Current clinical presentation of malaria in Enugu, Nigeria.

This study examined the malaria situation in a malarial endemic area of Nigeria. Structured questionnaire was applied to 300 doctors practising in Enugu urban, Nigeria and confirmation of the clinical diagnosis by laboratory technique was done using 468 patients. The result shows a high prevalence of Plasmodium falciparum infection (96.

Accidental incision of the fetus at caesarian section.

Background: Caesarian section is the most common major surgical procedure among women of reproductive age. It is thought to be safer for the baby than the mother. However, the baby is at risk of laceration injury.

Clinical presentation of severe anemia in pediatric patients with sickle cell anemia seen in Enugu, Nigeria.

Anemia is a major cause of morbidity and mortality among patients with sickle cell anemia. In this study, 108 episodes of severe anemia were prospectively evaluated in 108 patients with hemoglobin SS disease attending the pediatric sickle cell clinic of the University of Nigeria Teaching Hospital, Enugu, Nigeria. Young children between the ages of 2 and 4 years were found to be at the greatest risk of developing anemic crises (severe anemia).

Cloacal extrophy.

Extrophic lesions of the ventral abdominal wall are represented by a range of anomalies of which the most severe is cloacal extrophy. By 1986, only 190 cases were reported in the world literature and it is estimated that only 15 cases are seen in the United States of America per year. In Nigeria today, with improvement in antenatal and perinatal services, children who one or two decades ago would have been stillborns or products of miscarriages are now born alive.

Bilateral hydronephrosis from uretero-pelvic (U-P) obstruction: some clinico-pathological aspects.

Three cases of bilateral hydronephrosis from ureteropelvic obstruction in Nigerian children are presented. The unique association of this disease with congenital musculoskeletal disorders is shown in one of the cases. Frank haematuria was not a presenting complaint but presence of altered blood in urine described here as "Coca cola" coloured urine is common in all of the cases probably a feature of advanced disease process.

Dose response studies of gastric acid secretion in Nigerians using pentagastrin stimulation.

To determine the does of pentagastrin required for maximal gastric acid secretion, 6, 8, and 10 micrograms/kg body weight of intramuscular pentagastrin were given to twenty Nigerian subjects (ten controls and ten duodenal ulcer patients). The different doses of pentagastrin were administered to each subject on different days. 8 micrograms/kg body weight of pentagastrin caused the highest gastric acid output in all the subjects followed by 6 and lastly 10 micrograms/kg body weight.