Original Research Article
May 15, 2022
Perception of COVID-19 by the Mentally ill Patients
Asmae Ech-Chamikh, Ilham Lagsyer, Imane Adali, Fatiha Manoudi
SAS J Med | 371-375
DOI : 10.36347/sasjm.2022.v08i05.004
Background: Patients with mental illness constitute a population at risk of being easily infected by corona virus (COVID-19), and they can also spread the infection to others by neglecting protective measures. The confrontation of this pandemic depends above all on their adherence to barrier measures, largely affected by their knowledge, perception and practices. Objectives: This work aimed to assess the perception of COVID-19 in patients with mental illness; by conducting a survey on their knowledge, attitudes and practices. Methods: This is a descriptive cross-sectional study. 118 consultant patients with schizophrenia, bipolar disorder or chronic delusional disorder agreed to participate in the study. It was conducted at the psychiatric university department at Ibn Nafis hospital in Marrakech, during the month of October 2020. We used a pre-established questionnaire. The choice of patients was made given the frequency of perception disorders, cognitive deficit and inappropriate behaviors. Results: The mean age of the participants was 38 years. The majority were male (64%), single (56%), with a low level of education (32%). The patient’s average COVID-19 knowledge score was 9.27, suggesting an overall correct answer rate of 71% on this knowledge test. Almost a quarter of the patients did have a poor knowledge of COVID-19 (30%). Notably, more than half of the patients surveyed (62%) were not aware that there are asymptomatic forms of COVID-19 infection, and that there are no specific treatment or vaccine against COVID-19 currently. Two-thirds of patients (63%) considered COVID-19 infection to be a serious and dangerous illness, twenty-five patients (21%) had given no comments, nine patients (8%) believed that it was a conspiracy, six patients (5%) thought it was a devil and four patients (3%) thought it was a lie. In terms of attitudes, more than half of the patients surveyed had expressed their fear when thinking of COVID-19, and the majority of patients (90%) ...
Cervicofacial Actinomycosis: A Case Report of a Mandibular Localization
Dr. Dani Bouchra, Dr. Zeine el Abidine Baba el Hassene, Pr. Boulaadas Malik
SAS J Med | 366-370
DOI : 10.36347/sasjm.2022.v08i05.003
Actinomycosis is a rare disease. The cervicofacial region is the most frequent localization. A chronic pus discharge, sometimes tumor-like, suggests the diagnosis, which is often confirmed by anatomopathological study. The treatment is surgical debridement and antibiotic therapy, frequently long-term. We report in the present work a case of a rare type of mandibular tumor about a 10-year-old girl who presented, to our maxillofacial surgery department of the university hospital center of Rabat, with a left fistulized mandibular swelling and normal mouth opening range. In her case, the diagnosis of actinomycosis was made by histology. The clinical outcome was good following an enucleation and a strong curettage and an antibiotic therapy. The lesions of this pathology, if untreated, may evolve to osteitis and sequestration which makes early diagnosis crucial.
Moyamoya Disease in an Adult Female: A Case Report
K. El Mansouri, I. Oussayeh, Y. El Ouardi, M. Khallouki
SAS J Med | 363-365
DOI : 10.36347/sasjm.2022.v08i05.002
Moyamoya is a progressive vasoocclusive disease of large intracranial arteries with characteristic collaterals formation. It has a bimodal distribution and more frequent in females compared to males. We present a case of 20 years female who presented with a loss of consciousness following headache. She was investigated with a head CT scan. And digital subtraction angiography which led to a diagnosis of Moyamoya disease. She was treated conservatively and scheduled for follow-up. Although ischemic attacks are the common presenting symptoms in cases of Moyamoya disease, hemorrhagic forms are seen too especially among adults compared to children. Identifying Moyamoya disease can significantly affect the treatment options and give insight into managing the chronic nature of the disease to both the physicians and patients. This case highlights the importance of searching for underlying cause in a young female presenting with intracranial haemorrhage for the first time and keeping Moyamoya disease as a differential.