Fatma A. Bakshi <br/><br/>
Multi-organ dysfunction in Sickle Cell Disease: a rare presentation and itsmanagement in resource-limited setting 

 - Mwanza, Tanzania    Catholic University of Health and Allied Sciences CUHAS - Bugando   June 2017 
<br/><br/> Abstract<br/><br/>Introduction: Chronic  end-organ  damage  among  the  sicklers  is  frequently  diagnosed  in Tanzania, but rarely involves multiple organs in a single patient. <br/><br/>Case  report: A  26-year-old  Tanzanian  black-sickler  woman  presented  with  features  related  to avascular necrosis  of  the  right  hip,  left  ventricular  hypertrophy,  pulmonary  hypertension, Chronic Kidney Disease and Cholelithiasis. Despite the management given, her condition is still deteriorating.<br/><br/>Conclusion: Preventionofthese  complications  through  screening and  early  diagnosis  with  a concurrent timely treatment should be advocated by all health-care providers.<br/><br/>Key words:Sickle cell disease, avascular necrosis, LV hypertrophy, pulmonary hypertension, chronic kidney disease, cholelithiasis<br/>