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An adolescent with multi-organ involvement from typhoid fever

Mercy Kumwenda1, Pui-Ying Iroh Tam1,2,3 University of Malawi College of Medicine, Blantyre, Malawi Malawi-Liverpool Wellcome Trust Clinical Research Programme, Blantyre, Malawi Liverpool School of Tropical Medicine, Liverpool, UK Abstract Typhoid fever is usually a mild clinical disease, but it can have potentially serious complications. Here, we describe a case of an adolescent male who presented […]

High-Risk Adult Wilms’ Tumour in Pregnancy: A Case Report

Stephen Kasenda1*, Donnie Mategula3, Noel Chiphangwi2, Luis Aaron Gadama4,5, Leo Peter Lockie Masamba2, 1. Blantyre District Health Office, Blantyre, Malawi 2. Department of Medicine, Queen Elizabeth Central Hospital, Blantyre, Malawi 3. Malawi-Liverpool-Wellcome Trust Clinical Research Programme, Blantyre, Malawi 4. Department of Obstetrics and Gynaecology Department, University of Malawi College of Medicine, Blantyre, Malawi 5. Department […]

High-Risk Adult Wilms’ Tumour in Pregnancy: A Case Report

Stephen Kasenda1*, Donnie Mategula3, Noel Chiphangwi2, Luis Aaron Gadama4,5, Leo Peter Lockie Masamba2,6 Blantyre District Health Office, Blantyre, Malawi Department of Medicine, Queen Elizabeth Central Hospital, Blantyre, Malawi Malawi-Liverpool-Wellcome Trust Clinical Research Programme, Blantyre, Malawi Department of Obstetrics and Gynaecology Department, University of Malawi College of Medicine, Blantyre, Malawi Department of Obstetrics and Gynaecology, Queen […]

Heiner Syndrome: An uncommon cause of failure to thrive

Ayotade B. Ojuawo1, Olutobi B. Ojuawo2, Adeniyi O. Aladesanmi2, Mosunmoluwa O. Adio2, Mohammed B. Abdulkadir11, Olugbenga A. Mokuolu1 1 Department of Paediatrics and Child Health, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria 2 Department of Internal Medicine, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria Abstract Heiner syndrome (HS) is a rare […]

Chronic bowel obstruction from colonic stenosis in early infancy-A report of two cases

Sebastian Okwuchukwu Ekenze, Uchechukwu Obiora Ezomike, Ijeoma Esther Nwachukwu,  Anthony Ifeanyi  Ariom, Kevin Emeka Chukwubuike,  Emmanuel Ifeanyi  Nwangwu, Uchenna Sunday Onoh,  Ebere A Uwah Sub-Department of Paediatric Surgery, College of Medicine, University of Nigeria Correspondence: Dr Uchechukwu Obiora Ezomike; Email: uchechukwu.ezomike@unn edu.ng Abstract: Bowel obstruction in early infancy may result from a variety of congenital anomalies involving  parts of the small and large bowel. However, […]

Lymphadenopathy due to Kikuchi-Fujimoto disease – A rare differential for a common presentation

Claudia Wallrauch1, Tom Heller2, Bal Mukunda Dhungel3, Henry Kayera1, Sam Phiri2,4,5, Tamiwe Monica Tomoka2 Department of Internal Medicine, College of Medicine, Kamuzu Central Hospital, Lilongwe, Malawi Lighthouse Clinic, Kamuzu Central Hospital, Lilongwe, Malawi University of North Carolina School of Medicine, Pathology Lab, Lilongwe, Malawi University of North Carolina School of Medicine, Department of Medicine, USA […]

A case of acute megakaryoblastic leukaemia (FAB M7), a rare type of acute myeloid leukemia (AML), in a teenager

Philip O Olatunji1, Omotola T Ojo1, Fatai O Bello1,Binta Y Bakare1, Ayodeji O Olatunji2 Department of Haematology and Blood Transfusion, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria Department of Radiology, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria Abstract Acute Megakaryoblastic Leukaemia (AML, M7) is a rare type of acute myeloid leukemia […]

Intraoperative surprise in a patient with aorto-iliac occlusive disease: Horseshoe kidney

Kadir Kaan Özsin, Umut Serhat Sanrı Department of Cardiovascular Surgery, University of Health Sciences, Bursa Yüksek İhtisas Research and Trainning Hospital, Bursa, Turkey Case presentation A 65-year-old male presented with rest pain for 2 weeks in the right lower extremity and he had ischemic wound in the distal part of first phalanx of right foot. He […]

Successful open surgical repair of an infrarenal, abdominal aortic aneurysm (AAA) in a young Malawian female: A case report

Geoffrey Elihu Manda1, Peter Chaziya1, Waluza Mwafulirwa1, Stephen Kasenda1 Eric Borgstein1, 2 1. Queen Elizabeth Central Hospital, Blantyre, Malawi 2. University of Malawi, College of Medicine, Blantyre, Malawi Correspondance to: Geoffrey Elihu Manda ISSN: 1995-7262 Case Presentation A 39-year-old lady presented to Queen Elizabeth Central Hospital in Blantyre, Malawi  with a 3-week history of worsening peri-umbilical abdominal […]

Grisel syndrome presenting as hemiplegia in a patient with multifocal staphylococcal sepsis

Vincent L Mkochi1, Nyengo Mkandawire2 Assistant lecturer and Postgraduate Trainee in Trauma and Orthopaedics, College of Medicine, University of Malawi Consultant Trauma and Orthopaedic Surgeon; Dean of Faculty of Medicine, College of Medicine, University of Malawi Corresponding author: Prof. Nyengo Mkandawire; Nmkandawire@medcol.mw Published: June 2018 • https://dx.doi.org/10.4314/mmj.v30i2.13 ISSN: 1995-7262 Abstract Introduction: Grisel syndrome is a non-traumatic rotary subluxation […]

Large penile plexiform neurofibroma in an 11-year old boy

Nwokoro Chingbundu Collins1, Emmanuel Ezekiel Ayodeji2, Fatungase Oluwabunmi Motunrayo2, Salami Babatunde Abayomi1, Ogundele Ibukunolu Olufemi1, Amosu Lukmon Olusesan1 1. Paediatric Surgery Unit, Department of Surgery, OlabisiOnabanjo University Teaching Hospital, Sagamu 2. Department of Anaesthesia and Intensive Care, Olabisi Onabanjo University Teaching Hospital, Sagamu Correspondence: Nwokoro Chigbundu Collins; collinsnwokoro@gmail.com Published March 2018: doi:10.4314/mmj.v30i1.11 ISSN: 1995-7262 Abstract Background Neurofibromatosis […]

A case of massive splenomegaly due to chronic myeloproliferative neoplasm

Zachary G. Jacobs1, Bongani Kaimila2, Peter M. Wasswa3, Thuy Bui4 1. Department of Medicine, University of Pittsburgh, Pittsburgh, PA 2. University of North Carolina Project-Malawi, Lilongwe, Malawi 3. Baylor College, Lilongwe Malawi 4. Director, Global Health and Underserved Populations Track, University of Pittsburgh Medical Center Internal Medicine Residency Training Program Corresponding author: Zachary G. Jacobs; Zachary.Jacobs@ucsf.edu […]

Cryptococcal meningitis in a previously healthy child

Takondwa Chimowa1,Isobel King2, Pui-Ying Iroh Tam1,3, Carmen Gonzalez-Martinez1,3 1.Department of Paediatrics, Queen Elizabeth Central Hospital, Blantyre, Malawi 2.Mulanje Mission Hospital, Mulanje, Malawi 3.Malawi-Liverpool Wellcome Trust Clinical Research Programme, Blantyre, Malawi Correspondence: Pui-Ying Iroh Tam; irohtam@mlw.mw Published December 2017: http://dx.doi.org/10.4314/mmj.v29i4.10 ISSN: 1995-7262 Abstract An 8-year-old previously healthy female presented with a 3 weeks history of headache, neck stiffness, […]

A 42-year-old woman with subacute reversible dementia: A cautionary tale

[PDF] Joseph Kamtchum-Tatuene1,2, Richard Kamwezi3, Thokozani Nyalubwe4, Josephine P. Banda4, Gloria Mwangalika1, Ian Matandika3, Ulla Hemmila3, Magnus Tisell5, Susanna Koponen6, Laura A. Benjamin2, Patrick Kamalo7 1. Malawi–Liverpool–Wellcome Trust Clinical Research Programme, College of Medicine, University of Malawi, Blantyre, Malawi 2. Liverpool Brain Infections Group, Institute of Infection and Global Health, University of Liverpool, Liverpool, United […]

Challenges of stroke management in resource-limited settings: A case-based reflection

[PDF] Yohane G. Gadama1, Gloria Mwangalika2, Louis B. Kinley3, Beth Jackson1, Henry C. Mwandumba2,4, Jane Mallewa5, Tom Solomon6, Rob Simister7, Laura A. Benjamin6,7, Maria I. Vargas8, Joseph Kamtchum-Tatuene2,6, Tamara Phiri5 1. Department of Medicine, Queen Elizabeth Central Hospital, Blantyre, Malawi 2. Malawi–Liverpool–Wellcome Trust Clinical Research Programme, College of Medicine, University of Malawi, Blantyre, Malawi 3. […]

Thoracic epidural for modified radical mastectomy in a high-risk patient

Otu E. Etta, Nsese Udeme Department of Anaesthesia, University of Uyo Teaching Hospital, Uyo, Nigeria Correspondence: Dr Otu E. Etta (otuetta@yahoo.com) Published March 2017: http://dx.doi.org/10.4314/mmj.v29i1.13 ISSN: 1995-7262 Case Presentation A 52-year-old woman was scheduled for modified radical mastectomy on account of advanced carcinoma of the right breast. The patient was a known hypertensive and diabetic, diagnosed […]

Frequent malaria illness episodes in two Malawian patients on antiretroviral therapy soon after stopping cotrimoxazole preventive therapy

Wongani J.S. Nyangulu1, Edson Mwinjiwa1, Titus H. Divala2, Randy G. Mungwira2, Osward Nyirenda2, Maxwell Kanjala2, Gillian Mbambo3, Jane Mallewa4, Terrie E. Taylor2, Matthew B. Laurens3, Miriam K. Laufer3, Joep J. van Oosterhout1,4 Dignitas International, Zomba, Malawi Blantyre Malaria Project, College of Medicine, University of Malawi, Blantyre, Malawi Division of Malaria Research, Institute for Global Health, […]