Background: Chronic low back pain (CLBP) is a common orthopedic condition that co-exists with depression. The combination of these two contrast ailments is often associated with poorer treatment response and increase health care cost. Objectives: To determine the prevalence of depression in patients with CLBP and study the effects of sociodemographic factors. Materials and Methods: This is a cross-sectional study of adult patients with CLBP seen at BSUTH Makurdi from April 2014 to September 2014. Patients were assessed for depression using hospital anxiety depression scale (HADS). Data obtained were analyzed using SPSS version 16. Results: One hundred and fourteen patients were recruited for the study, consisting of 48 males and 66 females. Age ranged from 23 to 75 years, with mean age of 44.7 years. Of 114 patients, 45 patients were found positive for depression using HADS. The rate of depression in these patients was 39.5%. The highest rate of depression was seen in 30–39 years age group. Conclusion: The prevalence of depression in patients with CLBP was observed to be 39.5% which is comparable to the reports of previous studies in the developed countries.

Background: Cataract surgery is the most commonly performed surgery in most ophthalmic units. Endophthalmitis is still a dreaded complication and knowledge of the normal bacterial flora on the ocular surface and adnexae is paramount in the management of these cases. Aims and Objectives: To investigate the most frequently found ocular bacteria flora in patients scheduled for routine cataract surgery at the Ahmadu Bello University Teaching Hospital Shika Zaria, Northern Nigeria and to determine their antimicrobial susceptibility pattern. Materials and Methods: This was a cross-sectional descriptive study carried out between December 2010 and February 2012 in subjects scheduled to undergo routine cataract surgery. The lower conjunctival fornix was swabbed with a sterile swab. The samples were inoculated onto enriched and selective culture media. Antimicrobial susceptibility testing was done using the modified Kirby Bauer standardized disc-diffusion method. Data were entered and analyzed using SPSS version 20.0. Results: One hundred and fifty-seven eyes of 157 patients were sampled. The patients were between the ages of 16–96 years with a mean age of 58.8 ± 14.5 years. Positive bacterial culture was found in 35% (n = 55) of the patients. The predominant bacteria cultured was Staphylococcus epidermidis 49.1%. There was resistance to tetracycline (32.7%) and gentamycin (1.8%). All the isolates were sensitive to tobramycin and ciprofloxacin. A statistically significant relationship was found between age and culture status (P = 0.008). Conclusion: Coagulase negative Staphylococcus (S. epidermidis) was the most common commensal found in the conjunctival sacs of patients undergoing cataract surgery, and most of the isolates were susceptible to commonly used antibiotics.

Prayer houses that profess miracles and healing through prayers and vigils abound in our clime, but this case report of irreparable limb damage due to an unprofessional medical intervention by a prayer warrior is new and worrisome. This case is an advanced acute compartment syndrome of both legs which was caused by a prayer warrior who, supposedly, had the inspiration to apply tight splints on the legs of a girl with cerebral palsy so that she could walk.

Epithelioid hemangioma (EH) is an uncommon cutaneous vascular lesion often localized to the superficial dermis. We report a 55-year-old female with multilobular anterolateral neck mass which was clinically diagnosed as multinodular goiter. However, tissue histology revealed EH.

Fibrous dysplasia is a bone disease that manifests usually before the end of the third decade. Fracture occurring after a minor impact is usually on a background of diseased bone. This case illustrates an asymptomatic bone disease that was diagnosed incidentally when there was failure of union of a humeral fracture after 10 weeks of adequate conservative treatment.

Peyronie's disease (PD) is characterized by fibrous plaque deposit in the tunica albuginea of corpus cavernosum, which may be associated with penile pain, deformities, and erectile dysfunction (ED). Its prevalence in Nigeria is not known, but limited numbers of cases were reported in literature. However, improvement in the management of ED has led to an increase in the presentation of patients with ED to physicians; in which during evaluation of such patients, PD has been occasionally diagnosed. This case report highlights the clinical findings and management of a Nigerian adult male who presented with erectile failure with clinical findings of PD and literature review of PD associated with ED.

An obturator hernia is a rare condition but is associated with the highest mortality of all abdominal wall hernias. They are notorious for their diagnostic difficulty and present a challenge to the surgeon. Preoperative diagnosis is often a rarity. They commonly present in elderly emaciated women, typically associated with chronic diseases. The most common symptom is strangulation combined with mechanical intestinal obstruction. Early surgical intervention is often delayed due to the absence of clinical and radiological clues. The following case report highlights these difficulties and reviews current literature on the management of such cases.