Recent scientific studies support the safe use of lidocaïne with adrenaline for anesthesia of the extremities (fingers, toes, nose, ear, penis), these studies push back the myth that advises against the use of local anesthetic substances with adrenaline in these areas [1-3]. Ingrown toenail is a common condition of the big toe. Surgery is often necessary. Ingrown toenail surgery is relatively straightforward and is usually performed under local anesthesia [3]. We report here a rare case of hallux necrosis secondary to local anesthesia by lidocaine 2% with adrenaline. The objective of this presentation is to warn practitioners about the observance of precautions before using local anesthetics with adrenaline for anesthetic procedures of the extremities.

Addictions represent a major public health problem in developing countries, with health, economic and socio-professional impacts. The consumption of psychoactive drugs is responsible in France for more than 100,000 preventable deaths per year [1]. Data from epidemiological surveys on the gravity of the situation in sub-Saharan Africa are essentially hospital-based and not very representative of reality, because there are few services specializing in addictions. Opioid analgesics are molecules whose addictogenic potential has been known and described for many years [2]. In Cameroon, non-morphine analgesics are widely prescribed for the treatment of pain. Addiction to long-term use of non-opioid analgesics remains anecdotal in the scientific literature. We report here a rare case of addiction to Nefopam, a non-opioid analgesic, in a 45-year-old black woman with fibromyalgia. The aim of this presentation is to draw the attention of clinicians to the risk of addiction linked to the misuse of nefopam.

The general objective of this study was to assess the impact of the recognition of warning, signs of ischemic stroke, on the reduction of emergency admission times and the improvement of the prognosis of the patient suffering from ischemic stroke in the emergency department of the Yaounde central hospital. Methods: This was a prospective study with a descriptive and analytical aim carried out in the medical emergency department of the central hospital of Yaounde over a period of 3 months, going from October to December 2020. All patients admitted to emergency departement, during this period, for a diagnosis of ischemic stroke confirmed by a brain CT scan were included in the study. The data was collected on a survey sheet divided into 3 sections: the patient, the assessment of his knowledge and his reaction to the stroke. The variables studied were socio-demographic data, cardiovascular risk factors and warning signs of stroke. Data analysis was conducted with Census and Survey Processing System (CSPRO). Results: During the study period, 62 patients met the inclusion criteria. Adults under 50 (41.94%) were the most represented age group. The mean age of the patients was 52.3 years with ranges ranging from 36 to 82 years. The sex ratio was 1.38 in favor of women. The most common unmodifiable cardiovascular risk factor was age over 55 years 44%. High blood pressure 61% was the most common modifiable risk factor. More than half of the study population had no knowledge of How to cite this paper: