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Khelife A, Diouf A, Diop A, Gueye FD, Mansouri H, Diousse P, Soumare A, Ndiaye M, Ly F. Reliability assessment and validation of the post-acne hyperpigmentation index (PAHPI) in a population from Sub-Saharan Africa in Senegal. Ann Dermatol Venereol 2023; 150:24-27. [PMID: 35842316 DOI: 10.1016/j.annder.2022.05.005] [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: 08/29/2021] [Revised: 01/25/2022] [Accepted: 05/24/2022] [Indexed: 10/17/2022]
Abstract
BACKGROUND A post-acne hyperpigmentation index (PAHPI) has been developed in the United States to better compare therapeutic modalities. Our aim in this study was to validate the PAHPI score in patients with skin type VI from sub-Saharan Africa. PATIENTS AND METHODS The study was conducted in Dakar, Senegal. Twenty-one patients with Fitzpatrick skin type VI, aged 17 to 55 years, presenting hyperpigmentation secondary to acne were included. Ongoing use of skin bleaching products or acne treatments was allowed. Four trained dermatologists rated the patients using the PAHPI. A narrow-band reflectance spectrophotometer (Mexameter MX-18, Cologne, Germany) was used to measure the degree of pigmentation of involved and adjacent skin on 6 representative facial lesions. RESULTS The average inter-rater reliability (weighted Kappa) showed substantial agreement for intensity (0.67), moderate agreement for number (0.53) and fair agreement for lesion size (0.28). Inter-rater reliability for the total PAHPI was excellent for both day 1 and day 2 (interclass correlation coefficient of 0.87 and 0.85, respectively; P<0.0001). Intra-rater reliability for total PAHPI ranged from 0.83 to 0.93 (P<0.0001). PAHPI scoring thus demonstrated excellent reliability both between and within raters. The association was moderate to substantial for all raters on both days (range for rho on day 1: 0.531 to 0.815; range for rho on day 2: 0.448 0.762). The correlations between the Mexameter (Courage and Khazaka) measurements and PAHPI scores showed moderate to substantial agreement. CONCLUSION Although tested primarily in African American women to date, PAHPI is also valid for patients from sub-Saharan Africa.
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Affiliation(s)
- A Khelife
- Cheikh Anta Diop University, Dakar, Senegal
| | - A Diouf
- Dermatology department, Hôpital Institut d'Hygiène Sociale, Dakar, Senegal
| | - A Diop
- Dermatology department, Hôpital Institut d'Hygiène Sociale, Dakar, Senegal
| | - F D Gueye
- Dermatology department, Hôpital Institut d'Hygiène Sociale, Dakar, Senegal
| | - H Mansouri
- Cheikh Anta Diop University, Dakar, Senegal
| | - P Diousse
- Dermatology department, Hôpital Régional El Hadji Amadou Sakhir Ndieguene, Thies, Senegal
| | - A Soumare
- Dermatology department, Hôpital Aristide Le Dantec, Dakar, Senegal
| | - M Ndiaye
- Cheikh Anta Diop University, Dakar, Senegal; Dermatology department, Hôpital Aristide Le Dantec, Dakar, Senegal
| | - F Ly
- Cheikh Anta Diop University, Dakar, Senegal; Dermatology department, Hôpital Institut d'Hygiène Sociale, Dakar, Senegal.
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Chhabra G, Thornton J, Su S, Ndiaye M, Ahmad N. 654 Novel immune-related proteins differentially expressed in melanoma. J Invest Dermatol 2022. [DOI: 10.1016/j.jid.2022.05.665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Ndiaye M, Ndoye B, Diop B. 226 - Analyse des déterminants liés à l'accouchement à domicile dans le département de Podor (Région de Saint Louis) du 01 janvier 2020 au 30 juin 2021. Rev Epidemiol Sante Publique 2022. [DOI: 10.1016/j.respe.2022.06.163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022] Open
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Djibril Sow K, Ndiaye M, Kane M, Sawadogo B, Laurent M, Diallo F, Otshudiandjeka J, Yanogo P, Meda N. 48 - Profil épidémiologique de la tuberculose, Sénégal, 2009-2018. Rev Epidemiol Sante Publique 2022. [DOI: 10.1016/j.respe.2022.06.093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022] Open
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Faye P, Gueye M, Thiam O, Niasse A, Ndong A, Ndiaye M, Seye Y, Sarr I, Seck M, Toure A, Cisse M. Infected urachal cyst in an adult, report of two observations. Int J Surg Case Rep 2022; 97:107394. [PMID: 35834928 PMCID: PMC9403061 DOI: 10.1016/j.ijscr.2022.107394] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [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: 11/21/2021] [Revised: 07/03/2022] [Accepted: 07/05/2022] [Indexed: 02/07/2023] Open
Abstract
INTRODUCTION Urachus is an embryonic remnant that usually involutes before birth. Abnormal persistence of this structure gives embryologic malformation like an urachal cyst. Infection or malignancy degeneration can complicated it. CASE PRESENTATION Case 1: We report 20 years old female patient consulted with acute abdominal pain. Clinical examination showed fever and infra-umbilical tender mass. The abdominal Computerized Tomography showed pelvic mass between umbilicus and bladder. The open laparotomy found infra-abdominal semi-solid mass. A complete resection was done and histological exam confirmed infected urachal cyst. Case 2: A 19 years old male patient presented with abdominal pain and fever. Physical examination found tenderness in lower abdomen. Biology revealed leukocytosis, and Ultrasonography found a heterogeneous infra-umbilical mass. Surgical exploration by mini-laparotomy found an abscess urachal cyst that is confirm by histological exam after complete resection. CLINICAL DISCUSSION Urachal cyst in adult patient is rare. Clinical symptoms without complications are insignificant. Because of malignancy risk, adult urachal cyst are managed by surgery. CONCLUSION Infection cyst is the most common complication of urachal cyst. Complete resection is recommended because of malignancy degeneration risk.
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Affiliation(s)
- P.M. Faye
- General Surgery department of Dalal Jamm Hospital, Dakar, Senegal,Corresponding author at: General Surgery department, Dalal Jamm Hospital, Dakar, Senegal.
| | - M.L. Gueye
- General Surgery department of Aristide Le Dantec Hospital, Dakar, Senegal
| | - O. Thiam
- General Surgery department of Dalal Jamm Hospital, Dakar, Senegal
| | - A. Niasse
- Surgery department of Matlaboul Fawzeyni Hospital, Touba, Senegal
| | - A. Ndong
- General Surgery, Gaston Berger University, Saint-Louis, Senegal
| | - M. Ndiaye
- General Surgery department of Aristide Le Dantec Hospital, Dakar, Senegal
| | - Y. Seye
- General Surgery department of Aristide Le Dantec Hospital, Dakar, Senegal
| | - I.S.S. Sarr
- General Surgery department of Aristide Le Dantec Hospital, Dakar, Senegal
| | - M. Seck
- General Surgery department of Aristide Le Dantec Hospital, Dakar, Senegal
| | - A.O. Toure
- General Surgery department of Aristide Le Dantec Hospital, Dakar, Senegal
| | - M. Cisse
- General Surgery department of Dalal Jamm Hospital, Dakar, Senegal
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Pages N, Bounabi A, Boussaha I, Ndiaye M, Portefaix A, Simeon G, Guy C, Stagnara J, Paret N, Vial T, Eftekhari P, Floret D, Gajdos V, Langhendries JP, Bleyzac N, Alberti C, Jacqz-Aigrain E, Nguyen KA, Kassai B. Agreement between a regional pharmacovigilance centre and an adjudication committee regarding adverse drug reactions on a cohort of hospitalised children. Therapie 2022; 77:397-404. [DOI: 10.1016/j.therap.2021.12.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Revised: 12/05/2021] [Accepted: 12/16/2021] [Indexed: 11/16/2022]
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Bertholet-Thomas A, Portefaix A, Flammier S, Dhelens C, Subtil F, Dubourg L, Laudy V, Le Bouar M, Boussaha I, Ndiaye M, Molin A, Lemoine S, Bacchetta J. Fluconazole in hypercalciuric patients with increased 1,25(OH) 2D levels: the prospective, randomized, placebo-controlled, double-blind FLUCOLITH trial. Trials 2022; 23:499. [PMID: 35710560 PMCID: PMC9204961 DOI: 10.1186/s13063-022-06302-z] [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: 10/21/2021] [Accepted: 04/13/2022] [Indexed: 11/23/2022] Open
Abstract
Background Hypercalciuria is one of the most frequent metabolic disorders associated with nephrolithiasis and/or nephrocalcinosis possibly leading to chronic kidney disease (CKD) and bone complications in adults. Orphan diseases with different underlying primary pathophysiology share inappropriately increased 1,25(OH)2D levels and hypercalciuria, e.g., hypersensitivity to vitamin D and renal phosphate wasting. Their management is challenging, typically based on hyperhydration and dietary advice. The antifungal azoles are known to inhibit the 1α-hydroxylase and therefore decrease 1,25(OH)2D levels; they are commonly used, with well described pharmacokinetic and tolerability data. Fluconazole has been successfully reported to reduce calciuria in patients with CYP24A1 or SLC34A3 mutations, with no safety warnings. Thus, based on these case reports, we hypothesize that fluconazole is effective to decrease and normalize calciuria in patients with hypercalciuria and increased 1,25(OH)2D levels. Methods The FLUCOLITH trial is a prospective, interventional, randomized in parallel groups (1:1), placebo-controlled, double-blind trial. A total of 60 patients (10–60 years) with nephrolithiasis and/or nephrocalcinosis history, hypercalciuria (> 0.1 mmol/kg/day), increased 1,25(OH)2D levels (> 150 pmol/L), and 25-OH-D levels >20 nmol/L will be included. Inclusions will be performed only from mid-September to the beginning of February to avoid bias due to sunlight-induced vitamin D synthesis. The primary endpoint will be the proportion of patients with normalization of 24-h calciuria between baseline and 16 weeks, or with a relative decrease of at least 30% of 24-h calciuria in patients who still display at W16 a 24-h hypercalciuria. Discussion The current challenge is to propose an efficient treatment to patients with hypercalciuria and increased 1,25(OH)2D levels in order to prevent later complications and notably CKD that can ultimately lead to end-stage renal disease. Based on improvement of knowledge in phosphate/calcium metabolism, pathophysiology and genetics, the “off-label” use of fluconazole was recently reported to be useful in hypercalciuric patients with increased 1,25(OH)2D levels. Thus, the FLUCOLITH study is a unique opportunity to develop a new indication of a well-known and not expensive drug in orphan renal diseases, the ultimate objective being the secondary prevention of CKD worsening in these patients. Trial registration ClinicalTrials.gov NCT04495608. Registered on July 23, 2020. Supplementary Information The online version contains supplementary material available at 10.1186/s13063-022-06302-z.
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Affiliation(s)
- Aurélia Bertholet-Thomas
- Centre de Référence des Maladies Rénales Rares, filières maladies rares ORKID and ERK-Net, Service de Néphrologie, Rhumatologie et Dermatologie Pédiatriques, Hôpital Femme Mère Enfant, Boulevard Pinel, 69677, Bron, Cedex, France.,Centre de Référence des Maladies Rares du Calcium et du Phosphate, filière maladies rares OSCAR, Hôpital Femme Mère Enfant, Bron, France.,INSERM 1033, Prévention des Maladies Osseuses, Lyon, France
| | - Aurélie Portefaix
- Centre d'Investigation Clinique, Hôpital Cardiovasculaire Louis Pradel, Inserm 1407, 69500, Bron, France
| | - Sacha Flammier
- Centre de Référence des Maladies Rénales Rares, filières maladies rares ORKID and ERK-Net, Service de Néphrologie, Rhumatologie et Dermatologie Pédiatriques, Hôpital Femme Mère Enfant, Boulevard Pinel, 69677, Bron, Cedex, France.,Centre de Référence des Maladies Rares du Calcium et du Phosphate, filière maladies rares OSCAR, Hôpital Femme Mère Enfant, Bron, France
| | - Carole Dhelens
- Pharmacie, FRIPHARM, Hôpital Edouard Herriot, Lyon, France
| | - Fabien Subtil
- Service de Biostatistique, Hospices Civils de Lyon, Lyon, France.,Université de Lyon, Université Lyon 1, CNRS, Laboratoire de Biométrie et Biologie Évolutive UMR 5558, Villeurbanne, France
| | - Laurence Dubourg
- Néphrologie, Dialyse, Hypertension Artérielle et Exploration Fonctionnelle Rénale, Hôpital Edouard Herriot, Lyon, France.,Faculté de Médecine Lyon Est, Université Lyon 1, Lyon, France
| | - Valérie Laudy
- Centre d'Investigation Clinique, Hôpital Cardiovasculaire Louis Pradel, Inserm 1407, 69500, Bron, France
| | - Myrtille Le Bouar
- Centre d'Investigation Clinique, Hôpital Cardiovasculaire Louis Pradel, Inserm 1407, 69500, Bron, France
| | - Inesse Boussaha
- Centre d'Investigation Clinique, Hôpital Cardiovasculaire Louis Pradel, Inserm 1407, 69500, Bron, France
| | - Marietou Ndiaye
- Centre d'Investigation Clinique, Hôpital Cardiovasculaire Louis Pradel, Inserm 1407, 69500, Bron, France
| | - Arnaud Molin
- Service de Génétique, CHU de Caen, Caen, France.,Centre de Référence des Maladies Rares du Calcium et du Phosphate, filière maladies rares OSCAR Caen, Caen, France
| | - Sandrine Lemoine
- Centre de Référence des Maladies Rénales Rares, filières maladies rares ORKID and ERK-Net, Service de Néphrologie, Rhumatologie et Dermatologie Pédiatriques, Hôpital Femme Mère Enfant, Boulevard Pinel, 69677, Bron, Cedex, France.,Centre de Référence des Maladies Rares du Calcium et du Phosphate, filière maladies rares OSCAR, Hôpital Femme Mère Enfant, Bron, France.,Néphrologie, Dialyse, Hypertension Artérielle et Exploration Fonctionnelle Rénale, Hôpital Edouard Herriot, Lyon, France.,Faculté de Médecine Lyon Est, Université Lyon 1, Lyon, France
| | - Justine Bacchetta
- Centre de Référence des Maladies Rénales Rares, filières maladies rares ORKID and ERK-Net, Service de Néphrologie, Rhumatologie et Dermatologie Pédiatriques, Hôpital Femme Mère Enfant, Boulevard Pinel, 69677, Bron, Cedex, France. .,Centre de Référence des Maladies Rares du Calcium et du Phosphate, filière maladies rares OSCAR, Hôpital Femme Mère Enfant, Bron, France. .,INSERM 1033, Prévention des Maladies Osseuses, Lyon, France. .,Faculté de Médecine Lyon Est, Université Lyon 1, Lyon, France.
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Diédhiou BB, Ba E, Ndiaye M, Diatta A, Manga MA, Diabaté M, Ndiaye M. [Teleworking and its repercussions in the Senegalese context during the covid-19 pandemic]. Mali Med 2022; 37:39-43. [PMID: 38506216] [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] [Subscribe] [Scholar Register] [Indexed: 03/21/2024]
Abstract
PURPOSE To describe the repercussions of teleworking among the employees of an humanitarian agency based in Dakar, in the context of the Covid-19 pandemic. MATERIAL AND METHODS We carried out a transversal, descriptive study, from june 10 to 13, 2021. An anonymous online questionnaire, created via Google Survey platform, was sent to the various employees of this agency. RESULTS Married people were more numerous (76%). The average age was 45.7 yearsold. The employees lived in families of an average of six peoples. The most enumerated advantages of teleworking were the economic gains linked to the absence of travel (88%), the improvement of work / family balance (84%), the increase in efficiency (64%) and feeling of freedom felt (56%). On the other hand, the increase in working time (96%), low back pain (72%), the family environment often not very favorable to teleworking (52%) and the decrease in social ties between colleagues (60%) were the main limitations of teleworking. CONCLUSION It has many advantages and also has limitations. These could be minimized by better organization and psychological support for the staff.
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Affiliation(s)
- B B Diédhiou
- Service de médecine du travail et de médecine légale, FMPO-UCAD, Sénégal
| | - Ehm Ba
- Service de Psychiatrie, FMPO-UCAD, Sénégal
| | - M Ndiaye
- Service de psychiatrie,HMO, ISED, Santé Publique, Dakar, Sénégal
| | - Aer Diatta
- Service de médecine du travail et de médecine légale, FMPO-UCAD, Sénégal
| | - M A Manga
- Hôpital Régional de la Paix de Ziguinchor, Sénégal
| | - M Diabaté
- Université de Lyon, Claude Bernard Lyon, France
| | - Mor Ndiaye
- Service de médecine du travail et de médecine légale, FMPO-UCAD, Sénégal
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Diao ML, Diatta A, Mbodj M, Diédhiou M, Ndoye AY, Tendeng JN, Ndong A, Manyacka Ma-Nyemb P, Konaté I, Ndiaye M. [Hospital Management of Work-related injuries in informal sector: case of artisanal fishing in Saint-Louis (Senegal)]. Mali Med 2022; 37:8-11. [PMID: 38196253] [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] [Subscribe] [Scholar Register] [Indexed: 01/11/2024]
Abstract
OBJECTIVES to determine the mechanisms, lesions and hospital management of work-related accidentduringtraditional fishing,an activity subject to vital occupational risks. MATERIALS AND METHODS Descriptive retrospective study on occupational injury files in artisanal fishing professions, registered at the Saint-Louis Regional Hospital (Senegal), from January 2014 to December 2019. All complete records of trauma during any activity related to artisanal fishingwereincluded. Data on accident mechanisms, injuries observed, and hospital management were collected. RESULTS 47 male workers were on average 28.4 years old. Direct shock from a pirogue was most frequent (68.10%), followed by sharp or blunt objects (16.27%). The lesions were characterized by bone fractures in 63.83% of cases (n=30); chest-abdominal-pelvic and limb contusions and wounds represented 12.67% and 21.27% of cases, respectively. Medical management was done in 21 cases (44.7%). Surgery was dominated by intramedullary nailing in 15 cases (31.9%). Two laparotomies were performed with intestinal sutures. A chest contusion death was reported. CONCLUSION Traumatic occupational risks in traditional fishing are life threatening. A better understanding of these risks and their consequencesmakes it possible to ensure good prevention.
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Affiliation(s)
- M L Diao
- Service de Médecine du Travail, Faculté de Médecine, de Pharmacie et d'Odontostomatologie de l'université Cheikh Anta Diop de Dakar, Sénégal
- Département de Chirurgie et Spécialités chirurgicales, UFR 2S, Université Gaston Berger de Saint-Louis, Sénégal
| | - Aer Diatta
- Service de Médecine du Travail, Faculté de Médecine, de Pharmacie et d'Odontostomatologie de l'université Cheikh Anta Diop de Dakar, Sénégal
| | - M Mbodj
- Département de Chirurgie et Spécialités chirurgicales, UFR 2S, Université Gaston Berger de Saint-Louis, Sénégal
| | - M Diédhiou
- Département de Chirurgie et Spécialités chirurgicales, UFR 2S, Université Gaston Berger de Saint-Louis, Sénégal
| | - A Y Ndoye
- Département de Chirurgie et Spécialités chirurgicales, UFR 2S, Université Gaston Berger de Saint-Louis, Sénégal
| | - J N Tendeng
- Département de Chirurgie et Spécialités chirurgicales, UFR 2S, Université Gaston Berger de Saint-Louis, Sénégal
| | - A Ndong
- Département de Chirurgie et Spécialités chirurgicales, UFR 2S, Université Gaston Berger de Saint-Louis, Sénégal
| | - P Manyacka Ma-Nyemb
- Département de Chirurgie et Spécialités chirurgicales, UFR 2S, Université Gaston Berger de Saint-Louis, Sénégal
| | - I Konaté
- Département de Chirurgie et Spécialités chirurgicales, UFR 2S, Université Gaston Berger de Saint-Louis, Sénégal
| | - M Ndiaye
- Service de Médecine du Travail, Faculté de Médecine, de Pharmacie et d'Odontostomatologie de l'université Cheikh Anta Diop de Dakar, Sénégal
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Diédhiou BB, Diatta A, Mbodj PM, Ndiaye M. [Work accidents declared at the level of the Social Security Fund (SSF) of Richard-Toll in Senegal]. Mali Med 2022; 37:66-70. [PMID: 38514985] [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] [Subscribe] [Scholar Register] [Indexed: 03/23/2024]
Abstract
INTRODUCTION The Richard-Toll social security fund agency ranks second in terms of declaration of work accidents (WA) in Senegal. In view of this and in the absence of a study that is interested in this subject, we initiated this work, the aim of which was to study these WA declared in the said agency. METHODOLOGY This was a retrospective and descriptive study carried out from January 1, 2018 to December 31, 2020. The parameters studied were the socio-professional information of the victims and the characteristics of the accidents. RESULTS A total of 1,071 workplace accidents were recorded. The average age of the victims was 37.1 years old. Agricultural workers and laborers were more concerned (95.5%). Site accidents accounted for 95% of cases. Lesions were mainly wounds (83.3%) and were benign in 98.2% of cases. The machete was incriminated in 48.5% of cases. Accidents occurred while cutting sugar cane in 81% of cases. The Senegalese sugar company was the main reporter (99%) and 84.4% of accidents were recorded periodically from December to May. CONCLUSION Work accidents are a reality in the Senegalese sugar company. Studies are urgently needed to better understand this issue. The purpose was to strengthen pre-existing prevention programs.
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Affiliation(s)
- B B Diédhiou
- Service de Médecine du Travail et de Médecine Légale, FMPO/UCAD
| | - Aer Diatta
- Service de Médecine du Travail et de Médecine Légale, FMPO/UCAD
| | - P M Mbodj
- Service de Médecine du Travail et de Médecine Légale, FMPO/UCAD
| | - M Ndiaye
- Service de Médecine du Travail et de Médecine Légale, FMPO/UCAD
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Duloquin G, Graber M, Baptiste L, Mohr S, Garnier L, Ndiaye M, Thomas Q, Hervieu-Bègue M, Osseby GV, Giroud M, Béjot Y. [Acute management of spontaneous intracerebral hemorrhage]. Rev Med Interne 2021; 43:293-300. [PMID: 34953622 DOI: 10.1016/j.revmed.2021.11.004] [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: 10/28/2021] [Accepted: 11/14/2021] [Indexed: 11/16/2022]
Abstract
Intracerebral hemorrhage accounts for approximately 15% of the 115,000 strokes occurring each year in France. Although therapeutic strategies are more limited than for ischemic stroke, major points in the management of intracerebral hemorrhage can reduce short term morbidity and mortality by limiting the expansion of the hematoma and the occurrence of early complications, and long term patients' outcome by reducing the risk of recurrence. This article aims to update the key elements that contribute to improve of the prognosis of intracerebral hemorrhage patients.
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Affiliation(s)
- G Duloquin
- Service hospitalo-universitaire de neurologie, CHU Dijon Bourgogne, Registre Dijonnais des AVC, EA7460, université de Bourgogne, UBFC, Dijon, France
| | - M Graber
- Service hospitalo-universitaire de neurologie, CHU Dijon Bourgogne, Registre Dijonnais des AVC, EA7460, université de Bourgogne, UBFC, Dijon, France
| | - L Baptiste
- Service hospitalo-universitaire de neurologie, CHU Dijon Bourgogne, Registre Dijonnais des AVC, EA7460, université de Bourgogne, UBFC, Dijon, France
| | - S Mohr
- Service hospitalo-universitaire de neurologie, CHU Dijon Bourgogne, Registre Dijonnais des AVC, EA7460, université de Bourgogne, UBFC, Dijon, France
| | - L Garnier
- Service hospitalo-universitaire de neurologie, CHU Dijon Bourgogne, Registre Dijonnais des AVC, EA7460, université de Bourgogne, UBFC, Dijon, France
| | - M Ndiaye
- Service hospitalo-universitaire de neurologie, CHU Dijon Bourgogne, Registre Dijonnais des AVC, EA7460, université de Bourgogne, UBFC, Dijon, France
| | - Q Thomas
- Service hospitalo-universitaire de neurologie, CHU Dijon Bourgogne, Registre Dijonnais des AVC, EA7460, université de Bourgogne, UBFC, Dijon, France
| | - M Hervieu-Bègue
- Service hospitalo-universitaire de neurologie, CHU Dijon Bourgogne, Registre Dijonnais des AVC, EA7460, université de Bourgogne, UBFC, Dijon, France
| | - G-V Osseby
- Service hospitalo-universitaire de neurologie, CHU Dijon Bourgogne, Registre Dijonnais des AVC, EA7460, université de Bourgogne, UBFC, Dijon, France
| | - M Giroud
- Service hospitalo-universitaire de neurologie, CHU Dijon Bourgogne, Registre Dijonnais des AVC, EA7460, université de Bourgogne, UBFC, Dijon, France
| | - Y Béjot
- Service hospitalo-universitaire de neurologie, CHU Dijon Bourgogne, Registre Dijonnais des AVC, EA7460, université de Bourgogne, UBFC, Dijon, France.
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Diatta A, Hedible K, Gaye Fall M, Ndiaye M. Portage digestif des salmonelles dans la filière porcine informelle. ARCH MAL PROF ENVIRO 2021. [DOI: 10.1016/j.admp.2021.04.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Duloquin G, Graber M, Baptiste L, Mohr S, Garnier L, Ndiaye M, Blanc-Labarre C, Hervieu-Bègue M, Osseby GV, Giroud M, Béjot Y. [Management of ischemic stroke in the acute phase]. Rev Med Interne 2021; 43:286-292. [PMID: 34481684 DOI: 10.1016/j.revmed.2021.08.003] [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: 06/30/2021] [Accepted: 08/01/2021] [Indexed: 12/24/2022]
Abstract
Ischemic stroke accounts for 80% of overall stroke, and is one of the leading causes of death, disability and dementia in worldwide. Management of patients with acute ischemic stroke dramatically improved over time with the implementation of intensive care stroke units, the development of acute recanalization strategies, the optimization of the management of post-stroke complications, and the prevention of early stroke recurrence. The objective of this article is to provide a general overview of the current management of patients with acute ischemic stroke aiming at improving post-stroke outcome.
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Affiliation(s)
- G Duloquin
- EA7460, UBFC, registre dijonnais des AVC, service hospitalo-universitaire de neurologie, CHU de Dijon-Bourgogne, université de Bourgogne, Dijon, France
| | - M Graber
- EA7460, UBFC, registre dijonnais des AVC, service hospitalo-universitaire de neurologie, CHU de Dijon-Bourgogne, université de Bourgogne, Dijon, France
| | - L Baptiste
- EA7460, UBFC, registre dijonnais des AVC, service hospitalo-universitaire de neurologie, CHU de Dijon-Bourgogne, université de Bourgogne, Dijon, France
| | - S Mohr
- EA7460, UBFC, registre dijonnais des AVC, service hospitalo-universitaire de neurologie, CHU de Dijon-Bourgogne, université de Bourgogne, Dijon, France
| | - L Garnier
- EA7460, UBFC, registre dijonnais des AVC, service hospitalo-universitaire de neurologie, CHU de Dijon-Bourgogne, université de Bourgogne, Dijon, France
| | - M Ndiaye
- EA7460, UBFC, registre dijonnais des AVC, service hospitalo-universitaire de neurologie, CHU de Dijon-Bourgogne, université de Bourgogne, Dijon, France
| | - C Blanc-Labarre
- EA7460, UBFC, registre dijonnais des AVC, service hospitalo-universitaire de neurologie, CHU de Dijon-Bourgogne, université de Bourgogne, Dijon, France
| | - M Hervieu-Bègue
- EA7460, UBFC, registre dijonnais des AVC, service hospitalo-universitaire de neurologie, CHU de Dijon-Bourgogne, université de Bourgogne, Dijon, France
| | - G-V Osseby
- EA7460, UBFC, registre dijonnais des AVC, service hospitalo-universitaire de neurologie, CHU de Dijon-Bourgogne, université de Bourgogne, Dijon, France
| | - M Giroud
- EA7460, UBFC, registre dijonnais des AVC, service hospitalo-universitaire de neurologie, CHU de Dijon-Bourgogne, université de Bourgogne, Dijon, France
| | - Y Béjot
- EA7460, UBFC, registre dijonnais des AVC, service hospitalo-universitaire de neurologie, CHU de Dijon-Bourgogne, université de Bourgogne, Dijon, France.
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Diop M, Fall N, Ndiaye M, Youbong T, Mbaye N, Diatta M, Ba P, Deguenonvo L, Niang A, Seydi M. Étude des facteurs associés aux décès chez les patients atteints de tuberculose suivis dans deux centres de prise en charge. Infect Dis Now 2021. [DOI: 10.1016/j.idnow.2021.06.185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Thomas Q, Crespy V, Duloquin G, Ndiaye M, Sauvant M, Béjot Y, Giroud M. Stroke in women: When gender matters. Rev Neurol (Paris) 2021; 177:881-889. [PMID: 34172293 DOI: 10.1016/j.neurol.2021.01.012] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [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: 10/05/2020] [Revised: 12/22/2020] [Accepted: 01/11/2021] [Indexed: 12/12/2022]
Abstract
Stroke in women may be considered as a distinct entity due to numerous differences compared with men, including specific epidemiological, etiological, and outcome features along with unique pathophysiological mechanisms. Stroke is the second cause of death in women worldwide with sex-specific causes of stroke in youger women such as pregnancy, post-partum period, oral contraception and migraine. Substitutive hormone treatment in older women is no more recommended in regard of the increased thromboembolic risk it generates. Venous thrombolysis with rtPA and mechanical thrombectomy are now proven to be as efficacious in women as in men. After a stroke, women present poorer quality of life than men attributable to age, more severe stroke, pre-stroke dependency and depression. Recent data concerning the latest epidemiological surveys reveal a shift in trends with the rise of incidence of strokes in young women (≤55 years and 64 years) contrasting with the stability of incidence rates in older women. As science is unvealing sex-related differences in cardiovascular disorders, health policies need to be adapted accordingly to improve stroke prevention and pre-stroke health in women. In the meantime, therapeutical trials should include more women in order to be able to formulate adequate management.
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Affiliation(s)
- Q Thomas
- Department of General, Vascular and Degenerative Neurology, CHU Dijon, Bourgogne, France.
| | - V Crespy
- Dijon Stroke Registry (Inserm-Santé Publique France)-EA7460 (Pathophysiology and Epidemiology of Cerebro-Cardio-Vascular Diseases), University of Burgundy, UBFC, Dijon, France
| | - G Duloquin
- Department of General, Vascular and Degenerative Neurology, CHU Dijon, Bourgogne, France; Dijon Stroke Registry (Inserm-Santé Publique France)-EA7460 (Pathophysiology and Epidemiology of Cerebro-Cardio-Vascular Diseases), University of Burgundy, UBFC, Dijon, France
| | - M Ndiaye
- Department of General, Vascular and Degenerative Neurology, CHU Dijon, Bourgogne, France
| | - M Sauvant
- Department of General, Vascular and Degenerative Neurology, CHU Dijon, Bourgogne, France
| | - Y Béjot
- Department of General, Vascular and Degenerative Neurology, CHU Dijon, Bourgogne, France; Dijon Stroke Registry (Inserm-Santé Publique France)-EA7460 (Pathophysiology and Epidemiology of Cerebro-Cardio-Vascular Diseases), University of Burgundy, UBFC, Dijon, France
| | - M Giroud
- Department of General, Vascular and Degenerative Neurology, CHU Dijon, Bourgogne, France; Dijon Stroke Registry (Inserm-Santé Publique France)-EA7460 (Pathophysiology and Epidemiology of Cerebro-Cardio-Vascular Diseases), University of Burgundy, UBFC, Dijon, France
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Sy O, Sarr PC, Assogba BS, Ndiaye M, Dia AK, Ndiaye A, Nourdine MA, Guèye OK, Konaté L, Gaye O, Faye O, Niang EA. Detection of kdr and ace-1 mutations in wild populations of Anopheles arabiensis and An. melas in a residual malaria transmission area of Senegal. Pestic Biochem Physiol 2021; 173:104783. [PMID: 33771262 DOI: 10.1016/j.pestbp.2021.104783] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/11/2020] [Revised: 01/06/2021] [Accepted: 01/11/2021] [Indexed: 06/12/2023]
Abstract
In the central western Senegal, malaria transmission has been reduced low due to the combination of several effective control interventions. However, despite this encouraging achievement, residual malaria transmission still occurring in few areas, mainly ensured by An. arabiensis and An. melas. The resurgence or the persistence of the disease may have originated from the increase and the spread of insecticide resistance genes among natural malaria vectors populations. Therefore, assessing the status and mechanisms of insecticides resistance among targeted malaria vectors is of highest importance to better characterize factors underlying the residual transmission where it occurs. Malaria vectors were collected from three selected villages using nocturnal human landing catches (HLC) and pyrethrum spray collections (PSC) methods. An. gambiae s.l. specimens were identified at the species level then genotyped for the presence of kdr-west (L1014F), kdr-east (L1014S) and ace-1R mutations by qPCR. An. arabiensis (69.36%) and An. melas (27.99%) were the most common species of the Gambiae complex in the study area. Among An. arabiensis population, the allelic frequency of the kdr-east (22.66%) was relatively higher than for kdr-west mutation (9.96%). While for An. melas populations, the overall frequencies of both mutations were very low, being respectively 1.12% and 0.40% for the L1014S and L1014F mutations. With a global frequency of 2%, only the heterozygous form of the G119S mutation was found only in An. arabiensis and in all the study sites. The widespread occurrence of the kdr mutation in both An. arabiensis and An. melas natural populations, respectively the main and focal vectors in the central-western Senegal, may have contributed to maintaining malaria transmission in the area. Thus, compromising the effectiveness of pyrethroids-based vector control measures and the National Elimination Goal. Therefore, monitoring and managing properly insecticide resistance became a key programmatic intervention to achieve the elimination goal where feasible, as aimed by Senegal. Noteworthy, this is the first report of the ace-1 mutation in natural populations of An. arabiensis from Senegal, which need to be closely monitored to preserve one of the essential insecticide classes used in IRS to control the pyrethroids-resistant populations.
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Affiliation(s)
- O Sy
- Laboratoire d'Ecologie Vectorielle et Parasitaire, Faculté des Sciences et Techniques, Université Cheikh Anta Diop, Dakar, Sénégal.
| | - P C Sarr
- Laboratoire d'Ecologie Vectorielle et Parasitaire, Faculté des Sciences et Techniques, Université Cheikh Anta Diop, Dakar, Sénégal
| | - B S Assogba
- Medical Research Council Unit, The Gambia at the London School of Hygiene and Tropical Medicine, Banjul, the Gambia
| | - M Ndiaye
- Laboratoire de Parasitologie médicale, Faculté de Médecine, Pharmacie et d'Odonto-stomatologie, Université Cheikh Anta Diop, Dakar, Sénégal
| | - A K Dia
- Laboratoire d'Ecologie Vectorielle et Parasitaire, Faculté des Sciences et Techniques, Université Cheikh Anta Diop, Dakar, Sénégal
| | - A Ndiaye
- Laboratoire d'Ecologie Vectorielle et Parasitaire, Faculté des Sciences et Techniques, Université Cheikh Anta Diop, Dakar, Sénégal
| | - M A Nourdine
- Laboratoire d'Ecologie Vectorielle et Parasitaire, Faculté des Sciences et Techniques, Université Cheikh Anta Diop, Dakar, Sénégal
| | - O K Guèye
- Laboratoire d'Ecologie Vectorielle et Parasitaire, Faculté des Sciences et Techniques, Université Cheikh Anta Diop, Dakar, Sénégal
| | - L Konaté
- Laboratoire d'Ecologie Vectorielle et Parasitaire, Faculté des Sciences et Techniques, Université Cheikh Anta Diop, Dakar, Sénégal
| | - O Gaye
- Laboratoire de Parasitologie médicale, Faculté de Médecine, Pharmacie et d'Odonto-stomatologie, Université Cheikh Anta Diop, Dakar, Sénégal
| | - O Faye
- Laboratoire d'Ecologie Vectorielle et Parasitaire, Faculté des Sciences et Techniques, Université Cheikh Anta Diop, Dakar, Sénégal
| | - E A Niang
- Laboratoire d'Ecologie Vectorielle et Parasitaire, Faculté des Sciences et Techniques, Université Cheikh Anta Diop, Dakar, Sénégal
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Diop K, Diop A, Ka, Diadie S, Diatta B, Ndiaye M, Ndiaye C, Deh A, Ndour N, Seck B, Sarr M, Ndiaye M, Diallo M, Ly F, Niang S. Une observation de maladie de Bowen anale sur peau noire. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.10.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Seck B, Diallo M, Bouidida B, Diatta B, Ndiaye M, Diop A, Ndiaye M, Diadie S, Seck N, Ly F, Niang S, Kane A, Dieng M. Pseudo-folliculite de la barbe : aspects épidémiologiques, cliniques et facteurs de risque au Sénégal. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Pilor N, Ndiaye M, Diouf M, Faye A, Tall A, Ndiaye C, Deguenonvo R, Diom E, Ndiaye I, Diouf R. A rare cause of bilateral exophthalmos: about one case with a sphenoid mucocele. RHINOL 2020. [DOI: 10.4193/rhinol/20.062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Background: Mucocele is a benign cystic pseudo-tumor that develops within the sinus cavities. The most frequent locations are frontal and frontoethmoidal. The sphenoidal forms are rare. We report a case of sphenoidal mucocele revealed by bilateral exophthalmos. Methods and results: We report the case of a 14 year old male patient, without any particular pathological history, referred by his ophthalmologist for bilateral nasal obstruction, bilateral exophthalmos and visual acuity decrease evolving since one year. The ENT examination found a large, renitrant mass, filling the entire right nasal cavity. This mass pushed the nasal septum to the left. The CT scan showed a large sphenoidal, hypodense mass evoking a mucocele. The patient underwent endonasal marsupialization by endoscopic guidance. Conclusions: Sphenoidal mucocele is a rare cause of bilateral exophthalmos. The diagnosis can be misplaced when the signs are overt extra-sinus. Hence the interest of CT in order to eliminate other differential dignostics.
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Diongue K, Samb D, Seck M, Diallo M, Ndiaye M, Faye M, Badiane A, Ranque S, Ndiaye D. Use of MALDI-TOF MS for fungal species distribution of interdigital intertrigo in seafarers, Dakar, Senegal. J Mycol Med 2020; 30:100974. [DOI: 10.1016/j.mycmed.2020.100974] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2019] [Revised: 03/06/2020] [Accepted: 04/14/2020] [Indexed: 10/24/2022]
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Ndiaye M, Toffa D, Sow AD, Sène MS, Basse AM, Fall AL, Seck LB, Touré K, Diop AG, Sow HD, Ndiaye MM. Erratum to “Convulsions néonatales révélant une hypomagnésémie congénitale familiale” [Arch. Pediatr. 20 (2013) 1212]. Arch Pediatr 2020; 27:350. [DOI: 10.1016/j.arcped.2020.06.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Ndiaye M, Diatta A. La maladie à coronavirus COVID-19 en Afrique subsaharienne : la place de la santé au travail. ARCH MAL PROF ENVIRO 2020. [PMCID: PMC7176382 DOI: 10.1016/j.admp.2020.03.829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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23
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Diouf MS, Tall A, Ndiaye C, Thiam A, Deguenonvo R, Ndiaye M. Complications of sinusitis: An 80-case series from the ENT and neurosurgery departments of the Fann university hospital center of Dakar, Senegal. Eur Ann Otorhinolaryngol Head Neck Dis 2020; 137:473-476. [PMID: 32280049 DOI: 10.1016/j.anorl.2020.03.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
INTRODUCTION Locoregional complications of sinusitis are dominated by oculo-orbital and/or cranioencephalic manifestations that may be life-threatening or jeopardize functional prognosis. The aim of this study was to report epidemiological, diagnostic and therapeutic aspects. MATERIALS AND METHODS A retrospective study included inpatients managed for sinusitis complications in the ENT and neurosurgery departments of the Fann university hospital center in Dakar, Senegal between January 1, 2005 and December 31, 2016. RESULTS In all, 80 files were collected. Mean age was 18.5 years, with male predominance. Mean time to treatment was 18.2 days. Cranio-encephalic complications were the most frequent (54 cases; 67.5%): mainly subdural empyema (30 cases) and brain abscess (10 cases). Seventeen patients (21.25%) had oculo-orbital complications: mainly orbital cellulitis (52.9%) and preseptal cellulitis (29.4%). Nine patients (11.25%) had both cranioencephalic and oculo-orbital complications. Acute sinusitis (82.5%) was the main cause of complications. 52.5% of patients showed pansinus involvement. Medical treatment consisted in broad-spectrum antibiotic therapy combining third-generation cephalosporins, metronidazole and gentamycin in cranio-encephalic complications and clavulanic acid and metronidazole in oculo-orbital complications. Thirty-four patients (42.5%) underwent surgical sinus drainage. Neurosurgical drainage was performed in 35 cases (43.75%). Post-treatment course was marked by 6.25% mortality (5 cases) and 16.25% sequelae. CONCLUSION With 6.25% mortality and a high rate of functional sequelae, complications of sinusitis are a serious concern in our region. Improving prognosis requires earlier management and better coordination between health professionals.
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Affiliation(s)
- M S Diouf
- Université Cheikh Anta Diop, Dakar, Senegal.
| | - A Tall
- Université Cheikh Anta Diop, Dakar, Senegal
| | - C Ndiaye
- Université Cheikh Anta Diop, Dakar, Senegal
| | - A Thiam
- Hôpital Général de Grand Yoff, Dakar, Senegal
| | | | - M Ndiaye
- Université de Thies, Thies, Senegal
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Mansare ML, Kouda DA, Diallo IM, Bakhoum M, Mourabit S, Toure K, Ndiaye M, Diop AG, Ndiaye MM. What is the nutritional status of your patients suffering from strokes. Rev Neurol (Paris) 2020; 176:366-369. [PMID: 32204918 DOI: 10.1016/j.neurol.2019.09.009] [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: 03/20/2017] [Revised: 10/02/2018] [Accepted: 09/20/2019] [Indexed: 10/24/2022]
Abstract
Strokes can significantly affect the autonomy and the ability of the patient to feed properly. Malnutrition after strokes increases the length of stay in hospital, increases mortality and aggravates disability. Nutritional support is a therapeutic that can be useful in the management of strokes and during the rehabilitation period. It may help to reduce the occurrence of complications due to the physical dependence associated with this condition. The objective of our study was to evaluate, through a questionnaire, the opinion of prescribing doctors working in the Department of Neurology of The FANN National Teaching Hospital in Dakar. The interest of the question resides in the fact that the Center does not have a dedicated nutritionist for inpatients. This was an opinion poll about their concerns about the nutritional status of patients in the therapeutic projects they propose during the stroke. The type of the chosen opinion poll was elementary, type random. The questionnaire was individual and consisted of five items of single-response and multiple-choice questions. The results of this study reveal that while the nutritional status of patients with limited autonomy in the service was a concern in the intentions of the prescribers, in practice it was not taken into account in therapeutic projects. To date, no structured protocol is available in cases of proven nutritional deterioration in patients. Nutritional management must be integrated into the overall management of Neurology patients, particularly in elderly victims of strokes.
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Affiliation(s)
- M L Mansare
- Department of Neurology, Clinical of Neurosciences Ibrahima Pierre-Ndiaye, Fann University Teaching Hospital, Po BOX: 5035, 10700, Dakar, Senegal.
| | - D A Kouda
- Department of Neurology, Clinical of Neurosciences Ibrahima Pierre-Ndiaye, Fann University Teaching Hospital, Po BOX: 5035, 10700, Dakar, Senegal
| | - I M Diallo
- Department of Neurology, Clinical of Neurosciences Ibrahima Pierre-Ndiaye, Fann University Teaching Hospital, Po BOX: 5035, 10700, Dakar, Senegal
| | - M Bakhoum
- Department of Neurology, Clinical of Neurosciences Ibrahima Pierre-Ndiaye, Fann University Teaching Hospital, Po BOX: 5035, 10700, Dakar, Senegal
| | - S Mourabit
- Department of Neurology, Clinical of Neurosciences Ibrahima Pierre-Ndiaye, Fann University Teaching Hospital, Po BOX: 5035, 10700, Dakar, Senegal
| | - K Toure
- Department of Neurology, Clinical of Neurosciences Ibrahima Pierre-Ndiaye, Fann University Teaching Hospital, Po BOX: 5035, 10700, Dakar, Senegal
| | - M Ndiaye
- Department of Neurology, Clinical of Neurosciences Ibrahima Pierre-Ndiaye, Fann University Teaching Hospital, Po BOX: 5035, 10700, Dakar, Senegal
| | - A G Diop
- Department of Neurology, Clinical of Neurosciences Ibrahima Pierre-Ndiaye, Fann University Teaching Hospital, Po BOX: 5035, 10700, Dakar, Senegal
| | - M M Ndiaye
- Department of Neurology, Clinical of Neurosciences Ibrahima Pierre-Ndiaye, Fann University Teaching Hospital, Po BOX: 5035, 10700, Dakar, Senegal
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Deh A, Diatta BA, Diadie S, Gaye AM, Diop K, Ndiaye M, Diallo M, Niang OS. A pain in the rear. Med Sante Trop 2020:mst.2019.0916. [PMID: 32043467 DOI: 10.1684/mst.2019.0916] [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] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Tuberculosis is an endemic disease in Senegal. Cutaneous forms are rare and are characterized by their clinical polymorphism. They account for 2% of the extrapulmonary locations of tuberculosis [1, 2]. We report an observation of a tuberculous gumma of the buttock that led to the discovery of an active pulmonary localization in an immunocompetent adult. A 47-year-old man was admitted for a painful swelling of the right buttock that had been developing for four years. The physical examination noted an indurated, multinodular, and polyfistulized plaque, with confluent yellowish pus emission, on the inferomedial face of the right buttock, associated with bilateral inguinal lymphadenopathy. Cutaneous tuberculosis was found in the histology, which showed TB granuloma, and the gastric tube fluid was positive for acid-fast bacilli. Thoracoabdominopelvic CT showed multiple basal acinar micronodules in both lungs. Serology was negative for both HIV and HBV. All signs of tuberculosis disappeared after six months of treatment. In endemic zones, cutaneous tuberculosis is characterized by its clinical polymorphism. It must also be looked for in any perineal abscess. Early management greatly improves the prognosis.
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Affiliation(s)
- A Deh
- Hôpital Aristide Le Dantec, Dakar, Sénégal
| | - B A Diatta
- Hôpital Aristide Le Dantec, Dakar, Sénégal
| | - S Diadie
- Hôpital Aristide Le Dantec, Dakar, Sénégal
| | - A M Gaye
- Hôpital Aristide Le Dantec, Dakar, Sénégal
| | - K Diop
- Hôpital Aristide Le Dantec, Dakar, Sénégal
| | - M Ndiaye
- Hôpital Aristide Le Dantec, Dakar, Sénégal
| | - M Diallo
- Hôpital Aristide Le Dantec, Dakar, Sénégal
| | - O S Niang
- Hôpital Aristide Le Dantec, Dakar, Sénégal
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Sarr SA, Aw F, Ndiaye M, Mingou J, Bodian M, Dioum M, Ngaidé AA, Ndiaye MB, Kane A, Diao M, Ba SA. [Chronic Right Ventricular Failure Revealing a Large Compressive Hydatid Cyst at the Cardiology Department of the Aristide le Dantec Hospital (Dakar, Senegal)]. ACTA ACUST UNITED AC 2020; 112:202-205. [PMID: 32003192 DOI: 10.3166/bspe-2019-0090] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [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: 04/22/2019] [Accepted: 10/29/2019] [Indexed: 11/20/2022]
Abstract
Hydatidosis, an anthropozoonosis caused by the development of the Echinococcus granulosus larva in human, is a parasitic infection that is endemic in many countries. Pericardial localization in the absence of other cardiac involvement is extremely rare. Its spontaneous evolution is serious because of the risk of rupture. We report the case of a 65-year-old patient, who received limb edema that had been going on for 4 months, and in whom the physical examination noted a 3/6 tricuspid regurgitation and a right heart failure syndrome. Transthoracic echocardiography revealed an intra-pericardial mass whose contents appeared fluid with hyperechogenic area. It measured 86x61 mm and significantly compressed the straight cavities. Thoracic computed tomography showed an appearance in favor of an aged intrapericardic hydatid cyst (GHARBI V) with mass effect on the right cavities. The hydatid serology was negative. The patient did not accept the surgical cure. She had been put on albendazole and diuretic treatment. Fatal outcome was reported after two-month follow-up.
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Affiliation(s)
- S A Sarr
- Service de cardiologie du Centre hospitalier universitaire Aristide Le Dantec, Dakar, Sénégal
| | - F Aw
- Service de cardiologie du Centre hospitalier universitaire Aristide Le Dantec, Dakar, Sénégal
| | - M Ndiaye
- Service de cardiologie du Centre hospitalier universitaire Aristide Le Dantec, Dakar, Sénégal
| | - J Mingou
- Service de cardiologie du Centre hospitalier universitaire Aristide Le Dantec, Dakar, Sénégal
| | - M Bodian
- Service de cardiologie du Centre hospitalier universitaire Aristide Le Dantec, Dakar, Sénégal
| | - M Dioum
- Service de cardiologie du Centre hospitalier national de Fann, Dakar, Sénégal
| | - A Alassane Ngaidé
- Service de cardiologie du Centre hospitalier national de Grand Yoff, Dakar, Sénégal
| | - M Bamba Ndiaye
- Service de cardiologie du Centre hospitalier universitaire Aristide Le Dantec, Dakar, Sénégal
| | - A Kane
- Service de cardiologie du Centre hospitalier universitaire Aristide Le Dantec, Dakar, Sénégal
| | - M Diao
- Service de cardiologie du Centre hospitalier universitaire Aristide Le Dantec, Dakar, Sénégal
| | - S Abdou Ba
- Service de cardiologie du Centre hospitalier universitaire Aristide Le Dantec, Dakar, Sénégal
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Ndiath A, Ndiaye M, Sow O, Sarr A, Diaw EM, Sine B, Cyrille ZO, Dabo O, Ndoye AK, Ba M. [Upperurinary Tract Diversion With JJ Stent By Endoscopy : Indications, Results And Morbidity]. Mali Med 2020; 35:36-38. [PMID: 37978742] [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] [Subscribe] [Scholar Register] [Indexed: 11/19/2023]
Abstract
OBJECTIVE to report the indications and the results of the upper urinary tract by endoscopic route by a double J probe in our Center. PATIENTS AND METHODS This was a retrospective mono-centric descriptive study from January 1st 2018 to June 30th 2019 including all patients that had a JJ stent as a type of upperurinary tract diversion. RESULTS seventy four patients were included. The average age of patients was 43.6 ± 17.5 years. The sex-ratio was 0.6. The obstructive renal colic was the most common operative indication in 62.1% (46) of patients. The etiologies were dominated by urolithiasis with 39.1% (29) of patients. Anesthesia was general in 67.5% (50) and locoregional in 32.5% of patients (24). The procedure was performed without fluoroscopic control (blind) in 66.2% of cases(49), therewere 89.7% case of success (44 patients). The success rate was 86.5% (64) patients and the failure rate 13.5% (10) of patients. Five (6.7%) patients had a postoperative acute pyelonephritis complication requiringremoval of the JJ stent. CONCLUSION The rise of the double J probe made possible to prepare the ureter, thus facilitating the endoscopic treatment of urinary lithiasis. The complication rate observed in our patients was low. The compliance with the rules of asepsis could reduce these complications.
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Affiliation(s)
- A Ndiath
- Service d'Urologie du C.H.U. Aristide Le DANTEC - Tél : (221) 33 823 53 95, 30 Av. Pasteur - BP 3001 - (Sénégal)
| | - M Ndiaye
- Service d'Urologie du C.H.U. Aristide Le DANTEC - Tél : (221) 33 823 53 95, 30 Av. Pasteur - BP 3001 - (Sénégal)
| | - O Sow
- Service d'Urologie du C.H.U. Aristide Le DANTEC - Tél : (221) 33 823 53 95, 30 Av. Pasteur - BP 3001 - (Sénégal)
| | - A Sarr
- Service d'Urologie du C.H.U. Aristide Le DANTEC - Tél : (221) 33 823 53 95, 30 Av. Pasteur - BP 3001 - (Sénégal)
| | - E M Diaw
- Service d'Urologie du C.H.U. Aristide Le DANTEC - Tél : (221) 33 823 53 95, 30 Av. Pasteur - BP 3001 - (Sénégal)
| | - B Sine
- Service d'Urologie du C.H.U. Aristide Le DANTEC - Tél : (221) 33 823 53 95, 30 Av. Pasteur - BP 3001 - (Sénégal)
| | - Z O Cyrille
- Service d'Urologie du C.H.U. Aristide Le DANTEC - Tél : (221) 33 823 53 95, 30 Av. Pasteur - BP 3001 - (Sénégal)
| | - O Dabo
- Service d'Urologie du C.H.U. Aristide Le DANTEC - Tél : (221) 33 823 53 95, 30 Av. Pasteur - BP 3001 - (Sénégal)
| | - A Kh Ndoye
- Service d'Urologie du C.H.U. Aristide Le DANTEC - Tél : (221) 33 823 53 95, 30 Av. Pasteur - BP 3001 - (Sénégal)
| | - M Ba
- Service d'Urologie du C.H.U. Aristide Le DANTEC - Tél : (221) 33 823 53 95, 30 Av. Pasteur - BP 3001 - (Sénégal)
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Diop A, Chairat A, Ndiaye M, Seck B, Diop K, Djiadie S, Diatta B, Ndiaye M, Diallo M, Ly F, Dieng M, Kane A, Niang S. Profil épidémio-clinique et facteurs associés à la dermatite séborrhéique chez l’adulte à Dakar. Ann Dermatol Venereol 2019. [DOI: 10.1016/j.annder.2019.09.378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Ndiaye M, Sanou Diouf M, Ndiaye C, Sy A, Ndiaye M, Tall A, Siga Diom E, Cheikh Ndiaye I, Diouf R. Rhinoscleroma: report of 2 cases and literature review. RHINOL 2019. [DOI: 10.4193/rhinol/19.032] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
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30
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Magnerou A, Toffa D, Basse A, Sow A, Seck L, Ndiaye M. Sub-Saharan study of photoparoxysmal response in a reference epilepsy lab. J Neurol Sci 2019. [DOI: 10.1016/j.jns.2019.10.369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Ndiaye M, Rébé C, Ilie A, Ménégaut L, Pilot T, Ghiringhelli F. P07.02 Enhanced glycolysis in glioblastomas is associated with tumor cells migration. Neuro Oncol 2019. [DOI: 10.1093/neuonc/noz126.126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
BACKGROUND
Glioblastoma is the most common primary brain tumor. Its prognosis remains poor even with the standard treatment - the Stupp protocol.The classic Warburg effect in cancers leads to increased glycolysis which causes acidification of the tumor environment. This phenomenon may favor migration of tumor cells as already reported in pancreatic ductal adenocarcinoma. We therefore hypothesized that enhanced glycolysis in glioblastomas could favor the tumor cell migration.
MATERIAL AND METHODS
We measured glycolysis by the extracellular acidification rate (ECAR) of several human glioblastomas cell lines (LN229, LN18, T98-G, U87-MG, U373-MG, U118-MG) with the Seahorse Analyzer. To confirm these results, we also measured the intracellular cAMP rates using the Cayman’s Elisa kit and we analyzed by RT-PCR the expression of the main genes coding for enzymes involved in glycolysis in these glioblastomas cell lines. Cell migration was measured with a scratch wound healing assay during 24 hours.
RESULTS
U118-MG was the glioblastoma cell line with the highest glycolysis rate, the highest production of cAMP and showed a strong expression of glycolysis-associated genes. LN229 was the glioblastoma cell line with the less important glycolysis rate, the lower production of cAMP and showed a weaker expression of glycolysis-associated genes. According to the scratch wound healing assay, U118-MG cells showed a more important migration than LN229 cells at 24 hours.
CONCLUSION
Glycolysis may be an attractive target to prevent effectively tumor cell migration in glioblastomas. Coupling the evaluation of glycolysis with histomolecular characterization of glioblastomas, could help to identify patients to whom adjuvant therapies that inhibit glycolysis such as fenofibrate could be proposed.
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Affiliation(s)
- M Ndiaye
- Centre Georges François Leclerc, Dijon, France
| | - C Rébé
- Centre Georges François Leclerc, Dijon, France
- Inserm U1231, Dijon, France
| | - A Ilie
- Centre Georges François Leclerc, Dijon, France
| | | | - T Pilot
- Centre Georges François Leclerc, Dijon, France
| | - F Ghiringhelli
- Centre Georges François Leclerc, Dijon, France
- Inserm U1231, Dijon, France
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Seck L, Kaba Y, Diop M, Ndiaye M, Diop A. EEG et autisme au service de neurosciences du CHNU Fann de Dakar. Neurophysiol Clin 2019. [DOI: 10.1016/j.neucli.2019.05.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Touré G, Moreau A, Ndiaye M, Ory A. Vascularization of the maxilla by a branch of the submandibular artery. J Stomatol Oral Maxillofac Surg 2019; 120:366-368. [PMID: 30763777 DOI: 10.1016/j.jormas.2019.01.015] [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] [Subscribe] [Scholar Register] [Received: 01/06/2019] [Accepted: 01/31/2019] [Indexed: 11/28/2022]
Abstract
Vascular variations are common. A cervicofacial anatomical dissection carried out at the anatomy laboratory allowed us to document a rare vascular variation. The facial artery did not give rise to branches that led to the submandibular gland; an artery arising directly from the external carotid artery vascularized the submandibular gland and gave rise to the ascending palatine artery that led to the maxilla. We did not find cases in the literature where an artery emanated directly from the external carotid artery to vascularize the submandibular gland and that gave rise to an ascending palatine artery leading to the maxilla. Knowledge of the variations of the arterial vascularisation of the submandibular gland is important for submandibulectomies and transfers of the gland.
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Affiliation(s)
- G Touré
- Centre hospitalier intercommunal, chirurgie maxillo-faciale, Villeneuve Saint Georges 94195, France; URDIA Université Paris Descartes, 45, rue des Saints Pères, Anatomie, Paris 75006, France.
| | - A Moreau
- Centre hospitalier intercommunal, chirurgie maxillo-faciale, Villeneuve Saint Georges 94195, France
| | - M Ndiaye
- Centre hospitalier intercommunal, chirurgie maxillo-faciale, Villeneuve Saint Georges 94195, France; Service de chirurgie maxillofaciale, Hôpital Le Dantec, Dakar, Senegal
| | - A Ory
- Centre hospitalier intercommunal, chirurgie maxillo-faciale, Villeneuve Saint Georges 94195, France; CHU Bouaké, Bouaké, Cote d'Ivoire
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Thiam I, Doh K, Gaye AM, Sonhaye K, Ndiaye M, Woto Gaye G. [Laryngeal Tuberculosis Diagnosed in a Pathological Laboratory in Senegal (2011-2015)]. ACTA ACUST UNITED AC 2019; 111:5-8. [PMID: 30763505 DOI: 10.3166/bspe-2018-0010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [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: 10/18/2017] [Accepted: 01/23/2018] [Indexed: 11/20/2022]
Abstract
Laryngeal tuberculosis (LT) is a rare disease. The therapy for LT is easy but the diagnosis remains a challenge for the pathologist and the laryngologist because of the absence of specific signs. The objective was to analyze the epidemiological and pathological profiles of LT cases in Dakar (Senegal) with a view to better understand this pathology. This study was a retrospective and descriptive of LT cases diagnosed in pathology laboratories in Senegal during five years (2011-2015). The LT was found in 9 cases. The mean age at diagnosis was 41.9 years (18/58) without sex predominance (sex-ratio = 0.8). Tobacco intoxication (3/9), tuberculosis contagion (1/9), HIV immunodepression (2/9), and diabetes (1/9) were the various risk factors found. Dysphonia was a constant symptom (9/9) associated with dysphagia (2/9) and cervical adenopathy (1/9). The macroscopic presentation was tumoral-like (7/9) and erythematosus and fibrinoid (2/9). The LT was of glottic seat in all the cases (9/9) with participation on top-glottic in two of the cases. The biopsy was performed in all patients. It reported tuberculous granuloma in four cases (4/9), tuberculoid granuloma in one case (1/9), and chronic lymphocytic laryngitis in four cases (4/9). CT-scan of the lungs was pathological in five patients (5/9). Evolution was favorable in all cases under "conventional tuberculosis treatment" over a period of six months. The diagnosis of LT requires a high collaboration between the laryngologist and the pathologist.
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Affiliation(s)
- I Thiam
- Laboratoire d'anatomie et cytologie pathologiques, de l'hôpital Aristide-Le-Dantec, Dakar, Sénégal
| | - K Doh
- Laboratoire d'anatomie et cytologie pathologiques, de l'hôpital Aristide-Le-Dantec, Dakar, Sénégal
| | - A M Gaye
- Laboratoire d'anatomie et cytologie pathologiques, de l'hôpital Aristide-Le-Dantec, Dakar, Sénégal
| | - K Sonhaye
- Service d'otorhinolaryngologie et de chirurgie cervicofaciale, hôpital universitaire de Fann, Dakar, Sénégal
| | - M Ndiaye
- Service d'otorhinolaryngologie et de chirurgie cervicofaciale, hôpital universitaire de Fann, Dakar, Sénégal
| | - G Woto Gaye
- Laboratoire d'anatomie et cytologie pathologiques, de l'hôpital Aristide-Le-Dantec, Dakar, Sénégal
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Diop A, Ly F, Diagne F, Ndiaye MT, Seck B, Ndiaye M, Diatta BA, Dieng T, Diallo M, Niang SO, Kane A, Dieng MT. Profil épidémio-clinique et étiologique des teignes du cuir chevelu chez l’adulte à Dakar (Sénégal). Ann Dermatol Venereol 2019; 146:100-105. [DOI: 10.1016/j.annder.2018.11.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2018] [Revised: 08/09/2018] [Accepted: 11/21/2018] [Indexed: 10/27/2022]
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Gaye NM, Ndiaye-Diop MT, Fall M, Ka M, Fall SAA, Diop AM, Kahwaji J, Cissé-Diallo VMP, Mbaye M, Thioub M, Mbodji AB, Mbaye KA, Diagne R, Bakhoum M, Cissé O, Bâ EHM, Diagne NS, Diop-Sène MS, Basse-Faye AM, Sow AD, Sarr MM, Seck LB, Touré K, Ndiaye M, Diop AG. [Neuro-Behçet in a Sub-Saharan Africa Country: a Series of Sixteen Patients in Fann Teaching Hospital, Dakar, Senegal]. Bull Soc Pathol Exot 2019; 112:137-146. [PMID: 31825191 DOI: 10.3166/bspe-2019-0094] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/20/2019] [Accepted: 10/29/2019] [Indexed: 06/10/2023]
Abstract
Neuro-Behçet (NB) African studies are mainly North African, but Sub-Saharan Africa is not to be outdone. Our aim was to describe diagnostic and therapeutic features of NB in a Senegalese series collected in Dakar. This was a descriptive and retrospective study conducted at the Neurology department of Fann Teaching Hospital in Dakar, Senegal. All patients who met the NB's diagnostic criteria were included. Sixteen patients were collected, 14 males and 2 females with an average age of 40 years [18-71]. The main neurological signs were motor deficit (13 cases), headache (10 cases), and language disorders (4 cases). Extra-neurological signs were dermatological (14 cases), ocular (2 cases), and articular (2 cases) with aseptic unilateral gonarthritis. Fever was present in 9 patients. Neurological involvement was mostly isolated parenchymal (8 cases) or mixed (6 cases). The main clinical forms of NB were rhombencephalitis (8 cases) and retrobulbar optic neuritis (4 cases). Seven patients had a cerebral angio-Behçet with cerebral venous thrombosis (3 cases), ischemic stroke (2 cases), and intracerebral hematoma (2 cases). Under prednisone (16 cases) and azathioprine (3 cases), the short-term clinical outcome was mostly favorable (14 cases) with a modified Rankin scale at 2. NB is an under-diagnosed adult male disease in Sub-Saharan Africa and further studies are needed.
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Affiliation(s)
- N M Gaye
- Clinique neurologique, centre hospitalier national universitaire de Fann, BP 5035, Dakar, Sénégal
| | - M T Ndiaye-Diop
- Service de dermatologie, hôpital Institut d'hygiène social de Dakar, Sénégal
| | - M Fall
- Clinique neurologique, centre hospitalier national universitaire de Fann, BP 5035, Dakar, Sénégal
| | - M Ka
- Clinique neurologique, centre hospitalier national universitaire de Fann, BP 5035, Dakar, Sénégal
| | - S A A Fall
- Clinique neurologique, centre hospitalier national universitaire de Fann, BP 5035, Dakar, Sénégal
| | - A M Diop
- Clinique neurologique, centre hospitalier national universitaire de Fann, BP 5035, Dakar, Sénégal
| | - J Kahwaji
- Clinique neurologique, centre hospitalier national universitaire de Fann, BP 5035, Dakar, Sénégal
| | - V M P Cissé-Diallo
- Service des maladies infectieuses et tropicales, centre hospitalier national universitaire de Fann, Dakar, Sénégal
| | - M Mbaye
- Service de neurochirurgie, centre hospitalier national universitaire de Fann, Dakar, Sénégal
| | - M Thioub
- Service de neurochirurgie, centre hospitalier national universitaire de Fann, Dakar, Sénégal
| | - A B Mbodji
- Clinique neurologique, centre hospitalier national universitaire de Fann, BP 5035, Dakar, Sénégal
| | - K A Mbaye
- Clinique neurologique, centre hospitalier national universitaire de Fann, BP 5035, Dakar, Sénégal
| | - R Diagne
- Clinique neurologique, centre hospitalier national universitaire de Fann, BP 5035, Dakar, Sénégal
| | - M Bakhoum
- Clinique neurologique, centre hospitalier national universitaire de Fann, BP 5035, Dakar, Sénégal
| | - O Cissé
- Clinique neurologique, centre hospitalier national universitaire de Fann, BP 5035, Dakar, Sénégal
| | - E H M Bâ
- Service de psychiatrie, centre hospitalier national universitaire de Fann, BP 5035, Dakar, Sénégal
| | - N S Diagne
- Clinique neurologique, centre hospitalier national universitaire de Fann, BP 5035, Dakar, Sénégal
| | - M S Diop-Sène
- Clinique neurologique, centre hospitalier national universitaire de Fann, BP 5035, Dakar, Sénégal
| | - A M Basse-Faye
- Clinique neurologique, centre hospitalier national universitaire de Fann, BP 5035, Dakar, Sénégal
| | - A D Sow
- Clinique neurologique, centre hospitalier national universitaire de Fann, BP 5035, Dakar, Sénégal
| | - M M Sarr
- UFR des sciences de la santé, université de Thiès, Sénégal
| | - L B Seck
- Clinique neurologique, centre hospitalier national universitaire de Fann, BP 5035, Dakar, Sénégal
| | - K Touré
- Clinique neurologique, centre hospitalier national universitaire de Fann, BP 5035, Dakar, Sénégal
| | - M Ndiaye
- Clinique neurologique, centre hospitalier national universitaire de Fann, BP 5035, Dakar, Sénégal
| | - A G Diop
- Clinique neurologique, centre hospitalier national universitaire de Fann, BP 5035, Dakar, Sénégal
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Diongue K, Kébé O, Faye MD, Samb D, Diallo MA, Ndiaye M, Seck MC, Badiane AS, Ranque S, Ndiaye D. MALDI-TOF MS identification of Malassezia species isolated from patients with pityriasis versicolor at the seafarers' medical service in Dakar, Senegal. J Mycol Med 2018; 28:590-593. [PMID: 30340859 DOI: 10.1016/j.mycmed.2018.09.007] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [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: 06/05/2018] [Revised: 09/04/2018] [Accepted: 09/28/2018] [Indexed: 11/19/2022]
Abstract
Pityriasis versicolor (PV) is a superficial mycosis caused by yeast of the genus Malassezia. The most common isolated Malassezia species in PV lesions differ among M. furfur, M. globosa and M. sympodialis. We purpose to determine the distribution of Malassezia species in PV patients at the seafarers' medical service in Dakar, Senegal and to examine whether any association between identified Malassezia species and patients' profile. From May 2017 to August 2017, first a questionnaire was filled to get informative data before collection of skin scrapings taken from most scaly site using sterile scalpel blade and application of scotch® for direct examination (DE). At the laboratory, DE, culture and identification by MALDI-TOF MS were done. One hundred patients with PV - all men - were included with a mean age of 34 years. Among seafarers, 81% were sailors. Clinical prevalence of PV was highest in aged adults patients with ages of 31 to 60 years (56%). Seafarers with high level of education were less representative with only 2%. The mean duration of the PV was 26.83 months. 20% of subjects suffered lesions in more than one location. The chest was the most affected anatomical site. Furthermore, possible predisposing factors associated with PV were also detected. DE was positive in 95% but culture growth only in 46%. MALDI-TOF MS analysis of the positive cultures could be performed in 84.8% (39/46). Only M. furfur was identified in 100% (39/39). In definitive, M. furfur is the only causative agent of PV in Dakar.
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Affiliation(s)
- K Diongue
- Laboratoire de Parasitologie-Mycologie, CHU Aristide Le Dantec, BP 5005, Dakar, Senegal; Service de Parasitologie-Mycologie, Faculté de Médecine, de Pharmacie et d'Odontologie, Université Cheikh Anta Diop, BP 16477, Dakar, Senegal.
| | - O Kébé
- Laboratoire de Parasitologie-Mycologie, CHU Aristide Le Dantec, BP 5005, Dakar, Senegal
| | - M D Faye
- Service Médical des gens de Mer, Rue Vincent x Faidherbe, Dakar, Senegal
| | - D Samb
- Laboratoire de Parasitologie-Mycologie, CHU Aristide Le Dantec, BP 5005, Dakar, Senegal
| | - M A Diallo
- Laboratoire de Parasitologie-Mycologie, CHU Aristide Le Dantec, BP 5005, Dakar, Senegal
| | - M Ndiaye
- Laboratoire de Parasitologie-Mycologie, CHU Aristide Le Dantec, BP 5005, Dakar, Senegal; Service de Parasitologie-Mycologie, Faculté de Médecine, de Pharmacie et d'Odontologie, Université Cheikh Anta Diop, BP 16477, Dakar, Senegal
| | - M C Seck
- Laboratoire de Parasitologie-Mycologie, CHU Aristide Le Dantec, BP 5005, Dakar, Senegal; Service de Parasitologie-Mycologie, Faculté de Médecine, de Pharmacie et d'Odontologie, Université Cheikh Anta Diop, BP 16477, Dakar, Senegal
| | - A S Badiane
- Laboratoire de Parasitologie-Mycologie, CHU Aristide Le Dantec, BP 5005, Dakar, Senegal; Service de Parasitologie-Mycologie, Faculté de Médecine, de Pharmacie et d'Odontologie, Université Cheikh Anta Diop, BP 16477, Dakar, Senegal
| | - S Ranque
- Institut hospitalo-universitaire Méditerranée infection, 13005 Marseille, France
| | - D Ndiaye
- Laboratoire de Parasitologie-Mycologie, CHU Aristide Le Dantec, BP 5005, Dakar, Senegal; Service de Parasitologie-Mycologie, Faculté de Médecine, de Pharmacie et d'Odontologie, Université Cheikh Anta Diop, BP 16477, Dakar, Senegal
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Ndiaye M, Lengue F, Sagna SD, Sow AD, Fogany Y, Deme H, Basse AM, Diop-Sene MS, Diagne NS, Diop AG, Ndiaye O, Ndiaye MM. Childhood arterial ischemic stroke in Senegal (West Africa). Arch Pediatr 2018; 25:351-354. [PMID: 30143371 DOI: 10.1016/j.arcped.2018.06.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [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: 06/19/2017] [Revised: 06/07/2018] [Accepted: 06/30/2018] [Indexed: 01/09/2023]
Abstract
Etiological factors of childhood ischemic stroke depend on the epidemiological context. The purpose of this study was to determine the risk factors, the clinical and radiologic features, and the outcome of arterial ischemic stroke in a case series of Senegalese children. We carried out a retrospective registry-based study on arterial ischemic stroke in children hospitalized in the neurology department of Fann Teaching Hospital and Albert Royer Children's Hospital, from January 2005 to December 2015. We enrolled 116 cases with an age range from 2 months to 18 years. The mean age at stroke occurrence was 71.5 months. The most common manifestations were hemiparesis (84%), aphasia (19%), and partial motor seizures (10%). The middle cerebral artery was the most affected (81%). Risk factors were predominantly sickle cell disease (38%), embolic heart disease (9%), and anemia (3%). Twenty-eight percent of patients were lost to follow-up, 62% had neurological impairments, and 4% died. Secondary prevention was based on antithrombotic agents. Prevention must be prioritized and public health actions need to focus on sickle cell disease, rheumatismal disease, anemia, and related disorders. It will be necessary to set up policies that fight against consanguineous marriage, endemic infections, and argue for better nutrition.
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Affiliation(s)
- M Ndiaye
- Neurology department, Fann teaching hospital, BP 5035 Dakar, Senegal; Albert Royer Children Hospital, Dakar, Senegal.
| | - F Lengue
- Albert Royer Children Hospital, Dakar, Senegal
| | - S D Sagna
- Neurology department, Fann teaching hospital, BP 5035 Dakar, Senegal
| | - A D Sow
- Neurology department, Fann teaching hospital, BP 5035 Dakar, Senegal
| | - Y Fogany
- Neurology department, Fann teaching hospital, BP 5035 Dakar, Senegal
| | - H Deme
- Albert Royer Children Hospital, Dakar, Senegal
| | - A M Basse
- Neurology department, Fann teaching hospital, BP 5035 Dakar, Senegal
| | - M S Diop-Sene
- Neurology department, Fann teaching hospital, BP 5035 Dakar, Senegal
| | - N S Diagne
- Neurology department, Fann teaching hospital, BP 5035 Dakar, Senegal
| | - A G Diop
- Neurology department, Fann teaching hospital, BP 5035 Dakar, Senegal
| | - O Ndiaye
- Albert Royer Children Hospital, Dakar, Senegal
| | - M M Ndiaye
- Neurology department, Fann teaching hospital, BP 5035 Dakar, Senegal
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Diadie S, Ndiaye M, Diatta BA, Diallo M, Diop K, Deh A, Dieng MT, Kane A, Niang SO. Non-tubercular caseous adenopathy in Senegal. Med Sante Trop 2018; 28:255-256. [PMID: 30270827 DOI: 10.1684/mst.2018.0793] [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] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
The authors report the case of a 22-year-old man referred seven months after the onset of papulo-nodular skin lesions, lymphadenopathy, splenomegaly and hepatomegaly. Mycologic and histologic examination of skin lesions enabled the diagnosis of African histoplasmosis, by Histoplasma capsulatum var duboisii. The lymph nodes were caseous. The culture in Lowenstein-Jensen medium was negative.
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Affiliation(s)
- S Diadie
- Service de dermatologie, hôpital Aristide LeDantec, 3001 Dakar, Sénégal
| | - M Ndiaye
- Service de dermatologie, hôpital Aristide LeDantec, 3001 Dakar, Sénégal
| | - B A Diatta
- Service de dermatologie, hôpital Aristide LeDantec, 3001 Dakar, Sénégal
| | - M Diallo
- Service de dermatologie, hôpital Aristide LeDantec, 3001 Dakar, Sénégal
| | - K Diop
- Service de dermatologie, hôpital Aristide LeDantec, 3001 Dakar, Sénégal
| | - A Deh
- Service de dermatologie, hôpital Aristide LeDantec, 3001 Dakar, Sénégal
| | - M T Dieng
- Service de dermatologie, hôpital Aristide LeDantec, 3001 Dakar, Sénégal
| | - A Kane
- Service de dermatologie, hôpital Aristide LeDantec, 3001 Dakar, Sénégal
| | - S O Niang
- Service de dermatologie, hôpital Aristide LeDantec, 3001 Dakar, Sénégal
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Maïga S, Ndiaye C, Diouf M, Diallo B, Ndiaye M, Diouf M, Ndiaye I, Diouf R. Laryngeal papillomatosis in Senegal: A ten-year experience. Eur Ann Otorhinolaryngol Head Neck Dis 2018; 135:221-224. [DOI: 10.1016/j.anorl.2018.01.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Diop A, Diagne F, Ly F, Ndiaye M, Seck B, Diouf A, Seck B, Diadie S, Diatta B, Ndiaye M, Diallo M, Niang S, Kane A, Dieng M. Profil épidémio-clinique et étiologique des teignes du cuir chevelu chez l’adulte à Dakar. Ann Dermatol Venereol 2017. [DOI: 10.1016/j.annder.2017.09.474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Ntenga P, Kabulo K, Cisse O, Mourabit S, Nahantchi A, B S, Mansare ML, Toure K, Ndiaye M, Diop AG, Ndiaye MM. Problem of the etiological diagnosis of a hemorrhagic stroke in cases of co-morbidity of ulcerative colitis, hepatitis C virus, arterial hypertension and blood coagulation disorder: Case report. J Med Res 2017. [DOI: 10.31254/jmr.2017.3603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Diop A, Ly F, Amal E, Seck B, Ndiaye M, Diouf A, Diadie S, Diatta B, Ndiaye M, Diallo M, Niang S, Kane A, Dieng M. Caractéristiques épidemio-cliniques et facteurs associés chez 78 cas de lichen plan sur peau noire. Ann Dermatol Venereol 2017. [DOI: 10.1016/j.annder.2017.09.335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Diongue K, Diallo MA, Ndiaye M, Seck MC, Badiane AS, Ndiaye D. [Interdigital tinea pedis resulting from Fusarium spp. in Dakar, Senegal]. J Mycol Med 2017; 28:227-231. [PMID: 29132795 DOI: 10.1016/j.mycmed.2017.10.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [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: 08/24/2017] [Revised: 10/16/2017] [Accepted: 10/23/2017] [Indexed: 11/16/2022]
Abstract
INTRODUCTION Fungal interdigital tinea pedis (ITP) is a common pathology mainly due to dermatophytes and yeasts. Fusarium sp. is rarely incriminated in the genesis of intertrigo. In Dakar, a recent study conducted in 2016 on fungal ITP showed that Fusarium were more involved in the etiology of ITP than dermatophytes, coming just after yeasts dominated by Candida. Following this, we wanted to draw attention to the increasing incidence of ITP resulting from Fusarium spp., in Dakar, Senegal, and to analyze the epidemiological and mycological particularities of these ITP due to Fusarium spp. PATIENTS AND METHODS A retrospective study including all patients received at the laboratory for suspicion of ITP between January 1st, 2014 and June 30th, 2017 was conducted. Diagnosis was based on mycological examination, including direct examination and culture. Mycological analysis was considered positive when direct examination and culture were positive after at least one repeat. RESULTS Twenty-nine cases of Fusarium ITP accounting for 44.6% of all ITP in the study period were diagnosed in 15 men and 14 women. The mean age of the patients was 48.4 years. Fusarium ITP were diagnosed in immunocompetent patients except in two diabetics. The mean duration of the lesions was 6.83 years. The most frequent species isolated belonged to the Fusarium solani complex with 19 cases. CONCLUSION Fusarium ITP in a healthy subject requires regular monitoring because any subsequent decrease in immune defenses could lead to fatal hematogenous spread.
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Affiliation(s)
- K Diongue
- Laboratoire de parasitologie-mycologie, CHU Aristide-Le-Dantec, BP 16477, Dakar, Sénégal; Service de parasitologie-mycologie, faculté de médecine, de pharmacie et d'odontologie, université Cheikh-Anta-Diop, BP 5005, Dakar, Sénégal.
| | - M A Diallo
- Laboratoire de parasitologie-mycologie, CHU Aristide-Le-Dantec, BP 16477, Dakar, Sénégal
| | - M Ndiaye
- Laboratoire de parasitologie-mycologie, CHU Aristide-Le-Dantec, BP 16477, Dakar, Sénégal; Service de parasitologie-mycologie, faculté de médecine, de pharmacie et d'odontologie, université Cheikh-Anta-Diop, BP 5005, Dakar, Sénégal
| | - M C Seck
- Laboratoire de parasitologie-mycologie, CHU Aristide-Le-Dantec, BP 16477, Dakar, Sénégal; Service de parasitologie-mycologie, faculté de médecine, de pharmacie et d'odontologie, université Cheikh-Anta-Diop, BP 5005, Dakar, Sénégal
| | - A S Badiane
- Laboratoire de parasitologie-mycologie, CHU Aristide-Le-Dantec, BP 16477, Dakar, Sénégal; Service de parasitologie-mycologie, faculté de médecine, de pharmacie et d'odontologie, université Cheikh-Anta-Diop, BP 5005, Dakar, Sénégal
| | - D Ndiaye
- Laboratoire de parasitologie-mycologie, CHU Aristide-Le-Dantec, BP 16477, Dakar, Sénégal; Service de parasitologie-mycologie, faculté de médecine, de pharmacie et d'odontologie, université Cheikh-Anta-Diop, BP 5005, Dakar, Sénégal
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Chhabra G, Singh C, Ndiaye M, Fedorowicz S, Molot A, Ahmad N. LB995 Polo-like kinase 1 inhibition suppresses epithelial mesenchymal transition in melanoma. J Invest Dermatol 2017. [DOI: 10.1016/j.jid.2017.07.077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Gaye N, Diop M, Sow A, Faye A, Fall M, Diagne N, Toure K, Seck L, Ndiaye M, Diop A, Ndiaye M. Neuro-Behçet Disease: About six senegalese cases. J Neurol Sci 2017. [DOI: 10.1016/j.jns.2017.08.3719] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Dia S, Mohamed A, Gueye M, Ndoye E, Gaye Fall M, Soumah M, Ndiaye M. Évaluation des risques professionnels dans le secteur de la fonderie artisanale d’aluminium à Dakar. ARCH MAL PROF ENVIRO 2017. [DOI: 10.1016/j.admp.2017.03.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Boudzoumou-Diagambana EB, Diagne N, Ndiaye M, Diop G, Ndiaye M. La maladie de Charcot-Marie-Tooth : à propos d’une observation. Neurophysiol Clin 2017. [DOI: 10.1016/j.neucli.2017.05.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Mbaye A, Bodian M, Ngaïdé AA, Abdourafiq H, Leye MCBO, Savodogo S, Aw F, Ndiaye M, Kouamé I, Babaka K, Dioum M, Gaye ND, Sarr SA, Ndiaye MB, Kane AD, Kane A. [Congenital heart disease in adolescents and adults: Management in a general cardiology department in Senegal]. Ann Cardiol Angeiol (Paris) 2017; 66:217-222. [PMID: 28506578 DOI: 10.1016/j.ancard.2017.02.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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: 05/21/2016] [Accepted: 02/26/2017] [Indexed: 11/30/2022]
Abstract
BACKGROUND Congenital heart diseases in adults include malformations treated in childhood that decompensate secondarily and those asymptomatic at birth, appear later. This study aims to identify congenital heart diseases in adults in general cardiology department of Senegal and to assess clinical presentations, treatment and outcomes. METHODS We conducted a cross-sectional and descriptive study based on the records of patients aged at least 16 years and followed for congenital heart disease in the cardiology department of the General Hospital of Grand-Yoff in Dakar between May 2003 and March 2015. Diagnosis of heart disease was based on echocardiography. RESULTS We have registered 50 dossiers of patients equivalent to a prevalence of 0.75%, with a female predominance (64%). The average age of patients was 36.2±18.4 years (16-79 years), and mean age of diagnosis was 29.76±22.58 years. Dyspnea was the main sign (60%). Main malformations were the atrial septal defect (38%), pulmonary stenosis (14%), the ventricular septal defect (12%) and patent ductus arteriosus (10%). According to the classification of Bethesda, heart disease was simple complexity (42%), intermediate (58%) or severe (10%). The treatment was medical in 43 patients and 7 patients had surgical repair. Main complications were infective endocarditis (10%), atrial fibrillation (12%), heart failure (24%) and pulmonary arterial hypertension (50%). CONCLUSION Congenital heart diseases in adults seem underestimated in our countries. Surgical repair is rare. It is necessary to ensure a good management of the transition between pediatric and adult age.
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Affiliation(s)
- A Mbaye
- Service de cardiologie, hôpital général de Grand-Yoff, BP 3270, Dakar, Sénégal.
| | - M Bodian
- Service de cardiologie, centre hospitalo-universitaire Aristide-Le-Dantec, BP 6003, Dakar-Étoile, Sénégal
| | - A A Ngaïdé
- Service de cardiologie, hôpital général de Grand-Yoff, BP 3270, Dakar, Sénégal
| | - H Abdourafiq
- Service de cardiologie, hôpital général de Grand-Yoff, BP 3270, Dakar, Sénégal
| | - M C B O Leye
- Service de cardiologie, centre hospitalier national de Fann, BP 3053, Dakar-Fann, Sénégal
| | - S Savodogo
- Service de cardiologie, hôpital général de Grand-Yoff, BP 3270, Dakar, Sénégal
| | - F Aw
- Service de cardiologie, centre hospitalo-universitaire Aristide-Le-Dantec, BP 6003, Dakar-Étoile, Sénégal
| | - M Ndiaye
- Service de cardiologie, hôpital général de Grand-Yoff, BP 3270, Dakar, Sénégal
| | - I Kouamé
- Service de cardiologie, hôpital général de Grand-Yoff, BP 3270, Dakar, Sénégal
| | - K Babaka
- Service de cardiologie, hôpital général de Grand-Yoff, BP 3270, Dakar, Sénégal
| | - M Dioum
- Service de cardiologie, centre hospitalier national de Fann, BP 3053, Dakar-Fann, Sénégal
| | - N D Gaye
- Service de cardiologie, hôpital général de Grand-Yoff, BP 3270, Dakar, Sénégal
| | - S A Sarr
- Service de cardiologie, centre hospitalo-universitaire Aristide-Le-Dantec, BP 6003, Dakar-Étoile, Sénégal
| | - M B Ndiaye
- Service de cardiologie, centre hospitalo-universitaire Aristide-Le-Dantec, BP 6003, Dakar-Étoile, Sénégal
| | - A D Kane
- Service de cardiologie, centre hospitalo-universitaire Aristide-Le-Dantec, BP 6003, Dakar-Étoile, Sénégal
| | - A Kane
- Service de cardiologie, hôpital général de Grand-Yoff, BP 3270, Dakar, Sénégal
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Regonne PEJ, Ndiaye M, Sy A, Diandy Y, Diop AD, Diallo BK. Nasal foreign bodies in children in a pediatric hospital in Senegal: A three-year assessment. Eur Ann Otorhinolaryngol Head Neck Dis 2017; 134:361-364. [PMID: 28344079 DOI: 10.1016/j.anorl.2017.02.013] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
OBJECTIVES Nasal foreign bodies (NFB) constitute a common domestic accident in children. The objectives of the present study were to report the particularities of NFBs in children presenting at a pediatric hospital in Senegal, and to describe our therapeutic attitude. MATERIAL AND METHODS A retrospective descriptive study included all under-15 year-olds presenting with NFB in the ENT department of the National Children's Hospital Center of Diamniadio, Senegal, between January 1, 2013 and December 31, 2015. Study variables comprised: age, gender, provenance, presenting symptoms, time to consultation, type of NFB, extraction method, and complications. RESULTS 58 NFB cases were retrieved. Mean age was 3years 4months; 93% of patients were under 5 years old. There was female predominance of 53.45%: i.e., sex-ratio, 0.87. Location was in the right cavity in 43 patients (74.1%). The presenting symptom was purulent rhinorrhea in 51.7% of cases. Time to consultation was within 24hours in 17.24% of cases. NFB type was firstly foam rubber (29.3%), followed by grain (20.7%). Extraction was performed in consultation in 84.5% of cases and in the operating room in 15.5%. Morbidity was 22.41%: 17.24% epistaxis and 5.17% nasal infection. CONCLUSION NFBs constitute a common domestic accident in under-5 year-olds. The rural Senegalese context shows delay in consultation.
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Affiliation(s)
- P-E-J Regonne
- Service d'oto-rhino-laryngologie, Centre hospitalier national pour enfants de Diamniadio, Diamniadio, Senegal.
| | - M Ndiaye
- Service d'oto-rhino-laryngologie, Centre hospitalier national pour enfants de Diamniadio, Diamniadio, Senegal
| | - A Sy
- Service d'oto-rhino-laryngologie, Centre hospitalier national pour enfants de Diamniadio, Diamniadio, Senegal
| | - Y Diandy
- Service d'oto-rhino-laryngologie, Centre hospitalier national pour enfants de Diamniadio, Diamniadio, Senegal
| | - A-D Diop
- Service d'oto-rhino-laryngologie, Centre hospitalier national pour enfants de Diamniadio, Diamniadio, Senegal
| | - B-K Diallo
- Service d'oto-rhino-laryngologie, Centre hospitalier national pour enfants Albert-Royer, Dakar, Senegal
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