ISSN 2326-7283
Research Article
African Journal of Internal Medicine ISSN 2326-7283 Vol. 8 (4), pp. 001-002, April, 2020. © International Scholars Journals
Case Report
An unusual cause of acute tympanic membrane perforation: A case report
Anelechi B. Chukuezi and Jones N. Nwosu*
Department of Otolaryngology, Imo State University Teaching Hospital, Orlu, Imo State, Nigeria.
Accepted 16 March, 2020
Abstract
This is a case report of a 26 – year old lady who presented in the Accident and Emergency Department of our hospital with complaints of sudden onset of right otalgia, tinnitus and loss of hearing which she claimed started at about 12:30 h after vigorous kissing incident. The tympanic membrane was ruptured. She was managed conservatively with oral antibiotics with spontaneous and complete healing of the perforated tympanic membrane within one month of follow-up. It was shown that ear kissing can lead to auditory injury and loss of hearing and so kissing should be made as gentle as possible in all circumstances.
Key words: Unusual cause, kissing, acute tympanic membrane perforation.
Jones N. Nwosu*, Anelechi B. Chukuezi
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Short Communication
African Journal of Internal Medicine ISSN 2326-7283 Vol. 8 (4), pp. 001-002, April, 2020. © International Scholars Journals
Short Communication
Could we reduce the incidence of methicillin-resistant Staphylococcus aureus (MRSA) infection in Otitis externa
Hasanin Al Chalabi1*, Peter Walshe2 and C. Timon2
1402 D, the Glen, Aiken’s Village, Sandyford, Dublin 18, Ireland.
2Royal Victoria Eye and Ear Hospital, Adelaide road, Dublin 2, Ireland.
Accepted 04 May, 2020
Abstract
The incidence of MRSA is once again on the agenda for the hospital management. This strain of micro organism presents a challenge for ENT doctors worldwide. Despite many strict measures taken all over the world, the figures appear to be rising; there has been a steady increase in the number of cases of nosocomial MRSA infections. We examined all external ear swabs samples taken from patients complaining of Otitis externa clinically, in the Royal Victoria Eye and Ear Hospital from 1st January, 2004 to 12th December, 2004. We analysed the results of the compared MRSA O. externa to previous study conducted 8 years ago in the same hospital.
Key words: Otitis externa, MRSA in Otitis externa, external ear infections.
Hasanin Al Chalabi*, Peter Walshe and C. Timon
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Case Report
African Journal of Internal Medicine ISSN 2326-7283 Vol. 8 (4), pp. 001-002, April, 2020. © International Scholars Journals
Case Report
Epidermal cyst of the bony external auditory canal in adult
Ihshan Ali, Rouf Ahmad and Irfan Iqbal*
Department of Otorhinolaryngology, Head and Neck Surgery, Government Medical College, Srinagar, India.
Accepted 21 January, 2020
Abstract
The objective of the study is to present a rare case of epidermal cyst of the bony external auditory canal in adult. Epidermal cyst of the bony external auditory canal, though very rare, was kept in the list of differential diagnosis of a skin lined mass of the external auditory canal. A case report method and review of literature was used for the diagnosis. Epidermal cyst is very rare in the external auditory canal. Only two cases of epidermoid cyst arising from the bony external auditory canal are reported previously in English. But both were in pediatric age group. Epidermal cyst in external auditory canal in adult patients may be confused with masses that are commonly seen; this includes osteomas, exostosis, ear polyps, carcinomas etc. Epidermal cyst should be included in the differential diagnosis of a patient with an ear mass.
Key words: Epidermal cyst, external auditory canal.
Ihshan Ali, Rouf Ahmad and Irfan Iqbal*
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Short Communication
African Journal of Internal Medicine ISSN 2326-7283 Vol. 8 (3), pp. 001-004, March, 2020. © International Scholars Journals
Short Communication
Antibiotics resistance and susceptibility pattern of a strain of Staphylococus aureus associated with acne
Adekunle Odunayo Adejuwon1,3*, Adesola Adetutu Ajayi 2,3, O. O. Akintunde3 and Patrick Ojo Olutiola3
1Department of Biochemistry and Microbiology, Faculty of Information Technology and Applied Sciences, Lead City
University, Ibadan, Nigeria.
2Department of Biological Sciences, College of Science and Technology, Covenant University, Sango-Ota, Ogun State, Nigeria.
3Department of Microbiology, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
Accepted 21 July, 2020
Abstract
Staphylococcus aureus was isolated from an individual with acne. The isolate was Gram positive, spherical and in clusters, golden yellow on mannitol salt agar and non spore forming. Biochemical tests showed that it was unable to hydrolyze gelatin but able to ferment glucose, galactose and mannitol. It produced catalase and coagulase enzymes. It was able to utilize citrate as sole carbon source but was indole negative. It was Methyl Red positive and Voges-Proskauer negative. It was sensitive to gentamicin, tetracycline, amoxicillin, augmentin, chloramphenicol and sulphamethoxazole but resistant to ampicillin, erythromycin, cloxacillin, cotrimoxazole, streptomycin and penicillin.
Key words: Antibiotics, resistance, susceptibility, acne, Staphylococcus aureus.
Adesola Adetutu Ajayi, O. O. Akintunde and Patrick Ojo Olutiola, Adekunle Odunayo Adejuwon*
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Research Article
African Journal of Internal Medicine ISSN 2326-7283 Vol. 8 (3), pp. 001-006, March, 2020. © International Scholars Journals
Full Length Research paper
Risk factors for ventilation associated-pneumonia by multidrug-resistant Pseudomonas aeruginosa producing metallo- -lactamase
Dayane Otero Rodrigues1*, Paulo P. Gontijo Filho1, Marcelo Tavares2 and Rogério M. Costa-Pinto2
1Biomedical Sciences Institute, Uberlândia Federal University, Uberlândia-MG, Brazil.
2Faculty of Mathematics, Statistical and Biometric Studies at Uberlândia Federal University, Uberlândia-MG, Brazil.
Accepted 19 August, 2019
Abstract
To evaluate if risk factors for ventilation associated-pneumonia (VAP) by Pseudomonas aeruginosa differed among patients affected by P. aeruginosa producing metallo- -lactamase (MBL-PA) or non-MBL-PA isolates. A 1-year retrospective case-control study was conducted in a surgical-clinical intensive care unit at a tertiary-care university hospital. Cases were patients with MBL-PA VAP and controls were those with non-MBL-PA VAP. Univariate and multivariate analysis were performed to identify risk factors. A total of 40 cases and 53 controls were included in the study. Univariate analysis showed that a high-risk ASIS score, clinical category in hospital admission, prior hospitalization, length of ICU stay, length of mechanical ventilation, exposure to three or more antibiotics, exposure to carbapenems and fluoroquinolones were risk factors for VAP by MBL-PA. After logistic regression, the prior hospitalization and length of mechanical ventilation continued significant. The mortality was also independently associated with MBL -PA VAP. Hospitalization within the preceding year and length of mechanical ventilation were risk factors for MBL-PA VAP, deserving attention and further investigations. MBL-PA VAP resulted in higher mortality rates most likely related to the commitment effective treatments of nosocomial infections by this organism. Early identification of patients with risk factors which could guide this initial appropriate empirical therapy and the development of strategies to prevent the dissemination of MBL-PA strains.
Key words: Metallo- -lactamases, risk factors, P. aeruginosa, bacterial drug resistance, case-control studies.
Dayane Otero Rodrigues*, Marcelo Tavares and Rogério M. Costa-Pinto, Paulo P. Gontijo Filho
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Research Article
African Journal of Internal Medicine ISSN 2326-7283 Vol. 8 (3), pp. 001-006, March, 2020. International Scholars Journals
Full Length Research paper
Experimental chronic inflammation induced in mice periodontium by Actinomyces israelii entrapped in alginate gel
Vagner Rodrigues Santos 1*, João Luis Duval Cândido da Silva1, Sérgio Monteiro Lima Jr1, Felipe Alcântara Braga1, Mariana Passos De Luca1, Vladimir Reimar A. Souza Noronha1, Evandro Guimarães Aguiar1 and Márcio M. Mattos2
1Laboratory of Microbiology and Biomaterials , Facult of Dentistry , Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil.
2Laboratory of Pharmacology, Facult of Pharmacy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil.
Accepted 17 September, 2019
Abstract
Experimental chronic inflammation in periodontal actinomycosis was studied with INCQS standard Actinomyces israelii infected mandibula in Swiss/NIH mice (n = 45), male and female with 21 days of age. Tissue responses of the experimentally induced chronic inflammation were investigated in mice by clinical and light microscopy. After anesthetization, the animals were inoculated in paraperiosteal periodontium anterior mandibula with 108 UFC/mL A. israelii (n = 45) associated with sodium alginate gel particles. The animals had been evaluated clinically and microscopically at 1, 3, 7, 15, 21, 30 and 45 days after inoculation. Chronic inflammation was induced in all the mice when compared to the control animals. As such, both groups had normal general health throughout the study. In the control mice (n = 10), no lesions were noted. However, the clinical and histopathology evolutions of actinomycosis lesions had been observed and are discussed in this work.
Key words: Actinomycis israelii, chronic infection, alginate gel, experimental actinomycosis, periodontium, mice.
João Luis Duval Cândido da Silva, Vagner Rodrigues Santos*, Evandro Guimarães Aguiar and Már, Felipe Alcântara Braga, Mariana Passos De Luca, Vladimir Reimar A. Souza Noronha, Sérgio Monteiro Lima Jr
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