NEUROLOGICAL LETTER FROM...
Uganda
Professor of Medicine, Department of Internal Medicine, Mbarara University of Science and Technology, Mbarara, Uganda; tonywislon@gmail.com
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The intern is presenting the history of an "elderly man" who has lost the use of his legs over the past three days. And while he talks, I worry that my anguish at the minimal prospects of neurological help for such patients may evolve into resigned acceptance, as my time as a neurologist in London becomes more remote. We are on the morning "post-take ward round" in Mbarara in the south west of Uganda. It is supposed to be the dry season and our patients coming in with headache and fever will have cryptococcal meningitis. Or at least the majority will have that condition and be faced with a 40% risk of not surviving their hospital admission. However there has been a lot of rain recently, which means the likelihood of a surge of cerebral malaria among our febrile admissions with headache. The number of patients’ attendants I see camped
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Practical Neurology 2007 7: 353.
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