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Biomedical subjects

A Ramialiharisoa

Publications and source records attributed to A Ramialiharisoa.

6 recordsLinked to original sources

[A case report of bronchial cysticercosis].

Cysticercosus cellulosae is usually located in muscles, subcutaneous tissues, brain and eyes. The authors reported a rare case of bronchial cysticercosis in a 20-year-old man. The only clinical signs were hemoptysis. Bronchial fibroscopy allowed to have a visual field of the cysticercus lesion. This parasitological tumor was removed by surgical resection. The diagnosis was confirmed by histological examination. A drug therapy by praziquantel completed the treatment.

Adult↗

[Diagnostic pitfalls in childhood acute obstructive dyspnea].

Diagnosis of an acute obstructive dyspnea is very difficult because there are many possible causes. The authors reported the case of a 3.5-year-old boy with an atopic status who presented iterative asthma attacks which evolute to severity in spite of an appropriate therapy. Then suffocation occurred with a serious infectious context. The cause of the disease was diagnosed by respiratory tract endoscopic exam which allowed to detect a laryngeal papillomatis. The surgical extraction of this tumour cured the patient. Physiopathology of acute obstructive dyspnea in child was discussed. Upper airway obstructions are separated from lower pulmonary diseases. Two syndromes are very difficult to separate among upper airway obstructions: spasmodic laryngitis and subglottal laryngitis. They are considered in fact as different outward signs of the same disease: subglottal laryngitis is the infectious evolutive form of a spasmodic laryngitis in which atopic status exists. Laryngeal papillomatosis would be a favourising factor of infection. The authors conclude that respiratory tract endoscopic exam is very important to diagnose childhood acute obstructive dyspnea.

Acute Disease↗

[Congenital afibrinogenemia complicated by spontaneous cerebral hemorrhages: a case report].

Congenital afibrinogenemia is a rare autosomal recessive disease caused by markedly reduced or absent synthesis of fibrinogen. Consanguinity is common in affected family. Clinical manifestations range to minimal or moderate bleeding to catastrophic haemorrhage. Bleedings are often post-traumatic, sometimes spontaneous. Diagnosis is established by laboratory tests presenting trace or absence of fibrinogen. Substitutive treatment with fibrinogen concentrates or fresh frozen plasma is used. The authors reported the case of a 41-year-old male with congenital afibrinogenemia with fatal spontaneous cerebral haemorrhage. Diagnosis was made upon history, bleeding history, clinical examination, blood coagulation tests and radiography. Cerebral haemorrhage must be suspected in any patient presenting blood coagulation disorders with bleeding history. Drug therapy must be installed immediately and continued before obtention of specific radiology images which are often late in relation to clinical signs.

Adult↗

Severe ciguatera poisoning in Madagascar: a case report.

In a single outbreak on the East coast of Madagascar, more than 500 people, 98 of whom died, were poisoned by the flesh of a shark, Carcharhinus amboinensis. From clinical symptoms it can be concluded that this poisoning is due to ciguatera toxins. It is the first case of a severe outbreak caused by a shark, and it is the first case with a mortality rate of 20%.

Animals↗

[Latrodectism in Madagascar].

Data concerning lactrodectism in Madagascar is scarce. Two spider species of the Latrodectus genus are found on the Grand Isle: the black widow Latrodectus mactans mena vody and the brown widow Latrodectus geometricus. From March 1991 through July 1992, 10 cases of envenomation by these spiders were treated in the Intensive Care Unit of Antananarivo Hospital. Symptomatology was remarkable with regard to severity (one fatality due to cardiovascular failure, one gangrene of the foot) as well as clinical manifestations (immediate local pain, kidney dysfunction, arterial hypertension). In two cases, the spider was captured and identified. Both were female brown widows (Latrodectus geometricus), which might explain the differences observed in comparison with the classic features of latrodectism that have been established from American and European black widow bites. Since antivenom was unavailable, only symptomatic treatment was administered, including intravenous calcium that proved effective for pain relief.

Adult↗