Browsing by Author "Omona, Venice"

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    Bilateral proptosis as an early manifestation of juvenile myelomonocitic leukemia in an African child
    (Indian Journal of Pathology and Oncology, 2021) Pecorella, Irene; Nunzia, Manna; Valeria, Calbi; Omona, Venice; Okello, Tom Richard
    We report bilateral proptosis as the unusual initial presentation of juvenile myelomonocytic leukemia in a Ugandan child. Juvenile myelomonocytic leukemia was diagnosed with complete blood count and bone marrow aspiration biopsy. This is the first description of orbital involvement occurring in the setting of juvenile myelomonocytic leukemia, despite leukemic orbital infiltration is relatively common in the middle East, Asia, and Africa. In general, simultaneous neoplastic involvement of both orbits at presentation is also a rare finding, bur appears to be highly likely in leukemic children. © This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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    Refractory convulsive syncope in pregnancy: a rare presentation of Takayasu’s arteritis - a case report and literature review
    (African Health Sciences, 2021-06-02) Alobo, Gasthony; Nahurira, Violah; Omona, Venice; Bayo, Pontius; Olum, Sam
    Background: Neurological manifestation of Takayasu’s Arteritis (TA) in pregnancy presenting as convulsive syncope is extremely rare, and poses a serious diagnostic dilemma due to other vast causes of fits in pregnancy. Objective: We aimed to present and shed more light on a case of TA with convulsive syncope in pregnancy refractory to anticonvulsants for seven weeks, and review the literature on the management of TA in pregnancy. Case presentation: A gravida 4 para 3+0 at 28 weeks of amenorrhea presented with repeated episodes of the sudden loss of consciousness, followed by a fall and jerking of the limbs. These were refractory to anticonvulsants that she had used for seven weeks. Physical examination revealed undetectable pulse and blood pressure (BP) in the upper limbs but elevated BP in the lower limbs. Further investigations confirmed TA and she improved on steroids and antihypertensives. Conclusion: This case typically describes the unexpected presentation of TA with convulsive syncope. It calls for meticulous clinical assessment of epileptic seizures in pregnancy to avoid a late diagnosis of TA and its potential poor outcomes.