1
|
Alfadul ESA, Alrawa SS, Eltigani HF, Ahmed A, Siddig EE. The unraveling of Sudan's health system: catastrophic consequences of ongoing conflict. Med Confl Surviv 2023; 39:364-368. [PMID: 37674343 DOI: 10.1080/13623699.2023.2253059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/08/2023]
Affiliation(s)
| | - Salma S Alrawa
- Faculty of Medicine, University of Khartoum, Khartoum, Sudan
| | | | - Ayman Ahmed
- Institute of Endemic diseases, University of Khartoum, Khartoum, Sudan
- Department of Public Health, Swiss Tropical and Public Health Institute (Swiss TPH), Allschwil, Switzerland
- Faculty of Science, University of Basel, Basel, Switzerland
| | - Emmanuel Edwar Siddig
- Department of Medical Microbiology and Infectious Diseases, ErasmusMC, University Medical Center Rotterdam, Rotterdam, The Netherlands
- Faculty of Medical Laboratory sciences, University of Khartoum, Khartoum, Sudan
| |
Collapse
|
2
|
Siddig EE, Eltigani HF, Ahmed A. The Rise of AI: How Artificial Intelligence is Revolutionizing Infectious Disease Control. Ann Biomed Eng 2023; 51:2636-2637. [PMID: 37335374 DOI: 10.1007/s10439-023-03280-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Accepted: 06/13/2023] [Indexed: 06/21/2023]
Abstract
Artificial Intelligence (AI) has proven to be an effective tool in predicting, detecting, and mitigating the spread of infectious diseases, especially during the COVID-19 pandemic. The technology is increasingly playing a role in preventing future health crises by predicting outbreaks, identifying high-risk areas, and aiding in vaccine development. AI can track and trace infected individuals and identify potential hotspots, help reduce the spread of infectious diseases, and monitor patient symptoms, enabling healthcare professionals to provide effective treatment.
Collapse
Affiliation(s)
- Emmanuel Edwar Siddig
- Department of Medical Microbiology and Infectious Diseases, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.
- Unit of Applied Medical Sciences, Faculty of Medical Laboratory Sciences, University of Khartoum, PO Box 102, Khartoum, Sudan.
| | | | - Ayman Ahmed
- Institute of Endemic Diseases, University of Khartoum, Khartoum, Sudan
- Swiss Tropical and Public Health Institute (Swiss TPH), Allschwil, Switzerland
- Faculty of Science, University of Basel, Petersplatz 1, Basel, Switzerland
| |
Collapse
|
3
|
Siddig EE, Eltigani HF, Ali ET, Bongomin F, Ahmed A. Sustaining hope amid struggle: The plight of cancer patients in Sudan's ongoing war. J Cancer Policy 2023; 38:100444. [PMID: 37634616 DOI: 10.1016/j.jcpo.2023.100444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Accepted: 08/19/2023] [Indexed: 08/29/2023]
Affiliation(s)
- Emmanuel Edwar Siddig
- Faculty of Medical Laboratory Sciences, University of Khartoum, Khartoum, Sudan; ErasmusMC, University Medical Center Rotterdam, Department of Medical Microbiology and Infectious Diseases, Rotterdam, the Netherlands
| | | | - Eman Taha Ali
- Faculty of Medical Laboratory Sciences, University of Khartoum, Khartoum, Sudan; Ewha Womans University, Department of Molecular Medicine, South Korea
| | - Felix Bongomin
- Department of Medical Microbiology and Immunology, Faculty of Medicine, Gulu University, Gulu, Uganda
| | - Ayman Ahmed
- Institute of Endemic Diseases, University of Khartoum, Khartoum, Sudan; Swiss Tropical and Public Health Institute (Swiss TPH), Allschwil, Switzerland; University of Basel, Faculty of Science, Petersplatz 1, Basel, Switzerland
| |
Collapse
|
4
|
Ahmed A, EL‐Sadig SM, Eltigani HF, Bongomin F, Siddig EE. The first Helicobacter pylori-induced Guillain-Barré syndrome in Sudan. Clin Case Rep 2023; 11:e8204. [PMID: 38028082 PMCID: PMC10645600 DOI: 10.1002/ccr3.8204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Revised: 10/15/2023] [Accepted: 10/31/2023] [Indexed: 12/01/2023] Open
Abstract
Key Clinical Message This case report highlights the role of Helicobacter pylori infection in the development of GBS. Healthcare providers should consider H. pylori in their differential diagnosis for patients with neurological syndromes. Astract We report the first known case of Guillain-Barré syndrome (GBS) associated with Helicobacter pylori infection in Sudan. This case highlights the role of H. pylori infection in the development of GBS. It also emphasizes the importance of wide screening of different endemic infections for patients with neurological syndromes for early detection and improves the case management in resource-limited settings like Sudan. Further research is needed to better understand the underlying mechanisms of H. pylori-inducing neurological disorders.
Collapse
Affiliation(s)
- Ayman Ahmed
- Swiss Tropical and Public Health Institute (Swiss TPH)AllschwilSwitzerland
- University of BaselBaselSwitzerland
- Institute of Endemic DiseaseUniversity of KhartoumKhartoumSudan
| | | | | | - Felix Bongomin
- Department of Medical Microbiology and Immunology, Faculty of MedicineGulu UniversityGuluUganda
| | - Emmanuel Edwar Siddig
- Faculty of Medical Laboratory SciencesUniversity of KhartoumKhartoumSudan
- Department of Medical Microbiology and Infectious Diseases, ErasmusMCUniversity Medical Center RotterdamRotterdamThe Netherlands
| |
Collapse
|
5
|
Siddig EE, Eltigani HF, Ahmed A. Healing the unseen wounds: Sudan's humanitarian crisis traumatizing a nation. Asian J Psychiatr 2023; 89:103764. [PMID: 37757540 DOI: 10.1016/j.ajp.2023.103764] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Revised: 08/28/2023] [Accepted: 09/12/2023] [Indexed: 09/29/2023]
Affiliation(s)
- Emmanuel Edwar Siddig
- Faculty of Medical Laboratory sciences, University of Khartoum, Khartoum, Sudan; ErasmusMC, University Medical Center Rotterdam, Department of Medical Microbiology and Infectious Diseases, Rotterdam, the Netherlands.
| | | | - Ayman Ahmed
- Institute of Endemic diseases, University of Khartoum, Khartoum, Sudan; Swiss Tropical and Public Health Institute (Swiss TPH), Allschwil, Switzerland; University of Basel, Petersplatz 1, Basel, Switzerland
| |
Collapse
|
6
|
Siddig EE, Misbah El‐Sadig S, Eltigani HF, Musa AM, Mohamed NS, Ahmed A. Delayed cerebellar ataxia induced by Plasmodium falciparum malaria: A rare complication. Clin Case Rep 2023; 11:e8053. [PMID: 37867542 PMCID: PMC10589394 DOI: 10.1002/ccr3.8053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2023] [Revised: 09/28/2023] [Accepted: 10/02/2023] [Indexed: 10/24/2023] Open
Abstract
Key Clinical Message In endemic areas, malaria-induced cerebellar ataxia should be suspected in patients presenting with neurological disorders including slurred speech, tremors, and a sense of imbalance and dizziness while walking. Healthcare providers should be aware to properly investigate and early detect and manage infections associated with the development of cerebellar ataxia to improve the case management and clinical outcome cost-effectively. Abstract Here, we report the clinical manifestations, investigations, and outcomes of a patient developed delayed cerebellar ataxia following a malaria infection: an unusual complication of the disease. This report highlights the diagnostic challenges in a country endemic with several infectious diseases, yet it has a limited diagnostic and surveillance capacity.
Collapse
Affiliation(s)
| | | | | | | | - Nouh Saad Mohamed
- Molecular Biology UnitSirius Training and Research CentreKhartoumSudan
| | - Ayman Ahmed
- Institute of Endemic DiseaseUniversity of KhartoumKhartoumSudan
- Swiss Tropical and Public Health Institute (Swiss TPH)AllschwilSwitzerland
- University of BaselBaselSwitzerland
| |
Collapse
|
7
|
Siddig EE, Eltigani HF, Ahmed A. Urgent call to protect children and their health in Sudan. BMJ 2023; 382:1799. [PMID: 37558248 DOI: 10.1136/bmj.p1799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/11/2023]
Affiliation(s)
- Emmanuel Edwar Siddig
- Unit of Applied Medical Sciences, Faculty of Medical Laboratory Sciences, University of Khartoum, Khartoum, Sudan
| | | | - Ayman Ahmed
- Institute of Endemic diseases, University of Khartoum
| |
Collapse
|
8
|
Siddig EE, Ahmed A, Eltigani HF, Bakhiet SM, van de Sande WWJ, Fahal AH. The First Case of Fusarium falciforme Eumycetoma in Sudan and an Extensive Literature Review about Treatment Worldwide. J Fungi (Basel) 2023; 9:730. [PMID: 37504719 PMCID: PMC10381130 DOI: 10.3390/jof9070730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Revised: 04/21/2023] [Accepted: 05/17/2023] [Indexed: 07/29/2023] Open
Abstract
Eumycetoma is an infectious disease caused by various fungal pathogens. The disease is characterised by black and pale-yellowish grain discharge. In this communication, we report a case of eumycetoma with a pale grain foot-eumycetoma caused by Fusarium falciforme. The patient presented at the outpatient clinic of the Mycetoma Research Centre in Sudan. The causative agent was initially misidentified as Aspergillus nidulans based on its seemingly similar histopathological appearance. However, sequencing the internally transcribed spacer region of the extracted grain confirmed infection with Fusarium falciforme. Although the patient received Itraconazole and underwent surgical excision, the disease was recurrent. To our knowledge, this is the first report on Fusarium falciforme causing eumycetoma in Sudan, indicating the expansion of the geographical distribution of this pathogen. This calls for raising the awareness of healthcare providers and improving the diagnostic and surveillance systems in at-risk areas to improve the case management and reduce the threat of further spread. Considering the potential impacts of F. falciforme infection including threatening the global health, food security, and ecosystem balance, as well as loss of biodiversity and negative socioeconomic changes in endemic countries, we recommend the implementation of an integrated transdisciplinary One Health strategy for the prevention and control of emerging infectious diseases including F. falciforme.
Collapse
Affiliation(s)
- Emmanuel Edwar Siddig
- The Mycetoma Research Center, University of Khartoum, Khartoum 11111, Sudan
- ErasmusMC, Department of Medical Microbiology and Infectious Diseases, University Medical Center Rotterdam, 3000 Rotterdam, The Netherlands
- Unit of Applied Medical Sciences, Faculty of Medical Laboratory Sciences, University of Khartoum, Khartoum 11115, Sudan
| | - Ayman Ahmed
- Swiss Tropical and Public Health Institute (Swiss TPH), Allschwil, CH-4123 Basel, Switzerland
- Faculty of Sciences, University of Basel, CH-4003 Basel, Switzerland
- Institute of Endemic Diseases, Faculty of Medicine, University of Khartoum, Khartoum 11111, Sudan
| | | | | | - Wendy W J van de Sande
- ErasmusMC, Department of Medical Microbiology and Infectious Diseases, University Medical Center Rotterdam, 3000 Rotterdam, The Netherlands
| | - Ahmed Hassan Fahal
- The Mycetoma Research Center, University of Khartoum, Khartoum 11111, Sudan
| |
Collapse
|
9
|
Ahmed A, Hagelnur AA, Eltigani HF, Siddig EE. Cutaneous tuberculosis of the foot clinically mimicking mycetoma: A case report. Clin Case Rep 2023; 11:e7295. [PMID: 37151934 PMCID: PMC10160425 DOI: 10.1002/ccr3.7295] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Revised: 03/29/2023] [Accepted: 04/17/2023] [Indexed: 05/09/2023] Open
Abstract
Key Clinical Message In a resource-limited setting such as Sudan, where diagnostic and surveillance capacities are limited and several dermal diseases with similar clinical presentation are endemic, further precautious must taking into account. Abstract Cutaneous tuberculosis (CTB) is a rare infection caused by Mycobacterium tuberculosis. Atypical clinical presentations of CTB may resemble other skin neglected diseases. For definitive diagnosis, we require a holistic diagnostic approach including clinical examination and deployment of laboratory investigations including microbial culture, histopathological, and molecular examinations of the proper samples per test. In this communication, we report a case of CTB that was initially misidentified clinically as mycetoma.
Collapse
Affiliation(s)
- Ayman Ahmed
- Swiss Tropical and Public Health Institute (Swiss TPH)AllschwilSwitzerland
- University of BaselBaselSwitzerland
- Tropical Medicine HospitalKhartoumSudan
| | | | - Hala Fathi Eltigani
- Unit of Applied Medical Sciences, Faculty of Medical Laboratory SciencesUniversity of KhartoumKhartoumSudan
| | - Emmanuel Edwar Siddig
- Department of Medical Microbiology and Infectious DiseasesUniversity Medical Center Rotterdam, ErasmusMCRotterdamThe Netherlands
- Institute of endemic diseasesUniversity of KhartoumKhartoumSudan
| |
Collapse
|
10
|
Ahmed A, Hemaida MA, Hagelnur AA, Eltigani HF, Siddig EE. Sudden emergence and spread of cutaneous larva migrans in Sudan: A case series calls for urgent actions. IDCases 2023; 32:e01789. [PMID: 37207175 PMCID: PMC10189479 DOI: 10.1016/j.idcr.2023.e01789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2023] [Revised: 04/27/2023] [Accepted: 05/02/2023] [Indexed: 05/21/2023] Open
Abstract
Cutaneous larva migrans (CLM) is a self-limiting dermatosis parasitic disease that is caused by zoonotic hookworm mainly infects cats, dogs, and accidentally humans. The disease affects hosts through the invasion and the migration of the hookworm larva into top layers of the skin. The disease occurs in tropical and subtropical regions; where people commonly are infected when sitting or barefoot walking on places contaminated with feces of infected cats or dogs. Due to self-limiting nature of the disease, the exact burden and prevalence are commonly underestimated. In this communication, we investigated all cases presented to the skin-diseases outpatient clinic' at the reference hospital of Tropical Diseases Medicine in Khartoum state between January 2019 and January 2021. This is the first-ever a case series report of cutaneous larva migrans in Sudan. We identified 15 cases of CLM presented with rash (100 %), redness of skin (67 %), and only adults were presented with larva crawling under their skins (27 %). Infection sites were (53 %) leg, (40 %) foot, only 7 % showed abdominal infection. The majority of patients were children or young adults, 47 % of them are ≤5 year-old, male to female ratio is 2.75:1. Duration of infection was one to three weeks and all patients fully recovered after treatment with albendazole. This urges for One Health interventions including deworming cats and dogs, improving water, sanitation, and hygiene, community-engagement and raising awareness in area with risk of infection.
Collapse
Affiliation(s)
- Ayman Ahmed
- Institute of endemic diseases, University of Khartoum, Khartoum, Sudan
- Swiss Tropical and Public Health Institute (Swiss TPH), Allschwil, Switzerland
- University of Basel, Petersplatz 1, Basel, Switzerland
| | - Maisa Aldai Hemaida
- Unit of Applied Medical Sciences, Faculty of Medical Laboratory Sciences, University of Khartoum, Khartoum, Sudan
| | - Amel Ahmed Hagelnur
- General Director, Tropical Medicine Hospital, Omdurman, Khartoum State, Sudan
| | | | - Emmanuel Edwar Siddig
- Unit of Applied Medical Sciences, Faculty of Medical Laboratory Sciences, University of Khartoum, Khartoum, Sudan
- The Mycetoma Research Center, University of Khartoum, Khartoum, Sudan
- ErasmusMC, University Medical Center Rotterdam, Department of Medical Microbiology and Infectious Diseases, Rotterdam, the Netherlands
- Corresponding author at: Unit of Applied Medical Sciences, Faculty of Medical Laboratory Sciences, University of Khartoum, Khartoum, Sudan.
| |
Collapse
|