clove and Dyspnea

Topics: Adult; Cough; Delayed Diagnosis; Dyspnea; Female; Hemoptysis; Hospitals, University; Humans; Lung Neoplasms; Madagascar; Male; Middle Aged; Retrospective Studies; Time Factors

Portopulmonary hypertension is characterized by a chronic liver disease associated with a mean pulmonary artery pressure >25 mmHg at rest, an increased pulmonary vascular resistance and a capillary pulmonary pressure <15 mmHg with portal hypertension. Schistosomiasis may be an aetiology of this syndrome, however, few cases have been reported. We describe the first cases of portopulmonary hypertension with schistosomiasis in Malagasy patients. There were 2 men aged of 18 and 20 from hyperendemic area of schistosomiasis in Madagascar Both had a history of repeated water contact. They presented a dyspnea associated with ascites and oedema. Clinical examination showed portal and pulmonary hypertension with right ventricular heart failure. Cardiac examination revealed a systolic murmur and splint of the second heart pulmonary Pulmonary hypertension was confirmed by cardiac ultrasonogaphy Serology of bilharzias was positive. Parasitological examination showed eggs of S. mansoni. The treatment based on salt-free diet, spironolactone and praziquantel led to a better evolution of symptoms (case 1). Symptoms of right heart failure remained for the second patient even though improvement was noted. In tropical countries, schistosomiasis may be one of the cause of portopulmonary hypertension and may appear in early age. Its treatment remains difficult as the drugs recommended are not affordable.

Topics: Adolescent; Adult; Anthelmintics; Ascites; Combined Modality Therapy; Diet, Sodium-Restricted; Dyspnea; Endemic Diseases; Heart Failure; Humans; Hypertension, Portal; Hypertension, Pulmonary; Madagascar; Male; Mineralocorticoid Receptor Antagonists; Praziquantel; Schistosomiasis mansoni; Spironolactone

The authors reported the first case of leiomyomatosis peritonealis disseminata or diffuse peritonealis leiomyomatosis in a patient of 36 years old. The hyalin degeneration of leiomyomatosis with intra and extra peritonealis extension is an uncommon pathology. The right etiology of this complication of leiomyomatosis is unknown. Its detection is a fortuitous event during laparotomy. It is characterized by an extension to the serosa, a break-in of the tissues and unpredictable invasion of the contiguous organs, and it can touch the heart. Despite its rapid evolution, often accompanied by mechanical complications, it remains a benign tumour.

Topics: Adult; Anorexia; Constipation; Disease Progression; Dyspnea; Female; Humans; Hysterectomy; Incidental Findings; Leiomyomatosis; Madagascar; Menorrhagia; Peritoneal Neoplasms; Pregnancy; Prognosis; Risk Factors; Treatment Outcome; Urinary Incontinence

62 rhinopharingeal samples from malagasy children, aged of 6 days to 14 years old, hospitalized because of acute respiratory infections, with doubtful viral etiology case, during June to August 1992, at the "Hôpital des Enfants" in Antananarivo, were examined by two methods: inoculation by embryonned eggs and inoculation by MDCK cells. 24.1% of the samples were positive. The repartition of the cases by age and by sex were studied. The children aged of 1 to 12 months were the most affected with 65.7% of all cases (male: 60%, female: 40%). One subtype was detected: A(H3N2).

Topics: Acute Disease; Adolescent; Age Distribution; Child; Child, Preschool; Cough; Dyspnea; Fever; Hemagglutination Inhibition Tests; Hospitalization; Hospitals, Pediatric; Humans; Infant; Infant, Newborn; Influenza A virus; Influenza, Human; Madagascar; Morbidity; Population Surveillance; Rhinitis; Seasons; Sex Distribution; Virus Cultivation