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Biomedical subjects

A G Juimo

Publications and source records attributed to A G Juimo.

5 recordsLinked to original sources
PubMed1992

Extraintestinal amebiasis.

Extraintestinal involvement is a dreaded complication of amebiasis, with a reported mortality rate of 7%-14%. The authors retrospectively studied 188 patients with extraintestinal amebiasis confirmed by means of clinical, surgical, and radiologic criteria over a 45-month period. Ultrasonography (US) was the mainstay of radiologic investigation. Liver abscess was present in 183 patients (97%); five patients (3%) had other organ involvement but a normal liver. The majority of liver abscesses were in the right lobe. US is recommended for the diagnosis and follow-up of patients with extraintestinal amebiasis. It is noninvasive, simple, easily reproducible, and less expensive than computed tomography. Portable models can be taken into remote areas of the less-developed world.

Adult↗
PubMed1991

Gall stone disease in African patients with sickle cell anaemia: a preliminary report from Yaounde, Cameroon.

Cholecystosonography was undertaken in 90 patients with sickle cell disease aged 15 years and over. Gall stones were found in 26 (28.9%) patients. There was no sex difference, but the incidence increased with age from 13.2% at under 20 years to 75% at 30 years and over. The mean serum cholesterol and total and unconjugated bilirubin concentrations were not significantly different between patients with and without gall stones. As most (80.8%) stones were radiolucent they were probably of pigment type, containing little or no calcium, and further investigation into how they are produced is needed. Sickle cell patients with acute abdominal crisis should have gall bladder disease excluded before a diagnosis of vascular crisis is made.

Adolescent↗
PubMed1991

[Obstructive jaundice in Yaounde. Value of echography and transhepatic cholangiography in determining the cause].

The purpose of the study was to assess the clinical value of ultrasonography (US) and percutaneous transhepatic cholangiography (PTC) in the workup of obstructive jaundice in Yaoundé. From 3,000 ultrasonographic studies done between September 1987 and February 1990, the authors drew 37 cases of obstructive jaundice. 22 of them were explored with both US and PTC. The cause of obstruction was tumor for 14, inflammation or malformation for 4 and biliary stone for 4. US could predict the cause in 55 p. cent of cases and PTC in 77 p. cent of cases. PTC was particularly helpful in case of non tumoral causes. The authors conclude that, in their setting where computed tomography is scarce and expensive, the combination of both US and PTC is rewarding, when the problem is the determination of the nature of obstruction.

Adult↗
PubMedDate not supplied

[Chronic pancreatitis in Cameroon. Analysis of etiological and clinical aspects].

In a collection of 3,571 patient's files admitted in the University Teaching Hospital and the Yaounde General Hospital, we studied 27 patients suspected of chronic pancreatitis. 20 patients with calcified chronic pancreatitis benefited from a detailed history, physical examination and a complete paraclinical work-up. From the data collected, chronic alcoholism seemed to have been the main aetiology. Industrial beer from barley alone and/or associated with other traditional liquors was most consumed. The majority of patients were heavy alcoholics and daily consumption varied from 75 to 124 g of pure alcohol. The natural history of the disease and physical examination were identical to that observed in the western countries. Associated pathology was observed in 10% of the patients. This included peptic ulcer disease, cirrhosis and bile stones. Complications included diabetics, obstructive jaundice, and malabsorption syndrome. As a conclusion, chronic pancreatitis is a pathology whose prevalence seems to be progressing constantly.

Adult↗