Enteritis necroticans in Uganda

Wright, D. H.; Stanfield, J. P.

doi:10.1016/s0022-3476(67)80086-6

Cited by 21 publications

(6 citation statements)

References 10 publications

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“…Enteritis necroticans is caused by the b toxin produced by type C, 5-8 and immunization against this toxin has resulted in a decline in the incidence of the condition. 4 Enteritis necroticans is recognized in other developing countries [9][10][11][12] and, in rare instances, in developed countries, where its occurrence is confined to adults with chronic illnesses. [13][14][15] We report here a case of enteritis necroticans in a boy with diabetes after he consumed pig intestines (chitterlings) in the United States.…”

Section: Resultsmentioning

confidence: 99%

Enteritis Necroticans (Pigbel) in a Diabetic Child

et al. 2000

N Engl J Med

111

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Section: Resultsmentioning

confidence: 99%

Enteritis Necroticans (Pigbel) in a Diabetic Child

et al. 2000

N Engl J Med

111

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“…Both of these patients had a 2-week history of low-grade fever. The correct diagnosis may have been of another illness, such as enteritis necroticans [2] or chemical toxicity.…”

Section: Discussionmentioning

confidence: 99%

Case Series of Acute Abdominal Surgery in Rural Sierra Leone

McConkey

2002

World j. surg.

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In many poor countries of the world the need for surgical treatment of acute abdominal emergencies is largely unmet. In some cases this service is provided by physicians with little postgraduate surgical training, and there is a paucity of published data on the outcomes of this service. This series of sequential cases of acute abdominal surgical emergencies from a hospital in rural Sierra Leone illustrates the causes, outcomes, and challenges in this setting. All patients with an acute abdomen from September 1992 until September 1994 who required surgery were identified by review of theater records, ward books, and patients' notes. Altogether, 173 cases were identified. Operative diagnoses included ectopic pregnancy (n = 43), strangulated hernia (n = 45) 15 of which required bowel resection, appendicitis (n = 15), normal appendix (n = 4), uterine rupture (n = 9), perforated ulcer (n = 8), tubal or pelvic abscess (n = 7), volvulus (n = 6), and others. Ninety percent survived to discharge after a median postoperative stay of 9.2 days (range 7-127 days). Of the 18 deaths, 83% occurred during the first 3 days. Factors associated with poor outcome were ileal perforation due to typhoid fever and resection of bowel after a strangulated hernia. These results show that acute abdominal surgery can be done at the district level in poor countries using limited facilities by staff without extensive surgical training. The outcomes are comparable to those from larger centers.

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“…The introduction of the Clostridium perfringens was traced to poorly cooked meat especially pork 1 , hence the name 'pigbel'. With the improvement in standards of living and hygiene after the world war, these cases disappeared from Germany, but in several countries including Thailand, PNG, Uganda and Ghana cases have been identified 2,3,4 . To our knowledge this is the first report of Pig-bel disease in Nigeria.…”

Section: Discussionmentioning

confidence: 99%

Ward Round-An acute abdominalemergency

Irabor¹,

Adesina²

2010

Mal. Med. J

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A 32 year old unemployed male was brought into the Accidents and Emergency Department of the University College Hospital, Ibadan, with a 2-day history of severe generalized abdominal pain, fever, vomiting and abdominal distension. He had been previously well until 2 days prior to presentation when he had abdominal pain with loose stools. He went to a general practitioner and anti-ulcer drugs plus metronidazole tablets were prescribed. His condition did not improve and he developed a fever, became constipated and his abdominal girth started increasing with worsening of the pain. Examination at the emergency department showed a young adult male who looked acutely ill, he was febrile but not pale or jaundiced. His tongue was dry and coated with brownish material. The main findings were on abdominal examination; his abdomen was distended, tense and generally tender. There was a vague mass in the left iliac fossa which was tender. Auscultation revealed a silent abdomen. Rectal examination only yielded some mucus but not blood. The diagnosis entertained was of a perforated left-sided colon cancer with differentials of typhoid perforation or perforated amoebic colitis. Plain abdominal x-rays ordered showed dilated small bowel with multiple air/fluid levels with an isolated loop of gas-filled bowel on the left side. A consideration of small bowel volvulus was also entertained at that juncture. He was resuscitated and had an emergency exploratory laparotomy. Findings at surgery showed a 20cm length of jejunum that was a dusky red colour with a clear-cut demarcation between the affected part and a less erythematous but still rather hyperaemic part of the jejunum (Figure 1). The involvement of the mesentery of the affected part was also evident as a triangular thickened segment was also dusky-red. There were no enlarged mesenteric lymph nodes and there was about 500ml of serous peritoneal fluid. He had jejunal resection with end to end anastomosis using 3-0 Vicryl suture in 2 layers. He had an uneventful post-operative course and recovered bowel functions on the 4th post-operative day. He was discharged on the 9th post-operative day. The histopathology report of the resected small bowel stated 'acute on chronic jejunitis with peritonitis'. He has been seen for follow-up several times at the surgical outpatient clinic and he remains in good health.

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Enteritis necroticans in Uganda

Cited by 21 publications

References 10 publications

Enteritis Necroticans (Pigbel) in a Diabetic Child

Enteritis Necroticans (Pigbel) in a Diabetic Child

Case Series of Acute Abdominal Surgery in Rural Sierra Leone

Ward Round-An acute abdominalemergency

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