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Well-digger's lung.

Abstract The essential occupation of well-digger includes wells drilling and maintenance in order to provide water. He comes in contact with various minerals, especially silica, whose particles unquestionably are a contributing factor to pulmonary diseases known as silicosis. Our study aims to highlight the epidemiological, clinical, radiological and evolutionary features of well-diggers with silicosis. We conducted a retrospective study of 54 well-diggers with silicosis whose data were collected in the Department of Respiratory Diseases at the University Hospital Ibn Rushd of Casablanca from March 1997 to January 2016. All patients were male well-diggers with an average age of 50 years. Smoking was found in 36 cases and a personal history of tuberculosis was observed in eight cases. Chest x-ray showed large opacities in 39 cases, small opacities in 15 cases and septat thickening in 11 cases. Silicosis was complicated by bacterial infection in 37% of cases, by pneumothorax in 4% of cases and by tuberculosis in 20% of cases. Therapeutic approach was established based on these complications. A declaration of occupational disease and compensation was made. Outcome was good in 12 cases, stationary in 17 cases and poor in 16 cases. Silicosis is a common pneumoconiosis among well-diggers. It affects lung function. We here highlight its frequent association with tuberculosis and emphasize on prevention which is the best treatment.
PMID
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Authors

Mayor MeshTerms
Keywords

Lung

complication

pneumoconiosis

silicosis

well-digger

Journal Title the pan african medical journal
Publication Year Start




PMID- 28292119
OWN - NLM
STAT- MEDLINE
DA  - 20170315
DCOM- 20170329
LR  - 20170330
IS  - 1937-8688 (Electronic)
VI  - 25
DP  - 2016
TI  - [Well-digger's lung].
PG  - 157
LID - 10.11604/pamj.2016.25.157.10824 [doi]
AB  - The essential occupation of well-digger includes wells drilling and maintenance
      in order to provide water. He comes in contact with various minerals, especially 
      silica, whose particles unquestionably are a contributing factor to pulmonary
      diseases known as silicosis. Our study aims to highlight the epidemiological,
      clinical, radiological and evolutionary features of well-diggers with silicosis. 
      We conducted a retrospective study of 54 well-diggers with silicosis whose data
      were collected in the Department of Respiratory Diseases at the University
      Hospital Ibn Rushd of Casablanca from March 1997 to January 2016. All patients
      were male well-diggers with an average age of 50 years. Smoking was found in 36
      cases and a personal history of tuberculosis was observed in eight cases. Chest
      x-ray showed large opacities in 39 cases, small opacities in 15 cases and septat 
      thickening in 11 cases. Silicosis was complicated by bacterial infection in 37%
      of cases, by pneumothorax in 4% of cases and by tuberculosis in 20% of cases.
      Therapeutic approach was established based on these complications. A declaration 
      of occupational disease and compensation was made. Outcome was good in 12 cases, 
      stationary in 17 cases and poor in 16 cases. Silicosis is a common pneumoconiosis
      among well-diggers. It affects lung function. We here highlight its frequent
      association with tuberculosis and emphasize on prevention which is the best
      treatment.
FAU - Elidrissi, Amal Moustarhfir
AU  - Elidrissi AM
AD  - Service des Maladies Respiratoires, Centre Hospitalier Universitaire IBN Rochd,
      Casablanca, Morocco.
FAU - Zaghba, Nahid
AU  - Zaghba N
AD  - Service des Maladies Respiratoires, Centre Hospitalier Universitaire IBN Rochd,
      Casablanca, Morocco.
FAU - Benjelloun, Hanane
AU  - Benjelloun H
AD  - Service des Maladies Respiratoires, Centre Hospitalier Universitaire IBN Rochd,
      Casablanca, Morocco.
FAU - Yassine, Najiba
AU  - Yassine N
AD  - Service des Maladies Respiratoires, Centre Hospitalier Universitaire IBN Rochd,
      Casablanca, Morocco.
LA  - fre
PT  - Journal Article
TT  - Poumon du puisatier.
DEP - 20161114
PL  - Uganda
TA  - Pan Afr Med J
JT  - The Pan African medical journal
JID - 101517926
SB  - IM
MH  - Bacterial Infections/epidemiology
MH  - Hospitals, University
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Morocco/epidemiology
MH  - Occupational Diseases/diagnostic imaging/*epidemiology/physiopathology
MH  - Occupational Exposure/*adverse effects
MH  - Pneumothorax/epidemiology
MH  - Radiography, Thoracic
MH  - Respiratory Function Tests
MH  - Retrospective Studies
MH  - Silicosis/diagnostic imaging/*epidemiology/etiology
MH  - Smoking/epidemiology
MH  - Tuberculosis/epidemiology
PMC - PMC5326066
OTO - NOTNLM
OT  - *Lung
OT  - *complication
OT  - *pneumoconiosis
OT  - *silicosis
OT  - *well-digger
COI - Les auteurs ne declarent aucun conflit d'interet.
EDAT- 2017/03/16 06:00
MHDA- 2017/03/31 06:00
CRDT- 2017/03/16 06:00
PHST- 2016/09/27 [received]
PHST- 2016/10/10 [accepted]
AID - 10.11604/pamj.2016.25.157.10824 [doi]
AID - PAMJ-25-157 [pii]
PST - epublish
SO  - Pan Afr Med J. 2016 Nov 14;25:157. doi: 10.11604/pamj.2016.25.157.10824.
      eCollection 2016.

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