Browsing by Author "Sikakulya, Franck Katembo"

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    Alobar Holoprosencephaly with Cebocephaly in a Neonate Born to an HIV-Positive Mother in Eastern Uganda
    (Case Reports in Otolaryngology, 2021) Sikakulya, Franck Katembo; Kiyaka, Sonye Magugu; Masereka, Robert; Ssebuufu, Robinson
    Holoprosencephaly (HPE) is a rare cerebrofacial abnormality resulting from the complete or partial failure of the diverticulation and cleavage of the primitive forebrain. It has an incidence at birth of 1:16000. Case Presentation. We report a case of a 2600 g newborn female delivered by an HIV-infected mother in whom an antenatal ultrasound scan at 34 weeks’ gestation reported features of fetal alobar holoprosencephaly. The neonate was born with cebocephaly, a monkey-like head, and did not survive for more than 30 minutes following delivery by caesarian section despite oxygen therapy. Conclusion. Alobar HPE with cebocephaly remains incompatible with life. In this resource-limited setting, the diagnosis was made clinically, and only an ultrasound scan was performed to confirm the diagnosis. Chromosomal analysis could have given more information.
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    Cecal Volvulus in an Adult Male: A Rare Cause of Intestinal Obstruction: A case report
    (International Journal of Surgery Case Reports, 2021) Sikakulya, Franck Katembo; Kiyaka, Sonye Magugu; Masereka, Robert; Onyai, Patrick; Okedi, Xaviour Francis; Anyama, Philip
    Cecal volvulus is uncommon cause of intestinal obstruction. It affects the ascending colon and the terminal part of the ileum which are twisted around the mesenteric pedicle. We report the case of 37-year-old male who underwent emergency laparotomy for intestinal obstruction and found a twisted cecum with ileal knotting and anterior part of cecum necrosed. Resection of cecum and terminal ilium followed by end-to-end anastomosis of ileum to ascending colon were performed. Cecal volvulus remains an uncommon cause of intestinal obstruction with a surgical incidence of 2.8–7.1 cases per year per 1 million people. Delay in diagnosis can lead to complications such as necrosis and perforation of the cecum. We present a rare case of cecal volvulus in a 37-year-old male with necrosed part of the cecum without perforation. Early diagnosis and management can prevent perforation and reduce morbidity related to the cecal perforation.
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    Comorbidities and Factors Associated with Mortality among Children under Five Years Admitted with Severe Acute Malnutrition in the Nutritional Unit of Jinja Regional Referral Hospital, Eastern Uganda
    (International journal of pediatrics, 2020) Banga, Desire; Baren, Melvis; Ssonko, Namale Vivian; Sikakulya, Franck Katembo; Tibamwenda, Yves; Banga, Claude; Ssebuufu, Robinson
    Mortality among children with severe acute malnutrition remains an immense health concern in the hospitals in developing countries, but its attributes are not completely assessed in various hospital settings. The aim of this study was to determine the proportion of mortality, the comorbidities, and factors associated with in-hospital mortality among children under five years of age admitted with severe acute malnutrition at Jinja Regional Referral Hospital, Eastern Uganda. Methods. This was a hospital-based analytical and descriptive prospective cohort study conducted in the nutritional unit of Jinja Regional Referral Hospital. A total of 338 children and their caretakers who met the criteria were consecutively enrolled into the study. Descriptive statistics were used to each of the independent factors, and comorbidities were subjected to chi-squared test followed by logistic regression analysis to assess its association incidence of mortality among children. All independent variables with p values ≤ 0.05 were entered into a multivariate model for factors and comorbidities independently. Factors and comorbidities with p values ≤ 0.05 were considered as associates of mortality among children. Results. Of the 338 children under 5 years of age enrolled, 49 (14.5%) died, although the majority of children were diagnosed with dehydration, 128 (37.9%); pneumonia, 127(37.6%); and malaria, 87(25.7%). Anemia (aRR = 2:9, 95% CI: 1.23-6.62, p = 0:01), bacteremia (aRR = 10:0, 95% CI: 3.62-29.01, p = 0:01), HIV (aRR = 4:8, 95% CI: 1.42-16.30, p < 0:01), TB (aRR = 4:3, 95% CI: 1.28-14.49, p < 0:02), and shock (aRR = 60:9, 95% CI: 9.05-410.28, p < 0:01) were the comorbidities significantly associated with a likelihood of mortality. Conclusions. The mortality among children under 5 years of age admitted with severe acute malnutrition is still high (14.5% versus 5%). The comorbidities are significantly associated with mortality. The clinicians are recommended to follow-up closely patients with severe acute malnutrition and to focus on the critical comorbidities identified.
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    Determinants of Knowledge, Attitudes, and Practices of Frontline Health Care Givers During the First Wave of Covid-19 in Africa: a Multi-centers Online Cross-sectional
    (ResearchSquare, 2021) Kamabu, Larrey Kasereka; Lekuya, Hervé Monka; Kasusula, Bienvenu Muhindo; Sikakulya, Franck Katembo; Nganza, Sifa Katungu; Mumbere, Bienfait
    During its first wave in sub-Saharan Africa, there was insufficient understanding of the new pandemic of coronavirus disease 2019 (COVID-19) among frontline health care professionals that has led to a misidentification, and mistreatment of affected patients, with a potential risks of contacting and spreading the disease. This study was carried out to determine the knowledge, attitude, and practices (KAP) of frontline health care givers (HCGs) towards COVID-19 in Africa and their related factors.
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    Endometriosis Arising in a Cesarean Section Scar: A case report
    (International Journal of Surgery Case Reports, 2022) Masereka, Robert; Kiyaka, Sonye Magugu; Sikakulya, Franck Katembo
    Scar endometriosis is an uncommon variant of extra pelvic endometriosis, which develops at the scar site of previous abdominopelvic surgery and is seen in women during their reproductive period.
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    Incidental Discovery of Amyand's Hernia in an Adult Female: A case report
    (International Journal of Surgery Case Reports, 2021) Sikakulya, Franck Katembo; Kiyaka, Sonye Magugu; Masereka, Robert; Onyai, Patrick; Anyama, Philip
    Amyand's hernia is a rare type of inguinal hernia with an incidence of about 0.1% of all inguinal hernias with most in occurring in childhood. It is characterized by the presence of the vermiform appendix within the hernia sac.
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    Sigmoid Volvulus in an Adolescent Female: A case report
    (International journal of surgery case reports, 2021) Kiyaka, Sonye Magugu; Sikakulya, Franck Katembo; Masereka, Robert; Okedi, Xaviour Francis; Anyama, Philip
    Sigmoid volvulus is a rare cause of intestinal obstruction in children and adolescent population. It's considered a disease of the elderly with a widely varying incidence worldwide. It is more common in areas referred to as “volvulus belt” (Middle East, Africa, the Indian subcontinent, Turkey, and South America).
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    Synophtalmia on a Newborn
    (SAGE Open Medical Case Reports, 2022) Bira, Laetitia Bihamba; Sikakulya, Franck Katembo; Mumbere, Mupenzi; Mathe, Jeff
    Synophtalmia or cyclopia is a rare presentation of alobar holoprosencephaly. Cases which have been reported are stillborn or dead in post-delivery period. We are presenting a 3000-g live full-term newborn girl delivered by caesarean section with a well-marked cyclopia, but who died 30min post-delivery. The case did not present with other abnormalities. The literature showed that genetic disorders are associated with cyclopia. A prenatal anomaly scan can help in the early detection of the condition and timely termination of the pregnancy can be conducted.