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Dual arterial thrombosis: A diagnostic enigma
Shasthara Paneyala, SC Nemichandra, Harsha Sundaramurthy, K Vimala Christina ColacoAnnals of African Medicine 2022 21(3):291-295 Cold agglutinin disease is a rare cause of arterial thrombosis leading to stroke, commonly encountered against a background of mycoplasma pneumonia infections. A 22-year-old patient presented with acute-onset left hemiplegia preceded by a short history of fever and cough. Magnetic resonance imaging (MRI) showed a right middle cerebral artery infarct. Serially repeated hemoglobin levels showed a progressive drop and peripheral smear showed evidence of hemolysis. Blood drawn for investigations wou...
Source: Annals of African Medicine - September 26, 2022 Category: African Health Authors: Shasthara Paneyala SC Nemichandra Harsha Sundaramurthy K Vimala Christina Colaco Source Type: research

Moving towards ideal and appropriate models of anticoagulation management service
This article seeks to discuss how the establishment of appropriate models of anticoagulation could contain the draw backs of the old anticoagulants and improve on the compliance, availability, affordability, and accessibility of newer anticoagulants. Successful anticoagulation has always been defined by a scientific balancing of the risk of thrombosis and the complication of hemorrhage. To be able to maintain such optimal anticoagulation requires rational drug prescription (physician factor), institutelization of monitoring of therapy (anticoagulation clinic factor) as well as active participation of patients receiving the...
Source: Annals of African Medicine - August 18, 2020 Category: African Health Authors: Anakwue Raphael Source Type: research