Background. Fournier's gangrene is uncommon but increasingly being seen over the last two decades probably due to increasing socioeconomic problems including an upsurge in HIV infection especially in the tropics. Patients and Methods. The study retrospectively reviewed all patients with Fournier's gangrene managed in UMTH between January 2007 and December 2012. Results. Thirty-eight males aged 2 weeks to 80 years (mean 37.82) were reviewed, with most aged 30–39 years (13 (34.21%)). Clinical features were scrotal pain and swelling, 36 (94.74%), fever, 19 (50.00%), and discharging scrotal wound, 19 (50.00%). The predisposing conditions were UTI secondary to obstructive uropathy in 11 (28.95%), perianal suppuration, and HIV, in 8 (21.05%) patients each. Wound biopsy culture revealed mixed organisms in 27 (71.05%). Twenty-six (68.42%) had blood transfusions. Thirty-seven (97.37%) patients had wound debridement. Twenty (52.63%) had flap rotation for skin cover. There were 6 (15.79%) mortalities, of which 4 (10.53%) were HIV positive, 1 (2.63%) was diabetic, and 1 (2.63%) was both diabetic and HIV positive. Conclusion. Fournier's gangrene is a fulminant synergistic necrotising fasciitis of the perineum and genitalia with poor prognosis especially when associated with HIV and diabetes, requiringprompt and aggressive management for good outcome.
Bovine tuberculosis is an important public health and economic disease in Nigeria. This study reports the prevalence of tuberculosis in cattle slaughtered at the central abattoir in Maiduguri, Nigeria. Post mortem examination of 664 cattle carcasses was done at the abattoir for 6 months. The lesions collected were processed by using NALC-NaOH and subjected to acid-fast staining and microscopy. The overall prevalence of tuberculosis based on gross tubercle lesions in cattle slaughtered at Maiduguri abattoir was 62 (9.3%). Female cattle 43 (16.7%) had significantly (p = 0.0001) higher prevalence of tubercle lesions than male cattle 19 (4.7%). Cattle with thin body condition had 44 (21.2%), optimal body condition 16 (5.8%) and overweight cattle 2 (1.1%). There was significant (p = 0.0001) difference between body condition and occurrence of tubercle lesions. Prevalence of tubercle lesions in adult cattle was 29 (17.7%), young adults (25 (7.8%) and calves 8 (4.3%). Tubercle lesions were most common in thoracic lymph node and lungs than other organs. The prevalence of tuberculosis by Ziehl-Neelsen microscopy was 6.2% (41/664). There was significant (p=0.0001) differences in the prevalence of tuberculosis by Ziehl-Neelsen microscopy and demographic variable except for breeds. Tubercle lesion is endemic in cattle slaughtered in Maiduguri central abattoir. One Health approach is recommended to prevent zoonotic transmission to humans and economic losses among farmers and butchers.
Traumatic brain injury (TBI) has been the result of neurological deficit and oxidative stress. This study evaluated the antioxidative neuroprotective property and learning and memory-enhancing effects of dimethyl sulfoxide (DMSO) in a rat model after the induction of TBI. 21 albino rats with 7 rats per group were used in this study. Group I was induced with TBI and treated with DMSO at 67.5 mg/kg orally once daily which started 30 min after the induction of TBI and lasted 21 days. Group II was induced with TBI but not treated while Group III was neither induced with TBI nor treated. Assessment of behavioral function (Learning and memory, anxiety and motor function), the level of an antioxidant enzymes and their gene expression (superoxide dismutase, catalase, glutathione peroxidase), the biomarkers of oxidative stress (malondialdehyde) and S100B levels as well as brain tissues histological studies were conducted. Administration of DMSO to rats with induced TBI has improved learning and memory, locomotor function and decreased anxiety in Group I compared to Group II. Moreover, the level of S100B was significantly (p < 0.05) lower in Group I compared to Group II. Treatment with DMSO also decreased lipid peroxidation significantly (p < 0.05) compared to Group II. There exists a significant (p < 0.05) increase in CAT, SOD, and GPX activities in Group I compared to Group II. Therefore, DMSO has demonstrated a potential antioxidative neuroprotective effect through its ability to increase the level of antioxidant enzymes which they quench and inhibit the formation of ROS, thereby improving cognitive functions.
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