PubMed Health⌕ Search

Biomedical subjects

L H Samison

Publications and source records attributed to L H Samison.

6 recordsLinked to original sources

[Two cases of breast tuberculosis in Madagascar].

Breast tuberculosis is rare. It usually involves young women of childbearing age. The purpose of this report is to describe two cases of breast tuberculosis observed in Madagascar with focus on epidemiological, clinical, and therapeutic features. Infection of the breast is usually secondary by lymphatic, contiguous, or, more rarely haematogenous spreading. Primary infection is uncommon. The most frequent clinical form is the fistulised nodular form observed in both patients described in this report. The diffuse form is the least common form and the sclerous form occurs in the elderly. Histology is a valuable diagnostic tool if bacteriological findings are inconclusive. Patients respond favourably to antimycobacterium treatment with or without surgery.

Adolescent↗

[Spontaneous gastric perforation in a neonate. A case report].

Gastric perforation in the neonate is rare. The authors report a 3-day-old male infant, born through a normal delivery after an uncomplicated pregnancy, who presented with a sudden gross distention of the abdomen followed by respiratory distress. Abdominal X-ray examination showed a massive pneumoperitoneum. After a brief resuscitation, an isolated perforation of the stomach was discovered on laparotomy and was sutured. Outcome of spontaneous gastric perforation in newborns is favourable provided the disease is early recognised and treated.

Humans↗

[A case of anal Burkitt's lymphoma].

Burkitt non hodgkin lymphoma affects children and young adults. It is endemic in tropical Africa and it has especially facial and abdominal localisations. We report a case of anal localisation in a 22 years-old man, human immunodeficiency virus (HIV), negative aiming to show clinical, therapeutical and evolutive particularities of this exceptional localisation. Only two cases were reported but in HIV positive patients. Perianal abscess was first evoked, but per-operatory findings and histology rectify the diagnosis. Without chemotherapy, the "natural" evolution was rapidly fatal. Despite the efficacy of nowadays protocols, showing 80% of recovery, this observation illustrates the difficulty of malignant affection's management in developing countries caused by diagnostic delay and high cost of chemotherapy.

Adult↗

[Bartholin gland tuberculosis: a case report in Madagascar].

Female genital tuberculosis is relatively frequent in developing countries. Most cases occur in young women of childbearing age. The most common locations are the tubes, endometrium, and ovaries. Bartholin gland involvement is rare. The purpose of this report is to present a case of Bartholin gland tuberculosis in a 50 year-old woman and to describe the special epidemiological, clinical and therapeutic features associated with this location. Bartholinitis develops insidiously until spontaneous fistula formation. The lesion then gradually assumes a vegetative appearance that persists despite antibiotic treatment. Diagnosis requires biopsy findings demonstrating the presence of granulomatous tissue with caseous necrosis. Patients respond favorably to specific medical treatment. The recent spread of human immunodeficiency virus has increased the need to continue and improve efforts to control turberculosis particularly in endemic zones.

Bartholin's Glands↗

[Giant bladder calculus in two male farmers in Madagascar].

We report two cases of giant calculus in two male farmers in 1999. They were operated on in the urologic ward by lithocystotomy. Infrared spectrophotometric analysis, carried out in Bordeaux, gave us the main components of the stones. These stones weighed respectively 350 g and 450 g. Research of common aetiology such as vesical neck stricture, prostatic hypertrophy, urethral stricture and urinary bladder diverticula was unsuccessful in case of the first patient; in the opposite, the second one had vesical diverticula discovered operatively. But two phenomena came out from this aetiologic investigation: particular regimen of these farmers (much starchy food) and geographical situation of their health centre (far from their home). We must make general practitioners sensitive to this early signs of the disease in order to provide their patients a precocious and better care.

Adult↗