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Biomedical subjects

V Koffi-Aka

Publications and source records attributed to V Koffi-Aka.

8 recordsLinked to original sources
PubMed2005

[Nasal cutaneous cryptococcosis localization].

Cryptococcosis is a polymorphous disease occurring especially in the course of the Acquired Immuno Deficiency Syndrome (AIDS). It puts so diagnostic that therapeutical problems in African countries. The objective of this observation is to report a case of nasal localization with a cutaneous cryptococcosis. It has been confirmed by the histopathologic study of the cutaneous biopsy. The patient was 42 year-old female, HIV positive, bachelor and hospitalised for epistaxis with cutaneous tumefaction and lesions of the nose. The rate of CD4 was 98/mm3. The treatment was based on amphotericine B. Patient died from neuro meningitis extension of the disease.

Adult↗
PubMed2002

[Hemangiopericytoma of the infratemporalis fossa: a multi-operated patient].

Hemangiopericytoma (HPC) was diagnosed in a 65-year-old man in 1991. Initially the tumor was located in the maxillary sinus. Resection was followed by multiple recurrences involving the infratemporalis fossa (ITF), the nasopharyngeal region, and the right tonsillar region. Over a 10-year-old period, the histology pattern remained unchanged. Multiple approaches, as described in the literature, were used for resection depending on the site of the recurrence. To data, no malignant structure has been identified. Pain and cranial nerve deficits (V2, V3) have been the main squeleae. This case points out the limitations of radical resection because of the difficulty of the approach to this anatomic region. CT scan must be performed to choose the best access route depending on the primary site of the tumor and its extension.

Aged↗
PubMed2002

[Tracheocele: a rare cause of pharyngeal disorders].

A 40-year-old woman with an uneventful history consulted for an episode of cervical swelling and pharyngeal disorders with sensation of a foreign body. Cervical and ENT examination was normal. The barium swallow showed a normal esophagus and the CT scan showed an air image in the right side of the trachea. The diagnosis of tracheocele was made at surgery and was confirmed by histology. Clinical, endoscopic, and radiologic outcome was favorable three months after surgical resection of the diverticulum. Tracheocele is rarely reported in the literature. It results from a congenital or acquired weakness of the tracheal wall. The right side is involved more frequently. No specific signs or symptoms have been identified. Diagnosis is often based on CT findings. Surgery confirms the diagnosis and allows resection.

Adult↗
PubMed2002

[Rhinophyma in a black African].

Many cases of rhinophyma have been reported in the European and American literature. To date, African cases have not been described. We report a case of rhinophyma observed in the ENT unit at CHU of Treichville. The diagnosis is made clinically and histologically. This patient refused surgical treatment and has not been seen in our unit since. This is the first case of rhinophyma seen in our service. Treatment difficulties arise due to the technical challenges of a good cosmesis and rejection of surgical intervention as in this case.

Black People↗
PubMed2002

[Oto-rhino-laryngology and geriatrics in the Ivory Coast].

Geriatrics medicine develops more and more as a specialized branch of medicine. We report a prospective study of 69 cases of geriatric patients hospitalized in the ENT department of Treichville's teaching hospital from 1996 till 2001. The frequency of hospitalization was estimated at 6.5%. The cohort consisted of 48 males (69.5%) and 21 females (30.5%) with an overall average age of 66.5 years. The majority of the patients lived in the city of Abidjan (61%) with a low socio-economic level (54%). 50.7% were married and 75.4% lived in a house-bold of several persons. The main lesions were at the level of the larynx (36.2%) and nose and sinuses (21.7%) cancers (52%) were more frequent. The patients were little dependent (84%), however 11.6% presented with psychological troubles. Associated pathologies were identified in 18.8% of case. The age, dependence and pathology determined the average duration of stay and the mode of exit. Mortality, of tumoral cause (cancer of the larynx), was estimated at 11.6%. An improved service requires a mutli-disciplinary approach an ORL-based presentative programme and prospective multicentre studies.

Aged↗
PubMed2002

[Necrotizing external otitis in children in Abidjan (Ivory Coast)].

Necrotizing external otitis (NEO) is a fulminant Pseudomonas infection of the external auditory canal affecting mainly elderly diabetic patients. Since the early descriptions, many authors have related cases of NEO in non diabetic patients. We report eight cases of NEO in young children. They are less than two years old, they are undernourished and non diabetics. We get a good evolution in spite of our modest therapeutic ways. Emphasis is placed on efficiency of local remedy with colistine.

Anti-Bacterial Agents↗
PubMed1999

[ORL manifestations in malignant hemopathies].

The purpose of this study was to collect ENT signs observed during lymphomas. The study was conducted in the unit of ENT at the CHU of Treichville, during 15 month from december 1995 to march 1997. Ten cas of lymphomas was enrolled with 6 Hodgkin's lymphomas, 3 acute leukemia and 1 Hodgkin's lymphoma. The diagnosis was based on biopsy and myelogram. There is a wide spectrum and non specific clinical pictures. Pharynx is the common site particularly on the Waldeyer's ring. The disease is common among young people, low socio-economical status. Female are predominant. Most patients died before specific treatment because of the late diagnosis.

Adolescent↗