Les auteurs rapportent le cas d’une patiente malienne suivie pour cancer du sein métastatique au ... more Les auteurs rapportent le cas d’une patiente malienne suivie pour cancer du sein métastatique au niveau osseux sous chimiothérapie chez qui le diagnostic de la COVID-19 a été posé 9 jours après le début des troubles digestifs avec survenue du décès de la patiente avant toute prise en charge de cette virose. Face au mauvais pronostic des patients atteints de cancer et de COVID-19, les auteurs insistent auprès des cliniciens sur la nécessité d’une attention particulière devant de telles associations morbides afin de trouver l’équilibre thérapeutique entre ces deux pathologies. In this review, we report a case of a bone's metastatic breast cancer in Malian patient treated by chemotherapy in whom SRAS-COV-2's diagnosis was made 9days after the onset gastrointestinal symptoms. Patient quickly died before any COVID-19's treatment. According to the poor outcomes of cancer patients with COVID-19, authors emphasize to an intensive attention to such patients in order to find the best therapeutic balance between the two pathologies during this pandemic.
Objective: To study hypertension and its manifestations in Out-patients' Department of Cardiology... more Objective: To study hypertension and its manifestations in Out-patients' Department of Cardiology of Kati. Methods: The study was traversal and it was based on a sample of 300 patients, reached during the interval of 12 (twelve) months (from June 2012 to June 2013). Results: The predominance was among the females with 68.7%. The average age was about 55.8 ± 12.2 years old. The extreme ages were about 21 and 90 years old. In the set, 66% of the patients lived in the town of Kati. The symptoms of Dieulafoy were predominantly the reasons for consultation with 55.7%. The cardiac frequency in the vast majority of cases was normal (85.3%). The left ventricular hypertrophy in the electrocardiogram was observed in more than half of the cases, that is to say, 51.3%. In a bit higher proportion, the echocardiography Doppler became normal, that is to say, 54%. Brain scanner done on 9 patients found out signs of cerebrovascular stroke in 8 patients, that is to say, a frequency of 88.9%. In 76% of cases of orthostatic hypotension, the patients were hypertensive. The blood pressure was normal during the passage of orthostatism in the cases of 258 of our patients, that is to say, 86.0% of the cases. However, the orthostatic hypotension (OH) was observed in the cases of 42 patients, that is to say, 14.0% of the cases. In this set of patients, 41.6% of the moans were due to cephalgias and dizziness's. The monotherapy of patients with OH represented 47.6% of the cases. Blood pressure was not controlled in 66.7% of the cases of OH. The biological examinations required were normal in 52.4% of the cases. Conclusion: The hypertension is a disease which is frequently the reason for consultation in cardiology. The symptoms of Dieulafoy can be the signs of call. The complications are sometimes recurrent. The orthostatic hypotension should be found out even under monotherapy on a balanced or non-balanced hypertensive patient through treatment.
Les auteurs rapportent le cas d’une patiente malienne suivie pour cancer du sein métastatique au ... more Les auteurs rapportent le cas d’une patiente malienne suivie pour cancer du sein métastatique au niveau osseux sous chimiothérapie chez qui le diagnostic de la COVID-19 a été posé 9 jours après le début des troubles digestifs avec survenue du décès de la patiente avant toute prise en charge de cette virose. Face au mauvais pronostic des patients atteints de cancer et de COVID-19, les auteurs insistent auprès des cliniciens sur la nécessité d’une attention particulière devant de telles associations morbides afin de trouver l’équilibre thérapeutique entre ces deux pathologies. In this review, we report a case of a bone's metastatic breast cancer in Malian patient treated by chemotherapy in whom SRAS-COV-2's diagnosis was made 9days after the onset gastrointestinal symptoms. Patient quickly died before any COVID-19's treatment. According to the poor outcomes of cancer patients with COVID-19, authors emphasize to an intensive attention to such patients in order to find the best therapeutic balance between the two pathologies during this pandemic.
Objective: To study hypertension and its manifestations in Out-patients' Department of Cardiology... more Objective: To study hypertension and its manifestations in Out-patients' Department of Cardiology of Kati. Methods: The study was traversal and it was based on a sample of 300 patients, reached during the interval of 12 (twelve) months (from June 2012 to June 2013). Results: The predominance was among the females with 68.7%. The average age was about 55.8 ± 12.2 years old. The extreme ages were about 21 and 90 years old. In the set, 66% of the patients lived in the town of Kati. The symptoms of Dieulafoy were predominantly the reasons for consultation with 55.7%. The cardiac frequency in the vast majority of cases was normal (85.3%). The left ventricular hypertrophy in the electrocardiogram was observed in more than half of the cases, that is to say, 51.3%. In a bit higher proportion, the echocardiography Doppler became normal, that is to say, 54%. Brain scanner done on 9 patients found out signs of cerebrovascular stroke in 8 patients, that is to say, a frequency of 88.9%. In 76% of cases of orthostatic hypotension, the patients were hypertensive. The blood pressure was normal during the passage of orthostatism in the cases of 258 of our patients, that is to say, 86.0% of the cases. However, the orthostatic hypotension (OH) was observed in the cases of 42 patients, that is to say, 14.0% of the cases. In this set of patients, 41.6% of the moans were due to cephalgias and dizziness's. The monotherapy of patients with OH represented 47.6% of the cases. Blood pressure was not controlled in 66.7% of the cases of OH. The biological examinations required were normal in 52.4% of the cases. Conclusion: The hypertension is a disease which is frequently the reason for consultation in cardiology. The symptoms of Dieulafoy can be the signs of call. The complications are sometimes recurrent. The orthostatic hypotension should be found out even under monotherapy on a balanced or non-balanced hypertensive patient through treatment.
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Papers by Yacouba Fofana