagnóstico por imagem , Masculino , Mebendazol/uso terapêutico , Doenças Parasitárias/diagnóstico por imagem , Doenças Parasitárias/tratamento farmacológico , Radiografia Abdominal , Radiografia Torácica , Tomografia Computadorizada por Raios X , UltrassonografiaRESUMO
De janvier 1990 a decembre 1993 soit en 4 ans; trente (30) pieces de nephrectomie ont ete enregistrees et examinees dans le Service d'Anatomie et de Cytologie Pathologiques; du CHU de Brazzaville. Les pathologies renales qui ont conduit a la nephrectomie frappent egalement l'homme et la femme (50 per cent de cas). Les aspects anatomo-pathologiques sont polymorphes; dominees par l'inflammation (53;4 per cent). Selon l'age; les lesions histologiques observees entre 0 et 20 ans sont dominees par le nephroblastome (9 cas) suivies des pyelonephrites (4 cas) et exceptionnellement le carcinome renal a cellules claires (1 cas). Apres 20 ans les lesions inflammatoires a type de pyelonephrites par obstruction calculeuse sont predominantes (12 cas); secondairement viennent les carcinomes renaux a cellules claires (2 cas). Les tumeurs benignes (cystadenome; lipomyofibrome) sont rares
