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Akpede GO, Adetunji AE, Udefiagbon EO, Eluehike SO, Odike AI, Ewah-Odiase RO, Omosofe FO, Akerele JM, Atafo RO, Okonofua MO, Onyeke I, Oyedeji OA, Mbanefo K, Ogbaini-Emovon E, Okokhere PO, Günther S, Dongo AE. Acute Abdomen in Pediatric Patients With Lassa Fever: Prevalence and Response to Nonoperative Management. J Pediatric Infect Dis Soc 2019; 8:519-524. [PMID: 30272215 DOI: 10.1093/jpids/piy093] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2018] [Accepted: 09/04/2018] [Indexed: 02/01/2023]
Abstract
Few reports on the prevalence of acute abdomen (AAbd) in pediatric patients with Lassa fever (LF) are available, and no firm policy on its management exists. Here, we report on its prevalence in and the response to treatment among a cohort of children with confirmed LF. Six (10.3%) of 58 children with LF had AAbd, whereas 6 (2.8%) of 215 children with AAbd had LF. Nonoperative treatment was successful in 5 of the 6 children with both AAbd and LF. We conclude that AAbd is not uncommon in pediatric patients with LF, and it could be responsive to nonoperative treatment. Testing for LF in all children with febrile AAbd might be justified in areas in which LF is endemic.
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Affiliation(s)
- George O Akpede
- Departments of Paediatrics, Irrua Specialist Teaching Hospital, Edo State, Nigeria
| | - Adewale E Adetunji
- Departments of Paediatrics, Irrua Specialist Teaching Hospital, Edo State, Nigeria
| | - Ernest O Udefiagbon
- Departments of Surgery, Irrua Specialist Teaching Hospital, Edo State, Nigeria
| | - Sylvester O Eluehike
- Departments of Radiology, Irrua Specialist Teaching Hospital, Edo State, Nigeria
| | - Angela I Odike
- Departments of Paediatrics, Irrua Specialist Teaching Hospital, Edo State, Nigeria
| | | | - Folorunso O Omosofe
- Departments of Anaesthesia, Irrua Specialist Teaching Hospital, Edo State, Nigeria
| | - Johnbull M Akerele
- Departments of Surgery, Irrua Specialist Teaching Hospital, Edo State, Nigeria
| | - Rebecca O Atafo
- Departments of Nursing Services Unit, Irrua Specialist Teaching Hospital, Edo State, Nigeria
| | - Martha O Okonofua
- Departments of Nursing Services Unit, Irrua Specialist Teaching Hospital, Edo State, Nigeria.,Departments of Institute of Lassa Fever Research and Control, Irrua Specialist Teaching Hospital, Edo State, Nigeria
| | - Imonifome Onyeke
- Departments of Paediatrics, Irrua Specialist Teaching Hospital, Edo State, Nigeria
| | - Omobolaji A Oyedeji
- Departments of Paediatrics, Irrua Specialist Teaching Hospital, Edo State, Nigeria
| | - Kaine Mbanefo
- Departments of Paediatrics, Irrua Specialist Teaching Hospital, Edo State, Nigeria
| | - Ephraim Ogbaini-Emovon
- Departments of Institute of Lassa Fever Research and Control, Irrua Specialist Teaching Hospital, Edo State, Nigeria
| | - Peter O Okokhere
- Departments of Medicine, Irrua Specialist Teaching Hospital, Edo State, Nigeria
| | - Stephan Günther
- Bernhard-Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arboviruses and Hemorrhagic Fever Reference and Research, Department of Virology, Hamburg, Germany
| | - Andrew E Dongo
- Departments of Surgery, Irrua Specialist Teaching Hospital, Edo State, Nigeria
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