Rare Diseases Symptoms Automatic Extraction
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Surgical aspects of bacterial infection in African children.
[pyomyositis]
Infections
and
their
complications
requiring
surgical
intervention
are
a
frequent
presentation
in
African
children
.
Surgical
site
infection
(
SSI
)
is
common
with
rates
over
20
%
,
even
after
clean
procedures
.
The
high
rates
of
SSI
are
due
in
part
to
lack
of
infection
control
and
surveillance
policies
in
most
hospitals
in
Africa
.
SSI
is
attended
by
complications
,
long
hospital
stay
,
and
some
mortality
,
but
the
economic
consequences
are
unestimated
.
Typhoid
fever
and
typhoid
intestinal
perforation
are
major
problems
with
perforation
rates
of
approximately
10
%
,
which
is
higher
in
older
children
.
The
ideal
surgical
treatment
is
arguable
,
but
simple
closure
and
segmental
resection
are
the
present
effective
surgical
options
.
Because
of
delayed
presentation
,
complications
after
surgical
treatment
are
high
with
a
mortality
approaching
41
%
in
some
parts
of
Africa
.
Nutrition
for
these
patients
remains
a
challenge
.
Acute
appendicitis
,
although
not
as
common
in
African
children
,
often
presents
rather
late
with
up
to
50
%
of
children
presenting
with
perforation
and
other
complications
,
and
mortality
is
approximately
4
%
is
some
settings
.
Pyomyositis
and
necrotizing
fasciitis
are
the
more
common
serious
soft
-tissue
infections
,
but
early
recognition
and
prompt
treatment
should
minimize
the
occasional
mortality
.
Though
common
in
Africa
,
the
exact
impact
of
human
immunodeficiency
virus
infection
on
the
spectrum
and
severity
of
surgical
infection
in
African
children
is
not
clear
,
but
it
may
well
worsen
the
course
of
infection
in
these
patients
.
Diseases
Validation
Diseases presenting
"immunodeficiency"
symptom
adrenal incidentaloma
allergic bronchopulmonary aspergillosis
cushing syndrome
dracunculiasis
hirschsprung disease
hodgkin lymphoma, classical
homocystinuria without methylmalonic aciduria
kabuki syndrome
legionellosis
malignant atrophic papulosis
oculocutaneous albinism
omenn syndrome
papillon-lefèvre syndrome
primary effusion lymphoma
primary hyperoxaluria type 1
pyomyositis
severe combined immunodeficiency
sneddon syndrome
werner syndrome
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
This symptom has already been validated