Publications by authors named "Hedwiga F Swai"
Article Synopsis
- Foreign body aspiration in adults is rare and can be challenging to diagnose, often resulting in delayed treatment.
- Chronic aspiration can lead to serious complications like bronchiectasis, atelectasis, and lung fibrosis.
- The case study highlights a primary school teacher who was diagnosed with foreign body aspiration 11 years after it occurred, having received unnecessary antibiotics and antituberculous therapy due to the delay.
Article Synopsis
- A middle-aged woman experienced chronic foot arthritis that led to a non-healing ulcer, which didn't respond to standard treatments.
- After developing neurological issues, she was treated with antitubercular medications that healed the ulcer but caused other serious complications, including cerebral tuberculoma and tuberculous meningitis.
- Despite efforts for diagnosis and treatment, she ultimately died from the complications and a likely hospital-acquired infection, underscoring the difficulties in identifying rare disease presentations in endemic regions.
Background: The diagnosis of pulmonary tuberculosis in patients with Human Immunodeficiency Virus (HIV) is complicated by the increased presence of sputum smear negative tuberculosis. Diagnosis of smear negative pulmonary tuberculosis is made by an algorithm recommended by the National Tuberculosis and Leprosy Programme that uses symptoms, signs and laboratory results.The objective of this study is to determine the sensitivity and specificity of the tuberculosis treatment algorithm used for the diagnosis of sputum smear negative pulmonary tuberculosis.
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