Tropical doctor
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Caecal volvulus is an uncommon cause of acute intestinal obstruction caused by axial twisting of the caecum along with the terminal ileum and ascending colon. Early diagnosis is essential in order to reduce the high mortality rate, though the condition is rarely diagnosed correctly at the time of presentation. We report a series of four cases describing their presentation, management and subsequent outcome.
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Case Reports
Epileptiform seizures revealing neurocysticercosis: report of two clinical cases in Libreville, Gabon.
Neurocysticercosis (NCC) is the most common helminth infection of the central nervous system. It is caused by the larval form of the tapeworm Taenia solium and is increasingly recognized as a major cause of neurologic disease worldwide. Epilepsy is the usual mode of revelation. ⋯ Medical treatment with albendazole, anti-epileptic drugs and corticosteroids led to full recovery. NCC should be considered in tropical countries as a leading cause of epilepsy. Moreover, NCC should be included in the differential diagnosis of neurologic infections in HIV patients in endemic populations.
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This study aims to explore the epidemiological characteristics of scarlet fever in Hefei City, China, and to provide a scientific basis for the prevention and control of the disease. A total of 731 cases were recruited from 2004 to 2008. ⋯ Our results indicated that the major risk factors for scarlet fever were: gender (male); age (3-6 years); time of disease onset (March to June); and area of residence (urban areas). Knowledge of these factors could help clinicians to provide the appropriate interventions for scarlet fever.
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Myopathy is a rare complication of influenza infections. Here, we report on an eight-year-old girl with severe myopathy due to new pandemic influenza A (H1N1). She presented with severe myopathy following generalized tonic-clonic seizure and recovered completely within a few days.
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Intestinal infestation of humans by Ascaris lumbricoides is endemic in India. The usual habitat of the adult worm is the jejunum. Hepatopancreatic ascariasis (HPA) is designated to a rare group of diseases caused by lodgement of adult worms in the bile or pancreatic ducts. This short report illustrates four rare cases of patients with HPA.