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Ahmed A, EL‐Sadig SM, Eltigani HF, Bongomin F, Siddig EE. The first Helicobacter pylori-induced Guillain-Barré syndrome in Sudan. Clin Case Rep 2023; 11:e8204. [PMID: 38028082 PMCID: PMC10645600 DOI: 10.1002/ccr3.8204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Revised: 10/15/2023] [Accepted: 10/31/2023] [Indexed: 12/01/2023] Open
Abstract
Key Clinical Message This case report highlights the role of Helicobacter pylori infection in the development of GBS. Healthcare providers should consider H. pylori in their differential diagnosis for patients with neurological syndromes. Astract We report the first known case of Guillain-Barré syndrome (GBS) associated with Helicobacter pylori infection in Sudan. This case highlights the role of H. pylori infection in the development of GBS. It also emphasizes the importance of wide screening of different endemic infections for patients with neurological syndromes for early detection and improves the case management in resource-limited settings like Sudan. Further research is needed to better understand the underlying mechanisms of H. pylori-inducing neurological disorders.
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Affiliation(s)
- Ayman Ahmed
- Swiss Tropical and Public Health Institute (Swiss TPH)AllschwilSwitzerland
- University of BaselBaselSwitzerland
- Institute of Endemic DiseaseUniversity of KhartoumKhartoumSudan
| | | | | | - Felix Bongomin
- Department of Medical Microbiology and Immunology, Faculty of MedicineGulu UniversityGuluUganda
| | - Emmanuel Edwar Siddig
- Faculty of Medical Laboratory SciencesUniversity of KhartoumKhartoumSudan
- Department of Medical Microbiology and Infectious Diseases, ErasmusMCUniversity Medical Center RotterdamRotterdamThe Netherlands
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Abdallah ATH, Abdelkhalig RE, Hamid E, Ahmed A, Siddig EE. Unusual manifestation of cystic mycetoma lesions: A case report. Clin Case Rep 2023; 11:e8054. [PMID: 37854263 PMCID: PMC10580693 DOI: 10.1002/ccr3.8054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2023] [Revised: 10/02/2023] [Accepted: 10/04/2023] [Indexed: 10/20/2023] Open
Abstract
Key Clinical Message This case presents an atypical cystic presentation of mycetoma without sinuses or discharge. Awareness of these variations is crucial for accurate diagnosis and timely intervention, highlighting the need for healthcare professionals to consider diverse manifestations of mycetoma. Abstract Mycetoma is a chronic and debilitating infectious disease characterized by localized swellings and granulomatous lesions. It primarily affects individuals in tropical and subtropical regions and is caused by certain fungi or bacteria. While mycetoma typically presents with sinuses and discharge, this case report presents a unique cystic presentation without these features. The patient, a 12-year-old female from Sudan, presented with a painless swelling on the dorsum of her right foot. Physical examination revealed a round, non-tender, and fluctuant mass. Histopathological examination confirmed actinomycetoma caused by Streptomyces somaliensis. The patient was successfully treated with a combination of antibiotherapy. This atypical presentation underscores the need for healthcare professionals to consider uncommon variations of mycetoma for accurate diagnosis and management.
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Affiliation(s)
| | | | - Elwasila Hamid
- Consultant Surgeon, Rufa'a Teaching HospitalAlbutana UniversityRufaSudan
| | - Ayman Ahmed
- Institute of Endemic diseasesUniversity of KhartoumKhartoumSudan
- Swiss Tropical and Public Health Institute (Swiss TPH)AllschwilSwitzerland
- University of BaselBaselSwitzerland
| | - Emmanuel Edwar Siddig
- ErasmusMC, University Medical Center RotterdamDepartment of Medical Microbiology and Infectious DiseasesRotterdamthe Netherlands
- Faculty of Medical Laboratory sciencesUniversity of KhartoumKhartoumSudan
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Elnosh M, Altayb H, Hamedelnil Y, Elshareef W, Abugrain A, Osman E, Albasha A, Abdelhamid A, Moglad E, AbdAlla A, Ismail A. Comparison of invasive histological and molecular methods in the diagnosis of Helicobacter pylori from gastric biopsies of Sudanese patients: a cross-sectional study. F1000Res 2022; 11:113. [PMID: 35811791 PMCID: PMC9214269 DOI: 10.12688/f1000research.75873.2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 06/06/2022] [Indexed: 11/20/2022] Open
Abstract
Background: The continuous rise in the number of patients suffering from Helicobacter pylori is probably due to the changes in modern life. Nowadays, patients suffering from gastrointestinal problems are diagnosed through invasive and non-invasive techniques. The choice of a diagnostic test is influenced by factors such as the tests' sensitivity and specificity, the clinical conditions, and the cost-effectiveness of the testing strategy. This study aimed to compare molecular detection methods of H. pylori by polymerase chain reaction (PCR) targeting the 16S rRNA, ureA and glmM genes with an invasive histopathological technique. Methods: 290 gastric biopsies were collected using gastrointestinal endoscopy from patients with gastritis symptoms in different hospitals in Khartoum state. Two gastric biopsies were collected from each patient for PCR and histopathology. Results: A total of 103 (35.5%) samples were positive by histopathological examination, 88 (30.3%) by 16S rRNA, 39 (13.4%) by glmM gene, and 56 (19.3%) by ureA gene. The highest sensitivity was observed in 16S rRNA (46.6%), followed by glmM (24.3%) and ureA (23.3%). While the best specificity was observed in glmM gene (92.5%), followed by ureA (82.3%) and 16S rRNA (78.6%). Conclusion: PCR test targeting the 16S rRNA gene exhibited the best results for molecular detection of H. pylori compared to other genes.
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Affiliation(s)
- Maram Elnosh
- Microbiology, College of Medical Laboratory Science, Sudan University of Science and Technology, Khartoum, State, 11111, Sudan
| | - Hisham Altayb
- Biochemistry, Faculty of Sciences, King Abdulaziz University, Jeddah, State, 21452, Saudi Arabia
| | - Yousif Hamedelnil
- Microbiology, College of Medical Laboratory Science, Sudan University of Science and Technology, Khartoum, State, 11111, Sudan
| | - Wafa Elshareef
- Histopathology, The National Public Health Laboratory, Khartoum, State, 11111, Sudan
| | - Aliaa Abugrain
- Histopathology, College of Medical Laboratory Science, Sudan University of Science and Technology, Khartoum, State, 11111, Sudan
| | - Esraa Osman
- Microbiology, College of Medical Laboratory Science, Sudan University of Science and Technology, Khartoum, State, 11111, Sudan
| | - Aalaa Albasha
- Microbiology, College of Medical Laboratory Science, Sudan University of Science and Technology, Khartoum, State, 11111, Sudan
| | - Abdelhamid Abdelhamid
- Microbiology, College of Medical Laboratory Science, Sudan University of Science and Technology, Khartoum, State, 11111, Sudan
| | - Ehssan Moglad
- Pharmaceutics, College of Pharmacy, Prince Sattam bin Abdulaziz University, Alkharj, State, 11942, Saudi Arabia
| | - Ahmed AbdAlla
- Parasitology and Medical Entomology, College of Medical Laboratory Science, Sudan University of Science and Technology, Khartoum, State, 11111, Sudan
| | - Ahmed Ismail
- Microbiology, College of Medical Laboratory Science, Sudan University of Science and Technology, Khartoum, State, 11111, Sudan
- Public Health Department, Ministry of Public Health, Doha, State, 122104, Qatar
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Elnosh M, Altayb H, Hamedelnil Y, Elshareef W, Abugrain A, Osman E, Albasha A, Abdelhamid A, Moglad E, AbdAlla A, Ismail A. Comparison of invasive histological and molecular methods in the diagnosis of Helicobacter pylori from gastric biopsies of Sudanese patients: a cross-sectional study. F1000Res 2022; 11:113. [PMID: 35811791 PMCID: PMC9214269 DOI: 10.12688/f1000research.75873.1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 06/06/2022] [Indexed: 02/25/2024] Open
Abstract
Background: The continuous rise in the number of patients suffering from Helicobacter pylori is probably due to the changes in modern life. Nowadays, patients suffering from gastrointestinal problems are diagnosed through invasive and non-invasive techniques. The choice of a diagnostic test is influenced by factors such as the tests' sensitivity and specificity, the clinical conditions, and the cost-effectiveness of the testing strategy. This study aimed to compare molecular detection methods of H. pylori by polymerase chain reaction (PCR) targeting the 16S rRNA, ureA and glmM genes with an invasive histopathological technique. Methods: 290 gastric biopsies were collected using gastrointestinal endoscopy from patients with gastritis symptoms in different hospitals in Khartoum state. Two gastric biopsies were collected from each patient for PCR and histopathology. Results: A total of 103 (35.5%) samples were positive by histopathological examination, 88 (30.3%) by 16S rRNA, 39 (13.4%) by glmM gene, and 56 (19.3%) by ureA gene. The highest sensitivity was observed in 16S rRNA (46.6%), followed by glmM (24.3%) and ureA (23.3%). While the best specificity was observed in glmM gene (92.5%), followed by ureA (82.3%) and 16S rRNA (78.6%). Conclusion: PCR test targeting the 16S rRNA gene exhibited the best results for molecular detection of H. pylori compared to other genes.
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Affiliation(s)
- Maram Elnosh
- Microbiology, College of Medical Laboratory Science, Sudan University of Science and Technology, Khartoum, State, 11111, Sudan
| | - Hisham Altayb
- Biochemistry, Faculty of Sciences, King Abdulaziz University, Jeddah, State, 21452, Saudi Arabia
| | - Yousif Hamedelnil
- Microbiology, College of Medical Laboratory Science, Sudan University of Science and Technology, Khartoum, State, 11111, Sudan
| | - Wafa Elshareef
- Histopathology, The National Public Health Laboratory, Khartoum, State, 11111, Sudan
| | - Aliaa Abugrain
- Histopathology, College of Medical Laboratory Science, Sudan University of Science and Technology, Khartoum, State, 11111, Sudan
| | - Esraa Osman
- Microbiology, College of Medical Laboratory Science, Sudan University of Science and Technology, Khartoum, State, 11111, Sudan
| | - Aalaa Albasha
- Microbiology, College of Medical Laboratory Science, Sudan University of Science and Technology, Khartoum, State, 11111, Sudan
| | - Abdelhamid Abdelhamid
- Microbiology, College of Medical Laboratory Science, Sudan University of Science and Technology, Khartoum, State, 11111, Sudan
| | - Ehssan Moglad
- Pharmaceutics, College of Pharmacy, Prince Sattam bin Abdulaziz University, Alkharj, State, 11942, Saudi Arabia
| | - Ahmed AbdAlla
- Parasitology and Medical Entomology, College of Medical Laboratory Science, Sudan University of Science and Technology, Khartoum, State, 11111, Sudan
| | - Ahmed Ismail
- Microbiology, College of Medical Laboratory Science, Sudan University of Science and Technology, Khartoum, State, 11111, Sudan
- Public Health Department, Ministry of Public Health, Doha, State, 122104, Qatar
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