RESUMO
OBJECTIVES: To report characteristics and outcome of COVID-19 patients who required hospital admission in sub-Saharan Africa clinics with no access to invasive mechanical ventilation. METHODS: Between April and June 2021, documented COVID-19 patients with SaO2 < 95% who were admitted in two clinics in Douala (Cameroon) were invited to participate. Data were prospectively collected using a standardized questionnaire. RESULTS: We included 67 patients: 39 males (58%), median age 62 years [50-70]. Comorbidities included hypertension (n = 38, 57%), obesity (n = 26, 38%), and diabetes (n = 16, 24%). No patient reported COVID-19 vaccination. On admission, 35 patients (52%) required O2 > 6 L/min. CT scan demonstrated extended lesions (>50%) in 50/61 cases (82%). Most patients received dexamethasone (n = 64, 96%), heparin (n = 64, 96%), chloroquine/azithromycin (n = 59, 88%), and broad-spectrum antibiotics (n = 59, 88%). Sixteen patients died (24%), after a median of 11.5 days [7.5-15.5] post-admission. CONCLUSIONS: Despite the lack of invasive mechanical ventilation, 76% of COVID-19 patients survived.
Assuntos
COVID-19 , Masculino , Humanos , Pessoa de Meia-Idade , COVID-19/epidemiologia , COVID-19/terapia , SARS-CoV-2 , Camarões/epidemiologia , Estudos Prospectivos , Vacinas contra COVID-19 , HospitaisRESUMO
Recto-vaginal septum abscess is a rare entity in women. The authors report a rare clinical observation of a recto-vaginal septum abscess in a 40 year old woman, hospitalized and treated in the Surgical Unit of the Yaounde General Hospital. Medical literature was reviewed and surgical indications discussed.
Assuntos
Abscesso/cirurgia , Infecções por Escherichia coli/cirurgia , Doenças Retais/cirurgia , Doenças Vaginais/cirurgia , Abscesso/diagnóstico por imagem , Abscesso/tratamento farmacológico , Abscesso/microbiologia , Adulto , Antibacterianos , Terapia Combinada , Quimioterapia Combinada/uso terapêutico , Infecções por Escherichia coli/diagnóstico por imagem , Infecções por Escherichia coli/tratamento farmacológico , Infecções por Escherichia coli/microbiologia , Feminino , Humanos , Doenças Retais/diagnóstico por imagem , Doenças Retais/tratamento farmacológico , Doenças Retais/microbiologia , Ultrassonografia , Doenças Vaginais/diagnóstico por imagem , Doenças Vaginais/tratamento farmacológico , Doenças Vaginais/microbiologiaRESUMO
A case of postoperative necrotizing fasciitis after a right incarcerated inguinal hernia repair is reported in a six week old baby hospitalized in the paediatric surgical unit of the Yaounde General Hospital. Treatment consisted in a medical reanimation, surgical debridement and an appropriate antibiotherapy. Medical literature was reviewed and therapeutic indications discussed.
Assuntos
Antibacterianos , Quimioterapia Combinada/uso terapêutico , Fasciite/cirurgia , Hérnia Inguinal/cirurgia , Fasciite/tratamento farmacológico , Fasciite/etiologia , Fasciite/microbiologia , Humanos , Lactente , Masculino , Necrose , Complicações Pós-OperatóriasRESUMO
The authors report a rare clinical observation of a post-appendectomy caecal fistula retardedly exteriorized, in a 18 year old adolescent, managed in the surgical service of the Yaounde General Hospital. The radical treatment was surgical and consisted in right hemicolectomy. Literature was reviewed and therapeutic indications discussed.