Ecurater Journals

International Journal of Medicine & Surgery

Aim & Scope

The Journal serves as a platform for Medicine and Surgery experts in subject areas, including but not limited to, General Medicine and Surgery, Complementary Medicine, Alternative Medicine, Immunology, Dermatology, Anesthesia, Family Medicine, Cardiovascular Medicine, Haematology, Oncology, Dentistry and Oral Medicine, Pathology, Pharmacology, Respiratory Medicine, Ophthalmology, Rheumatology, Urology, Otolaryngology (ENT), Emergency Medicine, Infectious Diseases, Forensic Medicine, Laboratory Medicine, Neurology, Nutrition and Metabolism, Obstetrics and Gynaecology, Endocrinology, Nephrology, Gastroenterology, Genetics, Endocrinology, Gastroenterology, Geriatric Medicine, Paediatrics, Psychiatry, Psychosomatic Medicine, Nuclear Medicine, Radiology, Renal Medicine, Sexual Health, Epidemiology, Ethnic Studies, Occupational Health, Medical Education, Legal and Forensic Medicine, Environmental Medicine, Toxicology and Therapeutics, Medicine Development, Clinical Trials, Public Health, and others.

Editorial Board

Dr. Alain L. Fymat
President, CEO and Institute Professor
International Institute of Medicine and Science
Rancho Mirage, California, U.S.A
Dr. Adrian Pablo Hunis
Assistant Professor of Internal Medicine
School of Medicine, University of Buenos Aires
Buenos Aires, Argentina
Dr. Abbas AR Mohamed
Head of Department, General Surgery
National Guard Hospital
Al Madinah, Saudi Arabia

Article in Press

Bilirubin Encephalopathy: A Still Scourge In Morocco

Article Type : Research
Author : S.Mrhar1,2*, F. Bennaoui1,2, N. El Idrissi Slitine1,2And F. M. R. Maoulainine1,2

Abstract

Background Bilirubin encephalopathy is a major complication of neonatal hyperbilirubinemia, whose incidence seems to have increased. In Morocco, there is a lacking of prevention of Allo-Rhesus.

ObjectiveTo specify the epidemiology of Bilirubinic Encephalopathy (BE) and kernicterus in our context, to identify the risk factors and the etiologies in Morocco.

Method A retrospective study, which presented 40 neonates with bilirubin encephalopathy; at the neonatal intensive care unit, University Hospital Mohammed VI, Marrakesh, Morocco. During a period, from January 2015 to October 2020. A male predominance was noted with a sex ratio of 2.33.

Results Prematurity was found in 25% of cases. Jaundice was early in 30% of cases. The reason for consultation was jaundice and neurological signs in 35% of cases, 65% of newborns were admitted after the 4th day of life. Etiologies were dominated by neonatal infection in 40% of cases. Phototherapy associated with the etiological treatment and transfusion, constituted the essential of the therapeutic management. Twenty newborns died.

Conclusion Severe hyperbilirubinemia represents a severe condition of neonatal jaundice, it is responsible for definitive sequelae in the absence of screening and appropriate management. This is a scourge in our context given the problem of access to care and delayed care and prevention of alloimmunization.

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