College of Health Sciences
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Item Pyomyositis in north - eastern Nigeria(Nigerian Journal of Surgical Research, 2004-02-02) Madziga A G; Na’aya U H; Gali Bata MtakuBackground: Pyomyositis is a suppurative disease of skeletal Muscle and a well-known disease with frequent occurrence in the tropics and subtropics, which continues to cause significant morbidity. Despite several studies of the disease in various regions of the tropics, there has been none from the northeast region of Nigeria, consisting of a largely rural population where the climate is hot and dry with little annual rainfall.Methods: A retrospective study of all patients seen and treated for pyomyositis in the University of Maiduguri Teaching Hospital from April 1990 to April 2000 was undertaken.Results: Fifty four patients with pyomyositis were seen and managed comprising 36 Males and 18 Females (M: F ratio 2:1). Two peak age incidences of 6-10 years and 31-40 years were noted. Most were from a labouring population and presented with a fully evolved disease affecting the large and powerful muscles of the thigh and calf in 59.7% of cases, the glutei in 12.9% and the trunk in 9.7%. The smaller muscles of the arm and forearm and head and neck were rarely affected. 8 patients had multiple lesions. Staphylococcus aureus was cultured in 91.8% of cases sensitive to cloxacillin, augmentin, chloramphenicol and erythromycin in that order.Conclusion: Prompt diagnosis, appropriate supportive therapy, effective antibiotic therapy and early drainage of abscesses have resulted in minimal mortality despite late presentation although hospital stay was prolonged.Item Phaeochromocytoma in a 4-year old girl(Nigerian Journal of Surgical Research, 2004-02-02) Gali Bata Mtaku; Madziga A G; Nggada H A; Hamid A UThis is a report of a 4-year old female Nigerian patient with phaeochromocytoma, a rare surgically correctable cause of hypertension, highlighting the problems in diagnosis and management in our sub region with review of the literature.Item A Clinicopathological Pattern Of Tumoral Calcinosis In Maiduguri, North Eastern Nigeria(The Internet Journal of Third World Medicine, 2005-06-28) Gali Bata Mtaku; Nggada H; Mshelia DBackground: Tumoral calcinosis is a rare disease reported mainly among blacks of African descent with paucity literature in Africa. Aims and Objective: This study aims at reviewing the clinicopathological pattern of Tumoral calcinosis in Maiduguri Northeastern Nigeria. Methods: All histologically diagnosed cases of Tumoral calcinosis were retrieved and reviewed at the University of Maiduguri Teaching Hospital between January 1994 and December 2003. Results: There were twelve diagnosed cases of Tumoral calcinosis. All age groups were affected except the pediatrics age group. The age ranges between 15 and 70 years with a mean age of 38.5 years. There was no sex predilection. Multiple sites occurred in three patients with two recurrences. The commonest site is the hip joint and one unusual site, which is the scrotum. Surgical excision was performed on all patients with recurrences. Conclusions: Tumoral calcinosis is a rare benign lesion and most of the lesions are asymptomatic. However, morbidity may be related to the size, location and secondary infection. Early and adequate wide surgical excision is essential to avoid the morbidity and recurrence.Item Tuberculous ileal perforation in a HIV positive patient: a case report and review of literature.(Nigerian Journal of Clinical Practice, 2008-12-02) Dogo D; Bakari AA; Gali Bata Mtaku; Ibrahim AGTuberculosis is prevalent worldwide. Even in developed countries there is a resurgence of tuberculosis mainly due to increasing HIV infection. Tuberculous ileal perforation is uncommon. It is, however, a potentially fatal complication of intestinal tuberculosis especially in HIV/AIDS patient.To highlight tuberculous ileal perforation as an underestimated complication of intestinal tuberculosis in an HIV patient presenting with acute abdomen.A 42-year-old HIV positive long distance truck driver with tuberculous ileal perforation is presented and related literatures reviewed.Intestinal perforation due to abdominal tuberculosis is an aetiological factor in acute HIV abdomen. High index of suspicion remains the key to diagnosis.