Open Access Case Report

Genital Tract Tuberculosis in a 42-year Female Masquerading as Ovarian Malignancy

G. A. Ebughe, T. I. Ugbem, E. E. Omoronyia

International Journal of TROPICAL DISEASE & Health, Page 1-6
DOI: 10.9734/ijtdh/2019/v38i230180

Female genital tuberculosis is one the known causes of infertility in the tropics. The symptom complex are diverse and it is one of the known causes of pyrexia of unknown origin. Instances of mimicry of ovarian cancer with raised CA125, have been reported. We present a case report in a 42-year-old woman with abdominal pain and progressive abdominal pain of 3 weeks durations, who had confounding symptom of raised CA125, forcing a presumptive diagnosis of ovarian cancer. She had exploratory total abdominal hysterectomy (TAH). The surgical findings and histopathological diagnosis were suggestive of tuberculosis, for which she is undergoing treatment and showing remarkable improvement.

Open Access Case Report

Death from Neglected Pituitary Adenoma: A Case Report

G. A. Ebughe, T. I. Ugbem

International Journal of TROPICAL DISEASE & Health, Page 1-6
DOI: 10.9734/ijtdh/2019/v38i230182

We present a case of a patient who presented with pituitary macroadenoma complicated with hydochephalus. He presented late to the referral hospital in a comatose state and died a few hours later. He was a 33-year-old, male who gave a history of highly accelerated symptoms lasting 1 week. Neurosurgical consultation as well as investigations with CT scan or MRI were not availed the patient,which could have been life saving. Autopsy findings were of a pituitary macroadenoma and signs of hydrocephalus and raised intracranial pressure which proved fatal.

Open Access Original Research Article

Stakeholders’ View of Sustainability of Public Water Supply Schemes in a Rural Area: The Case of Muyuka Subdivision, Cameroon

Finley Mbah, Rene Nkenyi, Delvis Fru

International Journal of TROPICAL DISEASE & Health, Page 1-9
DOI: 10.9734/ijtdh/2019/v38i230181

Background and Aim: It is certain that without readily available water in sufficient quantity, and free of pathogens, man's progress is tremendously hindered. In Muyuka, Cameroon, though there exist public taps littered “here and there”, the population most often find themselves fetching water from nearby streams raising to surface the question of sustainability of the available water systems which was the aim of this study.

Methods: This was a cross-sectional, analytic study targeting household heads and water committee members in the rural communities of Muyuka. Three communities were randomly selected and from each, five quarters were randomly selected. In the quarters, convenience sampling technique was used for the household heads while snowball sampling technique was used to get the water committee members. An interviewer administered questionnaire was used and data analyzed using R.

Results: A total of 371 persons participated in the study. The average number of years lived in the community was 22.08 (SD=10.61) and ranged from 10 to 66. Only 13.00% of the participant didn’t see the water system as challenging while 81.5% finds it to be severely problematic. Utilization of water averaged far less than the 50L/person/day and the situation worsened as the household size increased. Close to half (49.6%) of participants did not participate at any stage in the development of the water system. According to the participants, water systems breaks down averagely 3 times in a year and last for about 67 days before being repaired. Water committee members reported difficulties in accessing spare parts and inadequacy in their training.  

Conclusion: Frequent breakdown of the water schemes compounded by the unavailability of spare parts and hence delays in repairs, and in expansion, user dissatisfaction and unwillingness to pay their bills; inadequacy in training of water committee members, has resulted in poor sustainability of the water system.

Open Access Original Research Article

Changes in Renal Parameters Associated with Typhoid Infection

J. C. Ozougwu, K. C. Alozie, C. A. Imakwu, S. C. Eziuzor, D. K. Akwari

International Journal of TROPICAL DISEASE & Health, Page 1-6
DOI: 10.9734/ijtdh/2019/v38i230183

Background: Typhoid is a vital health hazard globally but its incidence is greater in developing compared to developed countries owing to low sanitation, poor hygiene practices, unsafe food and drinking water.

Objective: This study was designed to determine the changes in renal parameters associated with male and female Typhoid patients.

Materials and Methods: A hundred and twenty male and hundred and twenty female Typhoid patients were divided into four groups made up of sixty Typhoid positive male, sixty Typhoid negative male, sixty Typhoid positive female and sixty Typhoid negative females. The renal parameters were evaluated using Spectrophotometer. The results were analyzed using statistical package for social science version 20 statistical software.

Results: The result of renal changes associated with male and female Typhoid fever patient showed insignificant increase (p < 0.05) in Total serum Protein and significant increase (p < 0.05) in Creatinine level of both male and female patient compared to their control. It showed insignificant increase (p < 0.05) in potassium ion and sodium ion of the Typhoid positive male patient, significant decrease in sodium ion and insignificant decrease in potassium ion of the Typhoid positive female compare to their controls. Similarly, the result of the Typhoid positive male patients showed significant increase (p < 0.05) in Chloride ion and insignificant decrease (p < 0.05) in Chloride ion of Typhoid positive female compare to their control. Furthermore, it showed insignificant decrease (p < 0.05) in Urea level of the Typhoid positive males and insignificant increase (p < 0.05) in Urea level of the Typhoid positive females.

Conclusions: Renal parameters as a tool for examining cases of early typhoid infections may aid in detecting early complications related to typhoid fever so as to aid in patients care and avert death that may come from such complication.

Open Access Original Research Article

Prevalence and Associated Risk Factors of Soil-Transmitted Helminthiases among Primary School-going Children in Rarieda, Siaya County-Kenya

Stephen Onyango Arwa, Dominic Mogere, David Musoke

International Journal of TROPICAL DISEASE & Health, Page 1-12
DOI: 10.9734/ijtdh/2019/v38i230184

Soil Transmitted Helminthiases (STH) are a group of chronic infections, typically very common or endemic in low income countries and are classified as Neglected Tropical Diseases (NTD). Despite the World Health Organization (WHO) laid down control strategies and goal to eradicate these infections by the year 2020, these infections continue to dominate in Sub-Saharan countries; this problem necessitated the need for this study. The primary objective of this study was to assess prevalence of, and risk factors of STH among primary school children in Rarieda, a sub-county in Siaya County of Kenya. The study contributed to the overall theme of “Research for Better Health in East African Region”. The study population comprised of primary school children, aged between seven and fifteen years. A total sample size of 300 pupils was randomly sampled from five primary schools across Rarieda. Data were collected between September and October 2018 and cross sectional study design was used. Ethical approvals were obtained from all the relevant authorities and pre-testing was done at Ruma primary school. Data was collected using structured questionnaires, Key Performance Indicators (KII) and Focused Group Discussions (FGD). The study established that there was high prevalence of STH among the primary school children in Rarieda, with prevalence rate of 27.3 percent. The prevalence rate varied with socio-demographic characteristics of the pupils. Knowledge level of the pupils on STH was 38.9, and the pupils were 45.9 percent at risk of STH with a great variance noted between health practices at schools verses at homes. Integrated STH control approach, which would incorporate regular deworming, health education and promotion, hygiene and sanitation, and appropriate health policies formulation and implementations, was therefore seen to be very necessary in controlling and prevention of STH in Rarieda.