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Manko M, Bello AK, Mohammed MF, Jabir AM, Isah IA, Daniyan M, Mado SM, Mustapha SK, Dauda MM. Colonoscopy in Zaria: Indications and findings. Niger J Clin Pract 2022; 25:1580-1583. [DOI: 10.4103/njcp.njcp_150_22] [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: 11/04/2022]
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Manko M, Mohammed MF, Bello AK, Egbegbedia P, Sambo SA, Osanyibofu E, Umar A, Shehu A, Suleiman DE, Mustapha SK. Crohn’s disease with pyoderma gangrenosum in a patient in northern Nigeria: A case report. Niger J Med 2020. [DOI: 10.4103/1115-2613.284883] [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: 03/12/2023] Open
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Ahmad AE, Bakari AG, Musa BOP, Mustapha SK, Jamoh BY, Abdullahi IN, Tahir MI, Olatunji AO, Maishanu SH, Suleiman AB, Tolulope A, Hawkins C, Sagay AS, Zoakah A, Olayinka AT. Pattern of prevalent Hepatitis B virus genotypes in Zaria, Nigeria. Niger Postgrad Med J 2019; 26:80-86. [PMID: 31187746 PMCID: PMC6626198 DOI: 10.4103/npmj.npmj_59_19] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [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] [Indexed: 12/13/2022]
Abstract
Background: Hepatitis B virus (HBV) is hyperendemic in Nigeria. Available literature reveal genotype E as being predominant in West Africa. This study aimed at identifying the current pattern and prevalent genotypes of HBV in Zaria, Nigeria. Materials and Methods: Four millilitre of blood was collected in ethylenediaminetetraacetic acid-container from each of 165 HBV surface antigen-positive participants recruited purposively from the gastroenterology clinic from May to August, 2017. Plasma was separated and frozen at −20°C till analysis. Multiplex-nested polymerase chain reaction using type-specific primers was used to identify the various HBV genotypes. Results: Median (and interquartile range ) age of the participants was 31.0 (25.5–39.0) years, with males constituting 107 (64.8%). Majority (83.6%) of the samples analysed were HBV-DNA-positive with 82.6% of the HBV-DNA-positive samples being mixed genotype infections. Irrespective of mode of occurrence, five HBV genotypes were identified with HBV/E (97.1%) being the most predominant, followed by HBV/B (82.6%), HBV/A (24.6%), then HBV/C (17.4%), while HBV/D (0.7%) was the least prevalent. Conclusion: In most (99.1%) of the mixed-infection were a combination of genotype E, the predominant genotype, with other genotypes predominantly genotype B. HBV genotypes E, B, A, C and D are the prevalent genotypes in Zaria, Nigeria, as they occur in single genotype and in mixed-genotypes pattern.
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Affiliation(s)
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- Department of Medicine, Division of Infectious Diseases, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
| | | | - Ayuba Zoakah
- Department of Community Medicine, University of Jos, Jos, Nigeria
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Suleiman HM, Aliyu IS, Abubakar SA, Isa MS, El-Bashir JM, Adamu R, Ibrahim MZ, Mohammed A, Yusuf R, Manu M, Dogara AB, Mustapha SK, Bello N, Ozovehe SA. Cardiac Troponin T and creatine kinase MB fraction levels among patients with acute ischemic stroke in Nigeria. Niger J Clin Pract 2018; 20:1618-1621. [PMID: 29378996 DOI: 10.4103/njcp.njcp_78_17] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BACKGROUND Stroke has been a global burden, with increasing morbidity and mortality. Serum cardiac troponin t (cTnT) and creatine kinase (CK-MB) fraction are reported to be elevated in patients admitted with acute ischaemic stroke and high level of these biomarkers indicated more severe stroke and neurologic deficit in some of the patients. OBJECTIVE To evaluate the serum levels cardiac troponin t (cTnT) and creatine kinase MB fraction (CK-MB) in patients with acute ischaemic stroke and relate the analytes to severity of stroke. METHOD Patients with clinical diagnosis of ischaemic stroke diagnosed, confirmed by brain Computerized Tomography scan and equal number of apparently healthy age and sex-matched were recruited. Serum cardiac troponin t (cTnT) and creatine kinase MB fraction (CK-MB) were analysed using ELISA method and Stroke severity was determined using National Institute of Health Stroke Score (NIHSS). RESULTS Mean serum cardiac troponin t (cTnT) and creatine kinase MB fraction (CK-MB) in stroke patients were found to be higher than age sex matched control (p<0.05). NIHS Score of 12.2 ± 5.43 and 9.78 ± 3.97 were observed in Patients with elevated and normal cTnT respectively (p=0.009) while NIHS Score were similar in patients with elevated and normal CK-MB (p = 0.772). CONCLUSION The mean values of serum cTnT and CK-MB were higher in acute ischaemic stroke patients compared to controls. Serum cardiac Troponin t level may be a significant biomarker of the severity of stroke.
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Affiliation(s)
- H M Suleiman
- Department of Chemical Pathology, Ahmadu Bello University, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
| | - I S Aliyu
- Department of Chemical Pathology, Ahmadu Bello University, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
| | - S A Abubakar
- Department of Medicine, Ahmadu Bello University, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
| | - M S Isa
- Department of Chemical Pathology, Ahmadu Bello University, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
| | - J M El-Bashir
- Department of Chemical Pathology, Ahmadu Bello University, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
| | - R Adamu
- Department of Chemical Pathology, Ahmadu Bello University, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
| | - M Z Ibrahim
- Department of Radiology, Ahmadu Bello University, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
| | - A Mohammed
- Department of Chemical Pathology, FMC, Bida, Nigeria
| | - R Yusuf
- Department of Chemical Pathology, Ahmadu Bello University, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
| | - M Manu
- Department of Chemical Pathology, Ahmadu Bello University, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
| | - A B Dogara
- Department of Chemical Pathology, Ahmadu Bello University, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
| | - S K Mustapha
- Department of Medicine, Ahmadu Bello University, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
| | - N Bello
- Department of Radiology, Ahmadu Bello University, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
| | - S A Ozovehe
- Department of Chemical Pathology, Ahmadu Bello University, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
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Goni BW, Yusuph H, Mustapha SK, Sahabi MA, Gwalabe SA, Tahir A, Bakki B, Kida IM. Hepatic transaminase and alkaline phosphatase enzyme levels in HIV/HBV co-infected and HIV mono-infected patients in Maiduguri, Nigeria. Niger J Clin Pract 2013; 16:530-4. [PMID: 23974753 DOI: 10.4103/1119-3077.116908] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BACKGROUND Studies have shown that HIV-HBV co-infected patients have an increased risk of liver-related morbidity and mortality compared to their HIV-mono-infected counterparts. Furthermore, it has been reported that HIV-HBV co-infected patients have a significantly high incidence of drug-induced hepatotoxicity following commencement of HAART than HIV-mono-infected patients. OBJECTIVES To compare the levels of aspartate amino transferase (AST), alanine amino transferase (ALT) and alkaline phosphatase (ALKPO 4 ) enzyme levels between HAART naïve HIV-HBV co-infected patients and their HIV-mono-infected counterparts. MATERIALS AND METHODS A cross-sectional descriptive study in which 142 newly diagnosed HIV/HBV co-infected and HIV mono-infected adults were investigated for alkaline aminotransferase, aspartate aminotransferase and alkaline phosphatase enzyme levels. RESULTS The study subjects comprised of 80 (56.3%) females and 62 (46.7%) males. The age range of the study population was 15-65 years. The mean ages of male and female subjects were 45.5 ± 10.5 years and 39.1 ± 7.5 years respectively ( P < 0.05). Sixty-three (44.4%) study subjects were HIV/HBV co-infected while 79 (55.6%) were HIV mono-infected. The mean ALT enzyme level of HIV/HBV co-infected subjects was significantly higher than that of HIV mono-infected ones i.e., 42.12 IU/l vs. 27.86 IU/l, ( P = 0.038). However, there was no statistically significant difference in the mean AST (30.14 IU/l vs. 29.09 IU/l, P = 0.893) and ALKPO 4 (55.86 IU/l vs. 60.97 IU/l, P = 0.205) enzyme levels between HIV-HBV co-infected and HIV mono-infected subjects albeit the two enzymes were moderately elevated in both categories of subjects. CONCLUSION The significantly elevated ALT enzyme levels amongst HIV-HBV co-infected subjects suggest that HIV-HBV co-infected patients may have an increased risk of liver-related morbidity and mortality than their HIV mono-infected counterparts. Screening for serological markers of chronic HBV infection, as well as hepatic transaminase enzyme levels in all newly diagnosed HIV-positive patients is therefore recommended before commencement of HAART.
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Affiliation(s)
- B W Goni
- Department of Medicine, University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria
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Mustapha SK, Madachi DA. Orbital metastasis of hepatocellular carcinoma: a case report. West Afr J Med 2011; 30:305-307. [PMID: 22669839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
BACKGROUND Hepatocellular carcinoma is one of the commonest malignancies in Nigeria, however metastasis to the orbit is a rare presentation. OBJECTIVE To present a rare case of orbital metastasis of hepatocellular carcinoma. CASE REPORT A 25-year-old man presented with a 3-month history of pain, progressive swelling and burred vision of the right eye. Examination revealed marked proptosis of the right eye with reduced visual acuity and conjunctival chemosis. The liver was enlarged, hard and nodular. Hepatocellular carcinoma and orbital metastasis were histologically confirmed. CONCLUSION Metastatic hepatocellular carcinoma should be considered in the differential diagnosis of patients presenting with orbital tumours.
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Affiliation(s)
- S K Mustapha
- Department of Medicine, University of Maiduguri Teaching Hospital, P.M.B. 1414, Maiduguri, Borno State, Nigeria.
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Abstract
Snakebite is an important cause of morbidity and mortality in Nigeria, as in many parts of the tropics. However, blindness is a rare complication. Reported cases have usually followed bites by neurotoxic snakes such as the cobra. Reports of blindness produced by the bite of haematotoxic snakes are extremely rare. We report the case of bilateral blindness following a bite from a carpet viper. The literature on the subject matter is reviewed and the possible mechanisms of snakebite-induced blindness are discussed.
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Affiliation(s)
- S K Mustapha
- Department of Medicine, University of Maiduguri Teaching Hospital, PMB 1414, Maiduguri, Borno State, Nigeria.
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Audu BM, Mustapha SK. Prevalence of gestrointestinal symptoms in pregnancy. Niger J Clin Pract 2006; 9:1-6. [PMID: 16986280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
OBJECTIVES This study is aimed at determining the prevalence of gastrointestinal symptoms among healthy pregnant women attending antenatal clinic at the University of Maiduguri Teaching Hospital. METHODS Questionnaires were randomly administered to consecutive antenatal clinic attendees until the sample size was reached. RESULTS Three hundred and seventy pregnant women were interviewed. Heart burns, easy fullness and nausea were the commonest gastrointestinal symptoms in 45%, 40.2% and 39.9% of cases respectively. Primigravidae had significantly more symptoms than multiparae. There were also significantly more gastrointestinal symptoms in the first trimester of pregnancy. CONCLUSION Gastrointestinal symptoms are common among healthy pregnant women. And even though these represent well-known physiological changes, they must be carefully assessed to exclude any pathological disorder that may require intervention.
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Affiliation(s)
- B M Audu
- Department of Obstetrics and Gynaecology, College Of Medical Sciences, University Of Maiduguri Teaching Hospital Maiduguri, Borno State.
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Nggada HA, Ajayi NA, Ahidjo A, Pindiga UH, Tahir A, Mustapha SK, Khalil MIA, Gashau W. Fine needle aspiration cytology diagnosis of liver diseases in the University of Maiduguri Teaching Hospital, Maiduguri. Afr J Med Med Sci 2004; 33:255-7. [PMID: 15819473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
The study is aimed at classifying liver diseases diagnosed by fine needle aspiration cytology (FNAC) in our environment and to emphasize the importance of the procedure for management of our patients. Forty-two patients were referred by the physicians for fine needle aspiration cytology diagnosis in Histopathology Department, University of Maiduguri Teaching Hospital between January 2001 and December 2003. There were 30 males and 12 females (2.5:1) with mean age of 44.7 years. The peak age is in the 5th decade of life. The commonest hepatic disease is primary hepatic malignancy, which accounted for 78.6% (33 patients); 3 suspicious of malignancy, one case each of metastatic carcinoma, amoebic liver abscess; liver storage disease and large cell dysplasia. The technique has gained popularity in our center because it is cheap, convenient, minimally invasive, quick and has high precision in obtaining samples. We therefore recommend this procedure in centers where liver diseases are common as a means of initial investigation.
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Affiliation(s)
- H A Nggada
- Department of Histopathology, University of Maiduguri Teaching Hospital, PMB 1414, Maiduguri, Borno State, Nigeria.
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Mustapha SK, Pindiga UH. The Prevalence of Hepatitis B Virus in Patients With Hepatocellular Carcinoma in Gombe, North Eastern Nigeria. Sahel Med J 2004. [DOI: 10.4314/smj2.v6i4.12848] [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: 11/17/2022] Open
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