Our community clinic has gained some experiences

over the last decade of it’s existence. On this page, we introduce some of them in loose order. All cases are anonymized to respect their privacy.

Burn wound ** Diabetes mellitus ** Guillain-Barre Syndrom ** Heartsick ** Malaria ** Septic wounds **

Case with Guillain-Barre Syndrom

We admitted a young man to our clinic who within days lost ability of walking, after having passed through a heavy bout of malaria. He first trusted a traditional healer who suspected bewitchment. Meanwhile, an undiscovered disease had plenty of time to attack his entire body. After blood and urine tests in our own laboratory, we started an initial therapy on IV-antibiotics. At the same time, the young man underwent CT and ultrasound diagnosis, which found Guillain-Barre Syndrom.

GBS is a  rare but severe nerve disease which is seen with a rapid-onset muscle weakness of the whole body caused by the immune system damaging the peripheral nervous system.  During the acute phase, the disorder can be life-threatening, which means that immediate medical attention might be life-saving (Source: Wikipedia).

We established a long-term therapy, a combination of anti-inflammation/sepsis-medication and physiotherapy, and could save the young man’s life.

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Case with severe burn wound

Did you know that cooking causes 40% of home fires, and broken electrical devices another 17%?

Contact The Gambia Fire and Rescue Services: +220 377 7078

In 2020, a man with severe burn injuries to the upper body presented to our clinic. He had already received first aid, so we continued with long term wound management. The work included regularly change of sterile bandage, pain relieve, and prevention of inflammations by antibiotic medication, all done with patience and trust in the chance of healing.

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Case of the 8 Boys sick with malaria

During February 2021, we saw a severe increase in Malaria patients. Four out of ten children coming to us for free treatment from surrounding darras (children shelters of mosque communities), showed symptoms of that disease.

One Sunday, all of a sudden, 8 boys from a nearby darra came to us, all of them very weak. As the ward was already stuffed with patients, we set up a shift ward in our staff room. We also took into consideration a combination with additional covid-19-infection but weren’t unable to proof due to lack of tests.

Moscito nets are saving lives! In our own children’s shelter, we always make sure that all beds are equipped with moscito nets. Thus, for a whole year now, we haven’t seen any Malaria case among our children.

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Case of a child with severe septic wounds

Sepsis is a life-threatening condition that arises when the body’s response to infection causes injury to its own tissues and organs. Bacterial infections are the most common cause.

In January 2021, a toddler with severe and multiple abscesses was introduced in the clinic. After two weeks of administering antibiotics, both oral and intravenous, and of professional wound dressing, the toddler is over the worst.

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Case with severe diabetes mellitus

Diabetes mellitus (DM), commonly known as diabetes, is a group of metabolic disorders characterized by a high blood sugar level over a prolonged period of time. Symptoms often include frequent urination, increased thirst, and increased appetite. If left untreated, diabetes can cause many complications, and even death.

In Sept. 2019, we were consultated about a severe case of a patient with an highly infected food. To avoid amputation, an immediate, longterm complex treatment was set. Treatment included regular medication, regular wound dressing, and – as much important as the former – the change of diet. In Jan. 2020, we released the patient with an almost healed wound, and with a better understandig of proper nutrition.

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Case of a heartsick child

Our clinic’s profits support the Children Shelter (Darra) of our Foundation. One of the children in the shelter suffers from Fallot Tetralogy (FOT) which was diagnosted after several appointments, first in our’s, later also in Afrimed Clinic, in the couse of the year 2019.

Since birth in 2009, the child suffers from sudden intermitted collapses, preceded with easy fatiguability. She has also coldness and bluish discoloration of extremities.

The treatment of the child in our clinic includes oxygenation, proper nutrition, avoidance of stress-inducing situations, and strict isolation during Covid-19-pandemic. As treatment of FOT requires heart operation, in the end, we referred the child to Dakar University Hospital. Operation costs were covered by our charity partner “Health and Education Gambia” (Gesundheit und Bildung Gambia e.V).

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