Endometrial Clear Cell Carcinoma: A Case Report and Literature Review
Bouchabaka Y, El Matlini A, Raouah M, Saadoune M, Laatitioui S, Zayane A, Darfaoui M, Lalya I, El Omrani A, Khouchani M
Sch J Med Case Rep | 684-687
DOI : 10.36347/sjmcr.2020.v08i07.010
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Background: Clear cell carcinoma (CCC) is first described a century ago, received little attention until the publication of two pathological studies by Silverberg and De Giorgi and Kurman and Scully in the 1970s. Endometrial CCC is rare subtype of endometrial carcinoma that seems to have a poor prognosis. Diagnosis is often difficult, but pathological examination with immunohistochemistry can be useful for solving differential diagnosis problem. Case presentation: We report the case of a woman with Endometrial Clear Cell Carcinoma (ECCC).Our purpose is to report this rare case, its diagnosis, prognosis and therapeutic management. Conclusions: Consensus on the optimal treatment is not well elucidated because of lack of prospective randomized studies.
Gastric Duplication Cyst: Three Cases Report
S. Bezzanin, L. Aqqaoui, H. Oubeja, H. Zerhouni, M. Erraji, F. Ettayebi
Sch J Med Case Rep | 656-659
DOI : 10.36347/sjmcr.2020.v08i07.001
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Duplication of the alimentary tract is a rare congenital anomaly. Gastric duplication cysts (GDCs) represent 4% of all alimentary tract duplications, and approximately 67% manifest within the first year of life. Herein, we report three cases of symptomatic GDC presenting in childhood. In the three cases the duplication was symptomatic; the exam revealed middle epigastric tenderness; The CT Scan confirms the diagnosis. Exploratory laparotomy with sub total resection of the duplication with mucoclasya were performed. Pathology in three cases was diagnostic of GDC.
Epithelioid Hemangioendothelioma of the Liver: About A Case and Review of the Literature
R. Chaouachi, I. Ben moula, Pr. Chikaoui, Pr. kacimi, Pr. Touil, Pr. A Siwane, Pr. Tabarkh
Sch J Med Case Rep | 660-652
DOI : 10.36347/sjmcr.2020.v08i07.002
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Epithelioid hemangioendothelioma of the liver is a rare primary malignant tumor of vascular origin. It most frequently occurs in middle age adults and clinical findings are non-specific. Histological diagnosis may be difficult to achieve with lesions containing a large myxoid component, and immunohistochemical staining is required. A few imaging features may suggest the correct diagnosis, and radiologists should be familiar with these findings. We will illustrate the potential role of PET-CT at the time of initial presentation. Prognosis is variable and optimal management is based on a case by case analysis, ranging from clinical and imaging follow-up to liver transplantation.
Metachronic Pancreatic Metastasis of Renal Clear Cell Carcinoma
I. Ben Moula, R.Chaouachi, N.Chikhaoui, O.Kacimi, N.Touil, A.Siwane, H.Tabakh
Sch J Med Case Rep | 666-668
DOI : 10.36347/sjmcr.2020.v08i07.004
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Pancreatic metastases from kidney cancer are rare and generally late onset. They are most often detected by an abdominal computed tomography performed as part of kidney cancer surveillance. We report the observation of a 50-year-old diabetic patient who had a nephrectomy for a clear cell renal adenocarcinoma seven years ago, during follow-up, abdominal CT and nuclear magnetic resonance imaging (MRI) revealed two heterogeneous pancreatic nodules, the kinetics of enhancement resembles that of the primary tumor , and pathology has in fact revealed metachronic pancreatic metastases of his clear cell renal adenocarcinoma.
Pancreatic Krukenberg Tumor of the Ovary: Case Report
Dahmane Hicham, Alazaoui F, Mouatassim Z, Chakiri A, El Malki HO, Chefchaouni M, Ifrine L, Belkouchi A
Sch J Med Case Rep | 663-665
DOI : 10.36347/sjmcr.2020.v08i07.003
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Krukenberg's tumors are rare malignant tumors of the ovary, often bilateral and secondary to cancer of the stomach, mucosal secreting in 90% of cases. We are reporting a case in our unit of a krukenberg with a primary pancreatic tumor. The diagnosis and management of krukenberg tumor is complex and should involve an interprofessional team that includes hospice, palliative care nurse, pain specialist, oncologist, surgeon, pathologist, and radiologist. In all cases, this is metastatic disease and the patients are frail and debilitated. Aggressive surgery is not recommended as it does not extend life span.
A Rare Cause of Liver Cirrhosis: Multiple Myeloma
Fatiha Bellouhou, Fatima Ezzahra Haddar, Ghita Beddou, Chakour M, Adil Ait Errami, Sofia Oubaha, Zouhour Samlani, Khadija Krati
Sch J Med Case Rep | 669-672
DOI : 10.36347/sjmcr.2020.v08i07.005
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The clinically reported case of liver involvement with multiple myeloma (MM) is rare. Relatively, most of the reported unusual manifestation of MM has been in autopsied series; since far, the data around diagnosis, clinical feature, treatment, and prognosis of patients are still unknown. We report a case of a 73-year-old patient with MM who is admitted for upper gastrointestinal haemorrhage made of hematemesis of medium abundance with anemic syndrome, hepatomegaly with ascites of average abundance .Elsewhere osteo-articular examination is without abnormality. Initial laboratories included elevated liver function tests (aspartate aminotransferase 3*N U/L and alanine aminotransferase 2*N U/L) and normocytic normochromic anemia nonregenerative (HB to 09.5g/dl, reticulocyte rate to 20000/mm3) with cholestasis (GGT = 7*N, PAL = 5*N, BT = 3*N predominantly direct). A myelogram with karyotype was made having concluded a plasmocyte infiltration at 20% consisting of dystrophic plasma cells.A liver biopsy revealed a diffuse portal and sinusoidal infiltration of plasma cells. In this report, we review the literature of liver involvement in multiple myeloma.
Giant Intraperitoneal Liposarcoma: About A Case and Review of the Literature
Fatiha Bellouhou, Fatima Ezzahra Haddar, Sofia Oubaha, Zouhour Samlani, Khadija Krati
Sch J Med Case Rep | 673-675
DOI : 10.36347/sjmcr.2020.v08i07.006
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Intraperitoneal liposarcoma is a very rare type of tumor, accounting for less than 1% of all malignancies.We report a case of 60-year-old man who was admitted with an enlarged abdomen, and computed tomography (CT) showed a, large hypoechoic lesion intraperitoneal measuring 37cm / 28cm. The There is no occlusive syndrome, peritoneal effusion, or adenomegaly. The surgical procedure extracts a round fat mass whose cleavage planes are clean. The anatomopathological study shows lipoblasts with large nuclei and uncontrolled cell proliferation associated with vacuoles The patient did not receive any adjuvant therapy, and CT showed no evidence of recurrence during follow-up.
Maxillofacial Trauma: An Unexpected Means in the Diagnosis of Eagle Syndrome- A Case Report
Hamza Hassan Mirza, Faheem Ahmed, Zahoor Ahmed Rana
Sch J Med Case Rep | 676-679
DOI : 10.36347/sjmcr.2020.v08i07.007
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Eagle syndrome is a rare condition that is difficult to diagnose due to the myriad of non-specific symptoms related to orofacial and cervical region and is a result of an abnormal elongation of styloid process causing compression of surrounding nerves or vessels. Patient can present with oropharyngeal, cervical, temporomandibular or auricular pain, globus sensation, dysphagia, transient ischemic attack and syncope. Diagnosis is established by correlating the symptoms with radiologic confirmation. This case report depicts a 50 year old male patient who reported with multiple facial fractures. His radiographs showed a markedly elongated styloid process of the right side and his medical history revealed that he experienced mild dysphagia, transient voice changes and right sided jaw pain occasionally and hence the diagnosis of Eagle syndrome was confirmed during the evaluation of maxillofacial injuries.
A Fatal Case of Melioidosis in a Patient with Chronic Pancreatitis
Shivangi Mishra, Padmakumar V Arayamparambil, Garud Suresh Chandan, Pooja Prathapan Sarada
Sch J Med Case Rep | 680-681
DOI : 10.36347/sjmcr.2020.v08i07.008
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Melioidosis is a systemic infection caused by gram negative bacteria Burkholderia pseudomallei which spreads through contact with soil and water. High endemicity of Melioidosis is seen in tropical countries in south east Asia specially Thailand, Malaysia, Singapore and Australia. Melioidosis is relatively rare in India and usually presents with systemic symptoms, multiple abscess, consolidation and septic shock. We report a case of meliodosis in a metropolitan city in South India presenting initially with chronic pancreatitis. Difficulty in identification and a low index of suspicion of Burkholderia pseudomallei caused delayed reporting of the species. Proven cases of Meliodosis in India could just be the tip of the iceberg. Varied presentation, its misdiagnosis as other species and the high intrinsic resistance has attributed to its high mortality. With sporadic cases being reported from non endemic areas, a high index of suspicion and early initiation of treatment may save lives.
Bilateral Peritonsillar Abscesses: A Rare Case
Mahiou Noureddine, Karim Khawla, Allouch Ihssan, EL Messoudi Lina, Nitassi Sophia, Bencheikh Razika, Oujilal Abelilah, Benbouzid Anas, Essakalli Leilla
Sch J Med Case Rep | 682-683
DOI : 10.36347/sjmcr.2020.v08i07.009
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Peritonsillary abscess (PTA) is a rare complication of acute tonsillitis. It usually presents an odynophagia, a trismus and a muffled voice. The examination reveals a purulent unilateral collection on both sides of the soft palate causing an obstruction of the upper airways; bilateral PTA is a rare event with grave consequences. Here, we describe a rare case of this pathology, presented in a public hospital and a literature review on this topic.
Dysphagia between Iatrogenic Neuroleptics and Organicity: About A Clinical Case
Hajar Rguibi, Aya Chaara, Siham Belbachir, Abderrazzak Ouanass
Sch J Med Case Rep | 688-692
DOI : 10.36347/sjmcr.2020.v08i07.011
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Dysphagia is a serious condition in which swallowing problems interfere with the patient's ability to eat, resulting pneumonia by aspiration, malnutrition, suffocation and asphyxia. It is a common symptom in the general population, and even more in the psychiatric patient. Antipsychotic drugs have traditionally been associated with extrapyramidal symptoms; these can be in the form of dysphagia, esophageal dysmotility or aspiration, which may not be recognized as an effect. The symptom of dysphagia may also appear in the psychiatric patient as in all other patients in a pathological context such as myasthenia gravis hence the difficulty to take into account dysphagia of iatrogenic origin and organic origin. We report the case of a patient with schizophrenia treated with neuroleptics first generation who presented with dysphagia with regurgitation, dysphonia and deterioration of the general state. The symptom was initially misdiagnosed as extrapyramidal side effect of neuroleptics but which did not give way even when molecules were stopped. Myasthenia gravis has been confirmed as the etiology of this dysphagia after an injury assessment.
Radiation-Induced Breast Angiosacoma: A Case Report
A. Arfa, D. Van Gestel, A. Benider
Sch J Med Case Rep | 693-696
DOI : 10.36347/sjmcr.2020.v08i07.012
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Breast angiosarcoma is a rare conjunctival tumor of vascular endothelial origin, primary in young patients, radio-induced in the elderly, characterized by its malignancy and by its polymorphic clinical and radiological presentation; it has a very poor prognosis, the frequent occurrence of visceral metastases and rapid recurrence. We report a case of breast angiosarcoma, in a 56 year old patient, with a history of breast cancer, treated by conservative surgery and adjuvant radiotherapy. We will discuss through this observation, the epidemiological, diagnostic and therapeutic aspects of this type of rare aggressive tumors.
Cervicothoracic Necrosis Fascia Following an Insect Bite
Mahiou Noureddine, Laasikri Omar, Maouni Safae, Nitassi Sophia, Razika Bencheikh, Oujilal Abelilah, Anas Benbouzid, Essakalli Leilla
Sch J Med Case Rep | 697-698
DOI : 10.36347/sjmcr.2020.v08i07.013
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Necrotizing bacterial dermohypodermitis with necrotizing fasciitis (DHBN-FN) is a infection of the hypodermis, the muscular fascia and secondarily the dermis. The infection sometimes spreads in a fulminating manner along the fascia. It constitutes a medical-surgical emergency. It is a rare and serious infection. The mortality remains high reaching 19% to 41%, despite an improvement in surgical techniques and resuscitation .We reports the case of old men of 65 years with diabetes as co-morbidity and discusses the clinical, therapeutic and evolutionary aspects through the literature.
A Case of a Sudden Onset of Diplopia Revealing Third Oculomotor Palsy Due to Midbrain Hematoma
Sara Sabiry, Salma Bellakhdar, Hajar Khattab, Hicham El Otmani, Bouchra EL Moutawakil, Mohamed Abdoh Rafai
Sch J Med Case Rep | 699-701
DOI : 10.36347/sjmcr.2020.v08i07.014
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Spontaneous brainstem hemorrhage accounts for 5%–10% of intracerebral hemorrhage. Vascular diseases in the midbrain can cause oculomotor nerve palsy (ONP) often associated with other neurological signs. Isolated ONP due to hemorrhagic stroke restricted to the midbrain is considered to be rare. We report the case of a 54 years old women admitted with isolated third nerve palsy secondary to a midbrain hematoma.
Perioperative Takotsubo Syndrome R Broken Heart Syndrome
Mohammed Amine Ktiri, Sofia Kaddaf, Adolphe Kasango, Pascal Goube
Sch J Med Case Rep | 702-704
DOI : 10.36347/sjmcr.2020.v08i07.015
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Takotsubo syndrome, stress-related cardiomyopathy, or broken heart syndrome is a transient cardiomyopathy that was first described in Japan: it generally lasts two weeks, in the absence of mortality or severity at acute phase. Several cases of Takotsubo have been reported worldwide. We report 7 cases of patients treated immediately after surgery for clinical manifestations of chest pain or acute dyspnea with electrical changes to the ECG, elevation of troponins and echocardiographic anomalies thus simulating an acute coronary syndrome. The diagnosis is retained by ultrasound, the coronary angiography does not show any significant lesion and the ventriculography confirms the appearance of the disease. The clinical and ultrasound evolution is favorable with bêta-blockers and ACE inhibitors.
Original Research Article
July 28, 2020
Contribution of Imagery in Retro Peritoneal Tumors in Children
Amine El Masloumi, Christ Labretesche Gakosso, Anass Chehboun, Dounia Basraoui, Hicham Jalal
Sch J Med Case Rep | 705-713
DOI : 10.36347/sjmcr.2020.v08i07.016
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The retroperitoneal tumors in children represent the majority of abdominal masses child before the age of 7 years and half between 7 and 15 years. Nephroblastoma or Wilms tumor and neuroblastoma are the most common etiologies. The aim of this study is to recall the contribution of imaging methods in the diagnosis and monitoring of retroperitoneal tumors in children. It is a retrospective study conducted over a period of 10 years (from January 2010 to December 2019), 126 benign and malignant retroperitoneal tumors, explored by ultrasound in all patients and by the abdominal CT scan in (88% of patients. All diagnostics were confirmed histologically by the examination of the surgical specimen. The average age of our patients was 8 years with a slight female predominance. We identified 75 cases of nephroblastoma (59.52%), 38 cases of neuroblastoma (30.15%), 5 cases of SRCC (3,96 %),4 cases of mesoblastic nephroma (3.17 %), 3 cases of pheochromocytoma (2.38%), and a case of malignant non Hodgkinian lymphoma (Burkitt) (0,79%). The imaging plays a vital role in the diagnosis of retroperitoneal tumors in children. Ultrasound remains the predominant method made its availability, its diagnosis and its non- radiating performance character. It allows, before the discovery of an abdominal mass, confirmed the presence of a tumor and make the differential diagnosis with other non- tumor lesions. Then comes the role of abdominal CT in second plan to confirm the ultrasound data and identify locoregional and distant as well as anatomical and vascular reporting and it also helps in cases of large tumors to determine its organ of origin and measures in the 3 spatial planes.
Original Research Article
July 28, 2020
What Do You Know About the Imaging Findings in Congenital Pulmonary Malformations in Children?
Amine El Masloumi, Anass Chehboun, Dounia Basraoui, Hicham Jalal
Sch J Med Case Rep | 714-722
DOI : 10.36347/sjmcr.2020.v08i07.017
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Aim: Determine the epidemiological, radiological, therapeutic and progressive profile of bronchopulmonary malformations. Materials and methods: This is a retrospective study over 10 years (03/2010 to 10/2019), including 20 children hospitalized in our institution for bronchopulmonary malformation. Results: We have identified 7 cases of adenomatoid cystic lung malformations, 3 cases of congenital lobar emphysema,3 cases of pulmonary sequestration in its extra lobar form, 3 cases of bronchogenic cyst, 1case of pulmonary sequestration associated with cystic adenomatoid malformations, 1 case of Pulmonary hypoplasia, 1 case of pulmonary agenesis and 1 case of pulmonary arteriovenous malformation. The prenatal diagnosis was carried out in a single patient, other patient benefited from a postnatal diagnosis with an average age of 26 months. All patients were symptomatic with an average age of 14 months. The symptomatology was dominated by respiratory distress, and respiratory infection. The chest X-ray guided the diagnosis in most cases and the CT scan confirmed the diagnosis of all cases. Lobectomy was performed in 67% of the patients. The pathological examination confirmed the diagnosis of the malformation in all cases. The post-operative and long-term outcome, with a follow-up ranging from 3 months to 3 years, was favorable in most of the patients followed. Conclusion: Imaging has a fundamental role in the management of congenital pulmonary malformations, in their diagnosis and in the assessment of surgical forms. CT is the modality of choice, thanks to its ease of access, its speed of acquisition, its high spatial resolution that it offers.
Pseudo-Tumoral Calcinosis: A Rare Condition in Chronic Hemodialysis. About A Case
Amine El Masloumi, Christ Labretesche Gakosso, Hajar Saffour, Badr Boutakioute, Meriem Ouali Idrissi, Najat Idrissi El Ganouni
Sch J Med Case Rep | 723-726
DOI : 10.36347/sjmcr.2020.v08i07.018
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Tumor calcinosis is a rare, well-defined clinical entity characterized by the deposition of calcium material in the periarticular soft tissues taking tumor form. Diagnosis is most often made by imaging. We report the case of a 43-year-old chronic hemodialysis patient with a swelling of the right shoulder that has progressively progressed over the past 3 months. The CT scan of the shoulder allowed the diagnosis of pseudo tumoral calcinosis to be made and the anatomopathological study confirmed it after surgical removal.
Primitive Mediastinal Hydatid Cyst
K Chaanoun, H Benjelloun, N Zaghba, N Yassine
Sch J Med Case Rep | 727-729
DOI : 10.36347/sjmcr.2020.v08i07.019
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Mediastinal localization of the hydatid cyst is very rare even in endemic areas. We report the observation of a 24 year old patient of rural origin, having contact with dogs. Admitted to the respiratory diseases department for a huge multivesicular mediastinal mass. A thoracotomy is performed revealing a mediastinal hydatid cyst.
Deficit in Complement C4 Fraction Associated with Autoimmune Manifestations and Vertebral Osteolytic Lesions
K Chaanoun, H Benjelloun, N Zaghba, N Yassine
Sch J Med Case Rep | 730-733
DOI : 10.36347/sjmcr.2020.v08i07.020
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The C4 protein is part of the classical complement pathway which plays an important role in innate immunity and in the maintenance of immune complexes in the soluble phase. We report the observation of a 35 year old patient admitted to the respiratory diseases department for etiological assessment of diffuse bronchial dilatation foci (DDB) complicating repeated respiratory infections. After eliminating an acquired immunodeficiency, a balance of primary immune deficiency carried out, allowing to retain the diagnosis of a deficit in complement fraction C4 associated with a systemic lupus erythematosus. Complete C4 deficiency is very rare, can be revealed in adulthood by bacterial infections with encapsulated germs and predisposes to diseases with deposits of immune complexes. Requiring a diagnosis and an early management in order to avoid complications sometimes frightening, as was the case of our patient.
Multiple Tuberous Xanthomas A Rare Case in Young Female
Dr. Avinash Mane, Dr. S. S. Kumbhar, Dr. Sunil V. Jagtap, Dr. Nitesh Nasre, Dr. Sonam Billawaria
Sch J Med Case Rep | 734-737
DOI : 10.36347/sjmcr.2020.v08i07.021
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Case Report: A 28-year-old female presented with multiple subcutaneous nodules since last five years. Initially, lesions started on the back, hands and gluteal region. They were slowly progressive, persistent and asymptomatic. Patient was unmarried and her only concern was cosmetic appearance, so she underwent excisional biopsy of the lesion from gluteal region in our hospital. Routine haematological investigations and coagulation profile was normal.
Grossly, we received yellowish, soft, cheesy mass measuring 1.8 x 1.1 x 1.0 cm. Cut section showed soft, yellowish, cheesy areas. Microscopic study revealed skin showing epidermis and dermis lined by stratified squamous epithelium. Epidermis was thin with no dysplasia. Dermis showed diffuse infiltration of foamy macrophages along with many classical Tuoton type giant cells. Based on these findings and clinical details, diagnosis of tuberous xanthoma was offered. Discussion: Xanthoma is a localised collection of tissue histiocytes containing lipids. It is a pseudotumor which particularly occurs in response to alterations in lipid metabolism. Tuberous xanthomas generally present as discrete painless nodules or large plaque like lesions of the subcutis. In our patient, lipid profile was found to be deranged and cholesterol was on higher side i.e. 380mg/dl. Because of prompt diagnosis, patient was shifted on cholesterol lowering agents to prevent cardiovascular complications. Conclusion: In conclusion, we are presenting a case of Multiple Tuberous Xanthomas in a young female not only for its histopathological diagnosis but also for putting more emphasis on correction of lipid profile through prompt administration of cholesterol lowering agents. This will lower the risk of mortality due to cardiovascular complications.
Congenital QT Syndrome Causing Syncope in Children, A Case to be proposed
Hicham Faliouni, Lahlafi Zakaria, Mohammed Malki, Lakhal Zouhair
Sch J Med Case Rep | 738-740
DOI : 10.36347/sjmcr.2020.v08i07.022
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Congenital long QT syndrome (SQTL) is a group of genetically heterogeneous heart diseases characterized by repolarization disorders secondary to QT prolongation, leading to an increased risk of ventricular arrhythmia. The genes involved in these mutations encode for subunits of the ion channels responsible for cardiac electrical activity. SQTL should be evoked during the onset of syncope or sudden death in young subjects in the context of adrenergic stimulation. There is often a delay in diagnosis in this age group, because the symptoms are, wrongly, attributed to an epilepsy attack. The diagnosis is based on the electrocardiogram, a family survey and a genetic study. The treatment is based on beta-blockers and the implantable defibrillator. We report through an observation of a 3 years old girl who presented loss of consciousness following exertion. We will discuss her diagnosis andtreatment.
Pseudo Aneurysm of the Splenic Artery Fistulized in the Stomach Revealed By Upper Digestive Hemorrhage
El Oukli Yassir, Youssef Kerroum, Mohamed Alaoui Maliki, Khedid Yahya Zin El Abidin, Mohamed El Absi, El Hassan El Faricha El Alami, Mohamed El Ounani, El Mahjoub Echarrab, Mohamed El Amraoui, Abdelka
Sch J Med Case Rep | 741-743
DOI : 10.36347/sjmcr.2020.v08i07.023
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The splenic artery aneurysm is a rare pathological entity, most often asymptomatic. Rarely it can be revealed by an upper digestive hemorrhage. We report the case of a 26 year old patient who presented to the emergency room for a recurrent hematemesis table. A complete assessment including an abdominal CT scan revealed an aneurysm of the splenic artery in intimate contact with the posterior wall of the stomach. Surgical treatment was urgently decided following the installation of hemodynamic instability with flattening of the aneurysm. The objective of this observation is to show that the reference treatment for large aneurysms is surgical treatment by laparotomy without restoring splenic arterial continuity, with suturing of the digestive orifice, without delay before the onset of state of hemorrhagic shock which can be fatal.
Pleuro-Pulmonary Amoebiasis: About two New Case Reports
Zaghba N, Bakkal H, Benjelloun H, Yassine N
Sch J Med Case Rep | 744-748
DOI : 10.36347/sjmcr.2020.v08i07.024
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Pleuro-pulmonary affection of amoebiasis is the most common extraintestinal site of amoebiasis after hepatic disorder. We report two case reports of pleuro-pulmonary amoebiasis concerning two men aged 47 and 37 years, respectively, with a history of dysentery syndrome. It is a purulent pleurisy in the first case associated with a hepatic abscess, and a parasitic eosinophilic lung in the second case. The diagnosis was confirmed by the high positive amoebic serology in the first case and on the radio-clinical data and the isolation of Entamoeba histolytica histolytica in the second with a good evolution under treatment. This was based on metronidazole (1.5 g / d) for 14 days, with evacuation of the pleural cavity. The clinical and radiological progress was good in both cases.
Original Research Article
July 30, 2020
Comparison of Cyanide Levels in Selected Cassava Varieties Cultivated in Lurambi Constituency, Kakamega County Using the Picric Acid Method
Menge Dominic, James Nampushi, Wesley Omwoyo, Imali Linda
Sch J Med Case Rep | 749-754
DOI : 10.36347/sjmcr.2020.v08i07.025
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Manihot esculenta Crantz (cassava) is a perennial, woody shrub that has an edible root and is grown in the tropics. Cassava is an important source of calories for millions of people in the tropics. However, all cassava varieties contain cyanide which is among the topmost swiftly working poison. This study was aimed at comparing cyanide levels in three cassava varieties grown by residents of Lurambi constituency, Kakamega County for food. These varieties included Migyera, Serere and MH95/0183. Picric acid method was used in this study to assess the cyanide levels in the cassava tubers. A total of twenty-seven cassava tubers of different ages from three farms were used in this study. The average concentration of cyanide in Migyera was the highest (45 HCN mg/kg) while Serere had the lowest average cyanide concentration (15 HCN mg/kg). Migyera, Serere and MH95/0183 had the highest cyanide level at six months and this cyanide content reduces with increase in age of the tuber, the content of cyanide in Migyera, Serere and MH95/0183 ranged from 15 HCN mg/kg to 30 HCN mg/kg at twelve months, the cyanide levels in Migyera, Serere and MH95/0183 at twelve months were above the limits of cyanide fit for human consumption by WHO (10 HCN mg/kg), cyanide content for Migyera, Serere and MH95/0183 ranged between 10 HCN mg/kg to 30 HCN mg/kg at twelve months forty eight hours after uprooting. Serere had the lowest amount of cyanide post-harvest, 10 HCN mg/kg. It was concluded that Serere was the only variety that contains cyanide content after post-harvest storage that falls within the WHO accepted limit (10 HCN mg/kg). It is recommended that Migyera, Serere and MH95/0183 tubers be harvested after twelve months and stored for at least forty eight hours before consumption.
