Nigerian Medical Practitioner <p><em>The Nigerian Medical Practitioner</em>, a monthly Journal publishes clinical and research articles in medicine and related fields which are of interest to a large proportion of medical and allied health practitioners. It also publishes miscellaneous articles-hospital administration, business practice, accounting, law-for health practitioners. Case reports and letters about published papers are welcome.</p> en-US Copyright belongs to the journal. (Prof O A Sofola) (Prof. S. A. Ogun) Tue, 13 Feb 2024 11:17:12 +0000 OJS 60 Pattern of Oesophageal Diseases Presenting to the Cardiothoracic Surgery Unit of the Lagos University Teaching Hospital over A 5-Year-Period <p>Oesophageal diseases encompass a wide spectrum of conditions that affect individuals of all ages, ranging from benign motility&nbsp; disorders to malignant neoplasms. This study delves into the patterns, demographics, diagnoses, and management of oesophageal&nbsp; diseases among patients presenting to the Cardiothoracic Surgery Unit (CTSU) at Lagos University Teaching Hospital (LUTH), Nigeria,&nbsp; from 2018 to 2023.A retrospective cohort study design was employed, focusing on patients referred to the CTSU LUTH with suspected or&nbsp; diagnosed oesophageal diseases within the specified period. Data was collected from medical records, and analysis was carried out using&nbsp; IBM SPSS Statistics (Version 26). The study reveals that the highest percentage of oesophageal disease cases occurs in patients under the age of 10, representing 28.6% of the total cases, with a mean age of 35.15 years, emphasizing the wide age variation within this&nbsp; patient population. Gender distribution shows a near balance between males (57.1%) and females (42.9%). The most prevalent&nbsp; diagnosis is Achalasia (26.5%), followed by Oesophageal Cancer and Foreign Body Impaction (12.2% each). Esophagoscopy is the most&nbsp; common procedure (32.4%), peaking in 2020. Furthermore, foreign body impactions constituted 53.84% of oesophageal foreign body&nbsp; cases, notably involving dentures in 57.14% of instances. Additionally, "Corrosive Stricture" comprised 28.57% of oesophageal stricture cases.This study sheds light on the diverse landscape of oesophageal diseases at the CTSU LUTH. It underscores the importance of age- related trends, emphasizing the need for heightened vigilance in children under six, especially in light of increased cases during the&nbsp; COVID-19 pandemic. Achalasia remains a concern, necessitating long-term monitoring. Esophagoscopy stands out as a crucial diagnostic&nbsp; and therapeutic tool. Further research in this field holds promise for improved interventions and patient well-being.&nbsp;</p> O.O. Olusoji , E.O. Ogunleye , J.P. Iwuchukwu, O.F. Akerele Copyright (c) 2024 Tue, 13 Feb 2024 00:00:00 +0000 Risk Perception of Covid-19 and Willingness to Vaccinate (WTV) among Informal Workers in Ado-Odo/Ota and Ifo LGA, Ogun State <p>The outbreak of COVID-19bled to over 5 million deaths worldwide. Vaccination is one of the several ways for ending the pandemic. The&nbsp; path from knowledge to preventive practices is mediated by certain factors such as risk perceptions. This study set out to determine the&nbsp; risk perception and predictors of willingness to vaccinate (WTV) among informal workers in Ado-Odo/Ota and Ifo local government area&nbsp; (LGA) in Ogun state. This descriptive cross-sectional survey collected information about the risk perception and WTV among 350 informal&nbsp; workers selected by multistage sampling in Ado-Odo/Ota and Ifo local government areas, Ogun State. Knowledge of COVID-19,&nbsp; preventive practices, perception of risk, exposure to infection, vaccine status and WTV were determined. Data analysis was done using&nbsp; Epi-Info, results were presented as frequencies, and correlates done using Chi-square with significance level at p-value &lt;0.05.&nbsp; Respondents were aged 43.6 + 14.8 years, mostly female (60.9%), with secondary or higher education (72.6%), held manual/non-manual&nbsp; occupations (48.5%), and reported average monthly incomes &lt;N40,000 (72.3%). Knowledge of cause, transmission and symptoms of&nbsp; COVID-19 was high, but reported prevention practices was poor. Overall, the COVID-19 risk perception was 'low' among 89.7% of respondents, and 32.8% were not willing to be vaccinated. Only 12.9% had both doses. Despite high knowledge levels, there are still low&nbsp; rates of risk perception and WTV. This requires more targetted community engagement to increase public confidence in the safety and&nbsp; efficacy of vaccines and reduce concerns about side effects to ensure successful vaccine rollout.&nbsp;</p> A.A. Roberts , S.O. Olusanya , A.E. Egwudo , A.A. Adejimi , E.O. Olufela , B.E. Ogunnowo Copyright (c) 2024 Tue, 13 Feb 2024 00:00:00 +0000 Multiple Furuncular Myiasis in a Nigerian Infant: A Case Report <p>Multiple furuncular myiasis infestation by the larva of <em>Cordylobia anthropophaga</em> is rare in infants. The disease closely mimics other skin&nbsp; lesions like furuculosis and bullous impetigo. This can lead to either misdiagnosis or delay in diagnosis. Herein, we report a case of a 6 month old baby who presented with multiple skin lesions which was misdiagnosed as multiple furunculosis but later diagnosed as&nbsp; multiple furuncular myasis caused by the larva of <em>Cordylobia anthropophaga</em>. Atotal of 70 worms were extracted from the skin lesions. This&nbsp; case highlights the need to consider furuncular myasis as a differential diagnosis in people presenting with boil-like lesions not&nbsp; responding to antibiotics treatment especially children who live in the endemic region. This awareness will help avoid misdiagnosis and&nbsp; delay in instituting appropriate treatment.&nbsp;</p> K.K. Odinaka , I. Amamilo , K. Asinobi , C. Ahumareze , C. Nwaoha Copyright (c) 2024 Tue, 13 Feb 2024 00:00:00 +0000