Biomedical subjects

R A Ebrahim

Publications and source records attributed to R A Ebrahim.

3 recordsLinked to original sources

PubMed2000

Ankylosing spondylitis presenting with discitis.

Ankylosing spondylitis is not an uncommon disease worldwide, yet is relatively rare in Bahrain. There is a typical pattern of joint involvement in cases of ankylosing spondylitis, but the presentation of discitis is rare. We present a case of a patient presenting with backache and was diagnosed to have discitis. The diagnosis of ankylosing spondylitis was made only after he was found to be Human Leukocyte Antigen-B27 positive. This is the first case report of ankylosing spondylitis presenting as discitis in Bahrain.

Adult↗

PubMed1998

Wegener's granulomatosis. First case report in Bahrain.

Formerly a fatal condition, Wegener's granulomatosis is now treated with good results. Although the annual incidence of Wegener's granulomatosis in the general population is not known, most European and American studies revealed an incidence in the range of one for every 250,000 of the population. The estimated total population of Bahrain as of June 1997 is 586,110; here we report the first diagnosed case of Wegener's granulomatosis in Bahrain. Our patient presented with epistaxis, and from the clinical features, the very high ESR, the operative, histopathological and the radiological findings, and a high index of suspicion we could confirm the diagnosis along with the appropriate immunological test (positive cANCA). Standard treatment with cytotoxic agents and corticosteroids has been used. On follow-up the patient has shown a progressive improvement in her clinical and laboratory parameters.

Bahrain↗

PubMed1997

Epidemiology of HIV and AIDS in Bahrain.

Between 1986 and 1996, 378 HIV cases were identified in Bahrain, of whom 51% were foreign nationals. Intravenous drug abuse was a major risk factor (38.8%) among Bahraini nationals, while transmission through sexual contact was more common (45.7%) among foreigners. Other well known risk factors were also represented in the two communities. The male to female ratio for the two communities were very different with 10:1 for nationals compared to 1:1.4 for foreigners. Among the AIDS defining manifestations, Pneumocystis carinii pneumonia was the commonest (50%), followed by tuberculosis (21%), oro-esophageal candidiasis, cryptosporidiosis and toxoplasmosis. Transmission through sex and maternal-foetus route could emerge as significant contributors in the spread of AIDS in Bahrain unless appropriate preventive steps are taken.

Adult↗