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INDONESIA
Journal of Medical Biomedical and Applied Sciences
Published by Innovative Journal
ISSN : -     EISSN : -     DOI : -
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Medicine & Pharmacology
Arjuna Subject : -
Articles 2 Documents
 1 
Search results for , issue " Vol 5 No 08 (2017)" : 2 Documents clear
The fatal outcome of a child with a delayed posterior urethral valve diagnosis in a low income country: a case report and take home messages M. Metogo, Jacqueline Ze Minkande, Francky Teddy A. Endomba, Jan René Nkeck, Joel Noutakdie Tochi
Journal of Medical Biomedical and Applied Sciences Vol 5 No 08 (2017)
Publisher : Journal of Medical Biomedical and Applied Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (433.161 KB) | DOI: 10.15520/.v5i08.72

Abstract

Introduction: When faced with early urinary tract infections in infants, there is a need to do diagnostic imaging to exclude urinary tract malformations. Delayed diagnosis of this condition could lead to serious complications.Case presentation: We received a 2 months old male infant referred for better management of an acute kidney injury (AKI) with septicemia. He had a past medical history of febrile urinary tract infection. Our diagnosis was that of acute kidney injury and septicemia associated to a posterior urethral valve. The initial treatment included broad spectrum antibiotics, management of AKI complications and vesicostomy to relief the urinary obstruction prior to valve ablation. We unfortunately lost the infant on day 3 following surgery from severe refractory hyperkaliemia and a uremic syndrome.Conclusion: This case is a call to clinicians’ attention in low income countries to always check for urinary tract malformations when confronted with an infant presenting a febrile urinary tract infection.Key-words: Acute kidney injury, child, diagnosis delay, posterior urethral valve, Cameroon.
The diagnostic and therapeutic challenges of Spontaneous Bacterial Peritonitis in a low income country: A case report J.R. Nkeck , S. F Fru., A. Chiabi, Aurelie T. Sibetcheu, F. T. A. Endomba,
Journal of Medical Biomedical and Applied Sciences Vol 5 No 08 (2017)
Publisher : Journal of Medical Biomedical and Applied Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (540.288 KB) | DOI: 10.15520/.v5i08.73

Abstract

Background: Spontaneous bacterial peritonitis is an uncommon condition. It has a non-specific clinical presentation which leading sometimes to an unnecessary laparotomy especially in a low income country.Case presentation: We received a 19-months old child, with an unremarkable past medical history, admitted in our service for a 2-day history of abdominal distension and fever. She presented with guarding and abdominal tenderness. Abdominal ultrasound revealed a peritoneal effusion and signs of intestinal occlusion without obstacle to peristalsis. A blood culture revealed Streptococcus sp as etiology and we made a diagnosis of spontaneous bacterial peritonitis. The patient recovered after medical treatment.Conclusion: Spontaneous bacterial peritonitis is a possible diagnosis that clinicians should bear in mind during investigation of an acute abdomen. Accurate initial diagnosis can avert unnecessary surgery, since treatment is medical.

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