Publications by authors named "Baraka Alphonce"

Despite the name, eosinophilia is not essential for diagnosing drug reaction with eosinophilia and systemic symptoms (DRESS syndrome). Early recognition and stopping the offending drug are vital to managing this condition, as it can otherwise lead to high mortality rates.

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Background And Aims: Stroke is the leading cause of disability and the second most common cause of death after ischemic heart disease worldwide. Understanding predictors of early poststroke mortality provides opportunities for interventions and favorable outcomes. This study aimed to determine the incidence and predictors of 30-day mortality among patients admitted with the first stroke at referral hospitals in Dodoma.

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Key Clinical Message: Gastric adenocarcinoma can present uncommonly. This emphasizes the need for intensified vigilance in the absence of typical gastrointestinal symptoms, particularly in areas where infectious diseases are common.

Abstract: Gastric adenocarcinoma, a common advanced-age global malignancy is typically associated with abdominal symptoms.

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Article Synopsis
  • * Rare instances of NMOSD co-existing with antiphospholipid syndrome have been reported, highlighting the necessity to consider multiple autoimmune disorders in a patient’s diagnosis due to the complexity of symptoms.
  • * In resource-limited settings, delayed diagnosis and treatment of NMOSD often worsen patient outcomes, as illustrated by a case study of an African woman who experienced significant neurological symptoms alongside antiphospholipid syndrome, emphasizing the need for personalized medical approaches
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Introduction: Stroke survivors develop cognitive impairment, which significantly impacts their quality of life, their families, and the community as a whole but not given attention. This study aims to determine the incidence and predictors of post-stroke cognitive impairment (PSCI) among adult stroke patients admitted to a tertiary hospital in Dodoma, Tanzania.

Methodology: A prospective cohort study was conducted at tertiary hospitals in the Dodoma region, central Tanzania.

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Background: Cardiorenal anemia syndrome (CRAS) is a common complication among patients with heart failure and is associated with poor clinical outcomes. However, there is a paucity of published data concerning CRAS, despite of significant increase in heart failure patients attending medical services in developing countries. This study aims to assess the prevalence, clinical correlates, and outcomes of CRAS among patients with heart failure attending the Benjamin Mkapa Hospital in Dodoma, Tanzania.

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Introduction: Cardiac Dyssynchrony is prevalent among patients with heart failure with high cost of care and potentially poor outcomes. Nevertheless, little is known about cardiac dyssynchrony among heart failure patients, especially in developing countries. This study aims at assessing the predictors and outcomes of cardiac dyssynchrony among heart failure patients attending the cardiology department at Benjamin Mkapa Referral Hospital in Dodoma, central Tanzania.

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Key Clinical Message: Sickle cell disease (SCD) rarely presents with acute soft head syndrome (ASHS) often posing a diagnostic dilemma. Recovery is typically spontaneous, however, in the context of lack of awareness and limited brain imaging it could potentially lead to poor outcome.

Abstract: ASHS is a rare complication of SCD, invariably occurring near puberty with hitherto elusive pathogenic mechanisms.

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Key Clinical Message: Progressive supranuclear palsy (PSP) has many clinical features overlapping with other Parkinson syndromes and differentiation on clinical ground is difficult. This case highlights how a brain MRI can help diagnose PSP in settings with limited resources where histological diagnosis is difficult.

Abstract: Progressive supranuclear palsy (PSP) may be challenging to diagnose due to its widely acknowledged clinical complexity and challenges with diagnosis confirmation, particularly in resource-poor settings where the ability to obtain confirmatory tests is highly complicated, leading to an inaccurate or incomplete diagnosis of PSP.

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Introduction: Neurocognitive deficits after stroke are a common manifestation and pose a significant impact on the quality of life for patients and families; however, little attention is given to the burden and associated impact of cognitive impairment following stroke. The study aims to determine the prevalence and predictors of post-stroke cognitive impairment (PSCI) among adult stroke patients admitted to tertiary hospitals in Dodoma, Tanzania.

Methodology: A prospective longitudinal study is conducted at tertiary hospitals in the Dodoma region, central Tanzania.

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