iosr-JDMS   Volume-5 ~ Issue-3

Abstract: Fournier's gangrene is one of the infectious and gangrenous diseases seen worldwide ,It is commonly reported in Adult males but also in females. Injuries are nidus to its pathogenesis and many-microbes have been cultured from this clinical entity .This reported case was an incidental presentation resulting from obstetric care given by an unskilled personnel to a high risk pregnancy at term in prolonged labor. The case therefore avails clinician and pediatricians with the opportunity of seeing a rare adult tropical disease of the scrotum in a neonate. A fourteen day old term male baby presented with multiple perineal lacerations from delivery by a traditional birth attendant to the Surgery Unit. Perineum with scrotum and penis inclusive were noticed to be gangrenous .He was manage by debriment of necrotic tissue ,wound dressings , antiseptic solutions (gentian violent ,diluted H2O2)as well as intravenous antibiotics (ceftriaxone,ciprofloxacin, metronidazole,cloxacillin) ,syrup paracetamol and syrup camoquine ,however during the course of management ,parent had financial constraints . Fournier's gangrene are rare phenomenon in neonates ,and could be a complication that may arise from poor resource countries or communities where traditional birth attendants and their practices strives.

Keywords: Fournier's gangrene, traditional birth attendant, tropical disease, antibiotics, debriment.

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Abstract: We present a case of dengue febrile illness as expanded dengue spectrum,with symptoms of overt hyperthyroidism without ophthalmopathy & other stigmatas of Graves' disease including antithyroid antibodies. This atypical presentation of non- goitrous, non ophthalmic Graves' disease as an etiology of overt thyrotoxicosis is aided by performing technetium 99 scan study differentiating this atypical Graves disease' from thyroiditis &/or toxic thyroid nodule.

Key words : Dengue fever , Overt thyrotoxicosis, Graves'disease , expanded dengue syndrome.

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[6]. Maheshwari A and Thuluvath P J. Endocrine diseases and the liver. Clinics in Liver Disease.2011;15: 55–67.
Expanded Dengue Syndrome : Presenting as Overt Thyrotoxicosis without stigmata of Graves'
www.iosrjournals.org 6 | Page
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Abstract: It is the norm/belief that being in the upper socio-economic class parallels a higher quality of life. In 2008, during the Medical outreach of the annual Health week held by the Igbinedion University medical students' Association, this hypothesis was tested.

Key words: Quality of Life(QOL), Igbinedion University, SF-12, students, Association

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Abstract: Periodontal attachment loss in the maxillary anterior region can often lead to esthetic and functional clinical problems including disproportional and elongated clinical crowns and visible interdental embrasures. Gingival replacement prosthesis have historically been used to replace lost tissue. An acrylic resin gingival veneer is an easily constructed, inexpensive, and practical device to optimize the esthetic and functional outcome in these special situations while permitting cleansibility of the prosthesis and supporting tissues. This is a case report of a young female patient treated using an acrylic gingival veneer with a two-year follow-up. The acrylic gingival mask, has enabled the patient to regain her lost smile and face people with newly found confidence also enhancing the esthetic appearance. Virtually no problem was encountered during the two years of usage of the veneer and the patient continues to use it comfortably.

Key Words: Periodontal attachment, gingival replacement, esthetic, gingival veneer

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