1.Peritonsillar Abscess in Northern Nigeria: A 7 Years Review
Olushola Abdulrahman Afolabi ; Alli Abdullahi ; Abimiku Soloman Labaran ; Saadat Ladan ; Rashidat Sanni ; Emmanuel Musa ; Babagana Mohammad Ahmad
Malaysian Journal of Medical Sciences 2014;21(6):14-18
Background: The aim of this study was to describe the clinico-epidemiologic profile of peritonsillar abscess (PA) seen in our center in northern Nigeria.
Methods: This was a to retrospectively review of all patients with PA managed in our hospital over a 7-year period. Case notes were reviewed and information retrieved included biodata and clinical information were entered into an SPSS statistical software version 20.0 and analysed descriptively and result presented in table and figures.
Results: A total of 25 patients were seen during the study period age ranged from 2–52 years with a mean age of 25.96 years; 14.1 (SD 2.8). Male to female ratio of ≈ 1.1:1.0. Right side was affected in 60%. The period of presentation of patients with PA varied between 4–12 days with a mean duration of 6.5 days. The presenting complaints in these patients varied from sore throat alone in 4 (16%), fever and sore throat in 17 (68%), others 16%. The duration of hospital stay varied from between 1 to 8 days with mean of 4.2 days; 3.32 days (SD 1.1). All the patients had incision and drainage with no recurrence of symptoms.
Conclusion: PA is an Ear, Nose and Throat emergency that is commoner amongst the young adult males and the modality of treatment is still incision and drainage in our setting.
2.Correlation of Bacterial Isolates from Middle Ear and Nasopharynx in Patients with Chronic Suppurative Otitis Media in Ilorin, Nigeria
Olushola Abdulrahman Afolabi ; Foluwasayo Emmanuel Ologe ; Charles Nwabuisi ; Adekunle Ganiyu Salaudeen ; Olalekan Tajudeen Ajiboye ; Clement Chukwuemeka Nwawolo
Malaysian Journal of Medical Sciences 2015;22(5):23-30
Purpose: To determine the association between isolates in the middle ear (ME) and
nasopharynx of patients with chronic otitis media in Ilorin, north-central Nigeria.
Methods: An ethically approved case control study was carried out in the Ear, Nose,
and Throat clinic amongst consenting cases using normal subjects as controls. A microbiology
investigation form giving the results for otoscopy, aspirate and swabs was filled out for both the
ME and nasopharynx. The experimental procedure was carried out and bacteria were identified
according to colony characteristics, morphological appearance, Gram-staining, and standard
biochemical testing. Data obtained were analysed with SPSS version 16.0 and Epi Info 3.5.1 using the
mean, standard deviation and chi-square results.
Results: A total of 140 cases and 70 controls, were recruited. The Gram stain reaction of the
ME aspirates were positive in 28.6% and negative in 71.4% of cases. Nasopharyngeal swabs revealed
64.3% Gram positive and 35.7% negative organisms. Overall, there was no relationship between
the ME and nasopharyngeal isolates amongst cases, with a P value of 0.000. However, there was a
relationship amongst the isolate from the nasopharynx of cases and controls, with the exception of
Klebsiella pneumoniae, at P < 0.009.
Conclusion: There was no relationship amongst the bacterial isolate from the ME and
nasopharyngeal specimen of patients with otitis media.