Cancer has been marginalized in sub-Saharan Africa for many years due to the presence of major endemics such as Aids, Tuberculosis and Malaria. The aim of this study was to contribute to a better knowledge of cancers in the Department of Internal Medicine in Africa. It was a descriptive retrospective transversal study conducted from January 1, 2007 to December 31, 2012 in the Department of Internal Medicine of the University Teaching Hospital of Treichville on data of the patients with cancers. Of 6534 inpatients admitted into hospital, 116 had cancer (1.8%). The median age was 54± 15.5 years and the sex-ratio was 1.6. The main motives of admission were deterioration of general condition (60.3%) and long-term fever (28.4%). The medical histories were chronic viral hepatitis B (35%) and chronic alcoholism (15.5%). Primary liver cancer accounted for 48.3% of the cases followed-up pancreatic cancers (10.3%). The mortality rate was 34.5%. Cancers were less frequent in our study, but the prognosis was poor.

Introduction : Peu de travaux ont ete consacres a la maladie de Kaposi digestive en Afrique Subsaharienne. Au cours de ce travail nous avons voulu apprecier la frequence de la localisation digestive haute de cette maladie chez le patient infecte par le VIH. Objectifs : Degager les caracteristiques epidemiologiques des patients recus pour une endoscopie digestive, determiner les motifs d'examen et decrire les aspects endoscopiques et histologiques des lesions observees. Methodologie : II s'agit d'une etude prospective conduite dans l'Unite d'Endoscopie Digestive du Centre Hospitalier Universitaire (CHU) de Treichville d'avril 1991 a mai 2000. Mise a part les indications courantes, l'endoscopie digestive haute etait systematiquement pratiquee chez tous les patients infectes par le VIH hospitalises dans le service et chez tous ceux ayant un Kaposi cutane et ce, dans le cadre du bilan d'extension de leur maladie. Les appareils utilises sont des endoscopes electroniques de marque Olympus type GIF-XQ200. Les lesions de Kaposi decouvertes a l'endoscopie sont systematiquement biopsiees pour examen histologique. Le statut serologique pour le VIH etait determine sur la base du resultat de deux tests ELISA confirmes par le Western-Blot. Resultats : Au total 8235 patients ont ete examines dans le service pour une endoscopie digestive haute durant la periode de l'etude. Parmi ceux-ci, 52 cas de maladie de Kaposi ont ete diagnostiques (0,63 %) dont 39 hommes et 13 femmes soit un sex-ratio de 3 en faveur des hommes. Parmi les 52 patients, 37 etaient doublement reactifs pour le VIH-1 et pour le VIH-2. La moyenne d'âge etait de 37.9 ans avec des extremes de 15 et 52 ans. Les lesions digestives hautes observees a l'endoscopie avaient les localisations suivantes : estomac seul 32 cas (62.5 %) ; estomac et oesophage ; 9 cas (17.30 %) ; estomac, oesophage et duodenum, 5 cas (9.6 %) ; estomac et duodenum, 6 cas (11.5 %). Les lesions associees etaient dominees par les oesophagites mycosiques (55.7 %). L'examen anatomo-pathologique a mis en evidence la double proliferation de cellules endotheliales et de cellules fusiformes caracteristiques de la maladie.

Letters| October 13 1999 Acute Tubulointerstitial Nephritis and Uveitis with Angiotensin-Converting Enzyme Increase Subject Area: Nephrology F. Retornaz; F. Retornaz Department of Internal Medicine, Centre Hospitalier Régional et Universitaire, Hôpital de Sainte-Marguerite, Marseille, France; Search for other works by this author on: This Site PubMed Google Scholar E. Niamkey; E. Niamkey Department of Internal Medicine, Centre Hospitalier Universitaire de Treicheville, Abjidian, Côte d'Ivoire Search for other works by this author on: This Site PubMed Google Scholar K. Kadjo; K. Kadjo Department of Internal Medicine, Centre Hospitalier Universitaire de Treicheville, Abjidian, Côte d'Ivoire Search for other works by this author on: This Site PubMed Google Scholar J.M. Durand; J.M. Durand Department of Internal Medicine, Centre Hospitalier Régional et Universitaire, Hôpital de Sainte-Marguerite, Marseille, France; Search for other works by this author on: This Site PubMed Google Scholar J. Soubeyrand J. Soubeyrand Department of Internal Medicine, Centre Hospitalier Régional et Universitaire, Hôpital de Sainte-Marguerite, Marseille, France; Search for other works by this author on: This Site PubMed Google Scholar Nephron (1999) 83 (3): 284. https://doi.org/10.1159/000045528 Article history Published Online: October 13 1999 Content Tools Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn MailTo Tools Icon Tools Get Permissions Cite Icon Cite Search Site Citation F. Retornaz, E. Niamkey, K. Kadjo, J.M. Durand, J. Soubeyrand; Acute Tubulointerstitial Nephritis and Uveitis with Angiotensin-Converting Enzyme Increase. Nephron 1 November 1999; 83 (3): 284. https://doi.org/10.1159/000045528 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll JournalsNephron Search Advanced Search This content is only available via PDF. 1999Copyright / Drug Dosage / DisclaimerCopyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements. Article PDF first page preview Close Modal You do not currently have access to this content.

Epidemiological characteristics of black African patients with gastroduodenal ulcer A re t rospective review of medical charts in the Endoscopy ward at CHU Treichville over a 5-year period (January 1992 December 1996) evaluated 5836 patients who under w e n t digestive endoscopy. Overall, 398 were diagnosed with gastric and/or duodenal ulcer, on whom epidemiological characteristics are presented. Duodenal ulcer Gastric ulcer Frequency (%) 4.10 2.10 Age 30-40 40-50 Sex-ratio 3 2 Socio-economic status Low Low Risk factors Spice intake Spice intake K e y Words : Gastroduodenal ulcer Ulcer risk factors Endoscopy.

We report a retrospective study of 800 cases of chronic renal failure (CRF) admitted in the Internal Medical Department at Teaching Hospital of Treichville in Abidjan from January 1990 to December 1990 for precising the etiological, radiological, biological, clinical and epidemiological aspects of this entity in our practice. Kidney renal failure represents 5.8% of the whole patients hospitalised at the same period. 61% of patients were less 45 years old with a weak or mild socio-economic status (92%). In clinical field, 84% of our patients had a variety signs and symptoms which referred to a late uremic state in 41% of cases. Chronic glomerulonephritis (49.1%) and nephrosclerosis (25.4%) were the two main revealed causes. In therapeutical field, 95% of our patients did not receive any treatment in dialysis. Only 5% of patients could be treated by dialysis. The analysis of the results has permitted us to describe clinical particularities of CRF in black African patient.

We studied nephrotic patients hospitalised in internal medicine service at Treichville Teaching hospital from September 1986 to February 1993 for precising the aetiological aspects of black adult patients and their evolutive biological, clinical and epidemiological profile. Secondary Nephrotic syndrome represented 18% of the whole patients with Nephrotic syndrome hospitalised during the same period. In aetiological field it was about: diabetic nephropathy 11 cases (33%); lupus nephritis 7 cases (21%); renal amyloidosis 5 cases (15%); HIV nephropathy 5 cases (15%); schistosomiasis nephrotic syndrome 1 case (3%); pregnancy nephrotic syndrome 1 case (3%); cryoglobulinemia 1 case (3%); malignancy nephrotic syndrome 1 case (3%); nephrosclerosis 1 case (3%).

We studied nephrotic patients hospitalised in internal medicine service at Treichville Teaching hospital from September 1986 to February 1993 for precising the aetiological aspects of black adult patients and their evolutive biological, clinical and epidemiological profile. Secondary Nephrotic syndrome represented 18 % of the whole patients with Nephrotic syndrome hospitalised during the same period. In aetiological field it was about: diabetic nephropathy 11 cases (33 %); lupus nephritis 7 cases (21 %); renal amyloidosis 5 cases (15 %); HIV nephropathy 5 cases (15 %); schistosomiasis nephrotic syndrome I case (3 %); pregnancy nephrotic syndrome 1 case (3 %); cryoglobulinemia 1 case (3 %); malignancy nephrotic syndrome 1 case (3 %); nephrosclerosis 7 case (3 %).

We report a retrospective study of 800 cases of chronic renal failure (CRF) admitted in the Internal Medical Department at Teaching Hospital of Treichville in Abidjan from January 1990 to December 1990 for precising the etiological, radiological, biological, clinical and epidemiological aspects of this entity in our practice. Kidney renal failure represents 5,8 % of the whole patients hospitalised at the same period. 61 % of patients were less 45 years old with a weak or mild socio-economic status (92 %). In clinical field, 84 % of our patients had a variety signs and symptoms which referred to a late uremic stale in 47 % of cases. Chronic glomerulonephritis (49, 1 %) and nephrosclerosis (25,4 %) were the two main revealed causes. In therapeutical field 95 % of our patients did not receive any treatment in dialysis. Only 5 % of patients could be treated by dialysis. The analysis of the results has permitted us to describe clinical particularities of CRF in black African patient.

Only a few reports have established the importance of chronic gastritis and Helicobacter pylori infection in Africa. The aim of this study was to ascertain the prevalence of chronic gastritis and Helicobacter pylori infection in a symptomatic population in Abidjan, Cote-d'Ivoire. The study included 277 consecutive patients referred for gastroscopy. Two hundred nine patients complained of abdominal pain without gastroduodenal ulcer or cancer: 26 had a duodenal ulcer, 23 had a gastric ulcer, and 6 had gastric cancer. The remaining 14 patients underwent gastroscopy for various other reasons. Chronic gastritis was present in 89 percent of cases, of which 96 percent showed signs of activity. There were four cases of lymphocytic gastritis. Patients with antral chronic gastritis were older (39.43 +/- 14.3 years) than those with normal antral mucosa (33.7 +/- 12 years, P < 0.05). Helicobacter pylori was present in 91.3 percent of cases, representing all patients with active chronic gastritis, and 60 percent of the patients with normal gastric mucosa. Chronic gastritis was present in 86 percent of patients with abdominal pain, in 100 percent of those with duodenal of gastric ulcer, and Helicobacter pylori were observed in 90, 100, and 91 percent of the same patient groups, respectively. This study demonstrates the high prevalence of chronic gastritis and the very high level of Helicobacter pylori infection in Ivorian patients complaining of various gastrointestinal symptoms. The usefulness and feasibility of therapeutic trials still have to be investigated.