background: toxoplasma gondii , an apicomplexan parasite, is capable of infecting a broad range of intermediate warm-blooded hosts including humans. the parasite seems to be capable of altering the natural behavior of the host to favor its trans-mission in the environment. the aim of this study was to evaluate the course, alter-ations in behavior along with normal kinetics of the abnormally ind...

Hepatopulmonary syndrome is a rare complication of liver disease and portal hypertension. It has not been previously described in medical literature Nigeria. We report this case 64-year-old man who presented with 3 months’ history recurrent breathlessness, platypnoea leg swelling. He had diagnosed cirrhosis variceal band ligation 2018, managed for 2 episodes hepatic encephalopathy prior to refe...

Objectives: This study aimed to the characteristics of in-hospital deterioration in patients with congenital heart disease who required rapid response system activation and identify risk factors associated 1-month mortality. Methods: We retrospectively analysed data from a Japanese registry 35 participating hospitals. included consecutive between January 2014 March 2018. Logistic regression ana...

BACKGROUND There are very few published studies of heart disease in HIV infected children living in sub-Saharan Africa, a region with more than 50% of the world's population of HIV infected patients. OBJECTIVES To determine the prevalence, and describe the type and clinical presentation of heart disease among children with HIV attending an ambulatory clinic. METHODOLOGY Two hundred and thir...

BACKGROUND Recent studies have suggested there are a large number of potentially preventable deaths in Australian hospitals. AIM This study aimed to document antecedent factors in hospital deaths in an attempt to identify potentially preventative factors. METHODS The study was conducted at three separate acute hospitals. Demographics of all deaths were recorded over a 6-month period as well...

A 1-day-old infant with a prenatal diagnosis of transposition of the great arteries was admitted to our unit. He was born at term, weighing 3.2 kg. He arrived in a stable condition, with saturations of 88%, on a prostaglandin infusion at a rate of 5 ng/kg per min in accordance with the prenatal plan. Echocardiogram demonstrated transposition of the great arteries with intact ventricular septum ...

BACKGROUND The objectives were to identify 1) the clinician and child characteristics associated with; 2) clinical management decisions following from, and; 3) the prognostic value of; a clinician's 'gut feeling something is wrong' for children presenting to primary care with acute cough and respiratory tract infection (RTI). METHODS Multicentre prospective cohort study where 518 primary care...

Methods A 15 month old female presented with a red hot and painful indurated lesion on the left anterior tibial surface. She was treated intravenous antibiotics. The lesion erupted, creating a wide ulcer with violaceous borders. Pyrexia and malaise persisted, while inflammatory markers continued to rise besides antibiotic treatment. The lesion didn’t improve with repetitive debridement. Blood c...