Epidemiological, clinical and etiological aspects of non-traumatic coma in children in the pediatric department of the Dubréka prefectural hospital, Guinea.
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2025
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| author | Dr Conde Ibrahima1,3, Barry Mamadou Cire3,4, Diallo Fatoumata Binta1,3, Kouyaté Moustapha1,3, Fofana Hawa3,5, Camara yalikhatou3,4, Mara Facely2 |
| author_facet | Dr Conde Ibrahima1,3, Barry Mamadou Cire3,4, Diallo Fatoumata Binta1,3, Kouyaté Moustapha1,3, Fofana Hawa3,5, Camara yalikhatou3,4, Mara Facely2 |
| contents | <p><strong><span>Abstract</span></strong></p> <p><em><span>Introduction: Coma is defined by the suppression of alertness and consciousness. Clinically, it is characterized by an absence of eye opening and an appropriate reaction to painful stimulation in a patient who otherwise has effective ventilation and hemodynamics. The objective of this study was to determine the epidemiological, clinical and etiological aspects of non-traumatic coma in children in the pediatric department of Dubreka Prefectural Hospital.</span></em></p> <p><em><span>Patients and method: This was a prospective and descriptive, study over a period of six months (August 1, 2021 to January 31, 2022) in the pediatric department of the Dubréka prefectural hospital.</span></em></p> <p><em><span>Results: The hospital frequency of coma was 12%. The children were aged less than one year (30%), 1-4 years (51%), 5-9 years (6%) and 10-14 years (13%). There was a male predominance (60%) with sex ratio M/F of 1.5. The reasons for consultation were dominated by fever (97%), physical asthenia (97%), anorexia (97%), the notion of convulsive seizures (92%). The physical signs observed were respiratory distress (93%), tachycardia (94%), deterioration of general condition (87%), mucocutaneous pallor (76%). Coma stages II (53%) and III (34%) dominated the clinical picture. Severe malaria (74%), bacterial meningitis (19%), complicated measles (4%) and gastroenteritis + severe dehydration were the etiologies encountered.</span></em></p> <p><em><span>Conclusion: Severe malaria and bacterial meningitis were the main etiologies of non-traumatic childhood coma in our study. Children under 5 years old were the most affected. Healing without after-effects was achieved in most of our patients.</span></em></p> <p><strong><span>Keywords:</span></strong> <em><span>coma, child, pediatrics, Kamsar hospital.</span></em></p> |
| format | Recurso digital |
| id | zenodo_https___doi_org_10_5281_zenodo_14710201 |
| institution | Zenodo |
| language | eng |
| publishDate | 2025 |
| publisher | Zenodo |
| record_format | zenodo |
| spellingShingle | Epidemiological, clinical and etiological aspects of non-traumatic coma in children in the pediatric department of the Dubréka prefectural hospital, Guinea. Dr Conde Ibrahima1,3, Barry Mamadou Cire3,4, Diallo Fatoumata Binta1,3, Kouyaté Moustapha1,3, Fofana Hawa3,5, Camara yalikhatou3,4, Mara Facely2 <p><strong><span>Abstract</span></strong></p> <p><em><span>Introduction: Coma is defined by the suppression of alertness and consciousness. Clinically, it is characterized by an absence of eye opening and an appropriate reaction to painful stimulation in a patient who otherwise has effective ventilation and hemodynamics. The objective of this study was to determine the epidemiological, clinical and etiological aspects of non-traumatic coma in children in the pediatric department of Dubreka Prefectural Hospital.</span></em></p> <p><em><span>Patients and method: This was a prospective and descriptive, study over a period of six months (August 1, 2021 to January 31, 2022) in the pediatric department of the Dubréka prefectural hospital.</span></em></p> <p><em><span>Results: The hospital frequency of coma was 12%. The children were aged less than one year (30%), 1-4 years (51%), 5-9 years (6%) and 10-14 years (13%). There was a male predominance (60%) with sex ratio M/F of 1.5. The reasons for consultation were dominated by fever (97%), physical asthenia (97%), anorexia (97%), the notion of convulsive seizures (92%). The physical signs observed were respiratory distress (93%), tachycardia (94%), deterioration of general condition (87%), mucocutaneous pallor (76%). Coma stages II (53%) and III (34%) dominated the clinical picture. Severe malaria (74%), bacterial meningitis (19%), complicated measles (4%) and gastroenteritis + severe dehydration were the etiologies encountered.</span></em></p> <p><em><span>Conclusion: Severe malaria and bacterial meningitis were the main etiologies of non-traumatic childhood coma in our study. Children under 5 years old were the most affected. Healing without after-effects was achieved in most of our patients.</span></em></p> <p><strong><span>Keywords:</span></strong> <em><span>coma, child, pediatrics, Kamsar hospital.</span></em></p> |
| title | Epidemiological, clinical and etiological aspects of non-traumatic coma in children in the pediatric department of the Dubréka prefectural hospital, Guinea. |
| url | https://doi.org/10.5281/zenodo.14710201 |