ABSTRACT. Poliomyelitis is one of such diseases as measles and dracunculiasis that can be eradicated, because it meets the criteria for eradicable diseases: being infectious, having humans as major host, effective vaccines, or treatment available for their control, and the availability of political and financial support for the eradication efforts. Ghana, with the rest of the world has already come far in the fight against polio, by reducing its incidence drastically (to zero as of now). The disease can only be prevented but not reversible, once infection results in paralysis and leaves victims permanently maimed, almost invariably reducing their quality of life. The recent outbreak (caused by a circulating vaccine-derived virus of the type 2 strain) was a call to pay more attention to the disease in order to realize the global aim of its elimination. All the attention needed by the disease is centered around vaccination, which indeed was the tool used in combating the outbreak that ensued in Ghana.
There are multiple atypical manifestations of Crohn disease which sometimes delay diagnosis or even more often result in complete misdiagnosis especially in poorly equipped facilities. This is the case of an elderly woman with Crohn disease who presented with gastritis and constipation. She had hitherto been wrongly managed for peptic ulcer disease based mainly on her symptoms. Further workup revealed the actual diagnosis, but only after some years of failed symptomatic management. This case aims to improve awareness on the sundry variants of Crohn disease presentation and to encourage clinicians to reduce complacency in diagnosing apparently simple conditions.
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