Haider Mousa | University of Basrah (original) (raw)

Papers by Haider Mousa

Eastern Mediterranean Health Journal, 2001

Forty-seven patients were investigated for early or late postoperative infections of orthopaedic ... more Forty-seven patients were investigated for early or late postoperative infections of orthopaedic implants and/or bone. A total of 88 isolates were recovered [64 aerobes and 24 anaerobes]. Pseudomonas aeruginosa and Staphylococcus epidermidis were the most common causative agents. Anaerobic bacteria were isolated from 16 [34%] patients; 50% of patients with late-onset infection and 10.5% with early-onset infection. In 6 [12.8%] patients, infection was with anaerobic organisms alone. All these patients had retained an extramedullary internal fixation device. Anaerobic microorganisms appear to play a significant role in the pathogenesis of late-onset postoperative infection, especially where there is an extramedullary internal fixation device.

Eastern Mediterranean Health Journal, 2021

The prevalence and role of anaerobic bacteria in bone infection were investigated in this prospec... more The prevalence and role of anaerobic bacteria in bone infection were investigated in this prospective study on 134 cases with pyogenic osteomyelitis. Specimens were inoculated immediately in the operating theatre or in the ward and incubated under aerobic and anaerobic conditions without using transport media. Anaerobic organisms were isolated from 39 of the 134 cases [29%] of all types of pyogenic osteomyelitis. The total number of aerobic and anaerobic isolates was 224, of which 50 were anaerobes [22%]. Syringe-aspirated specimens were better than swab specimens for the isolation of anaerobes. Anaerobes were mostly isolated from osteomyelitis cases of long duration

Eastern Mediterranean Health Journal, 1999

Fungal infection of burn wounds was investigated in a prospective study of 130 patients managed e... more Fungal infection of burn wounds was investigated in a prospective study of 130 patients managed either with open or occlusive treatment methods. In all, 30 fungal isolates were recovered from 26 patients all of whom had bacterial infection also, except for one patient. The predominant fungi recovered were Aspergillus spp. and Candida spp. Fungal infection was more common in patients treated with open dressing [25.5%]than occlusive dressing [16.0%]. Fungal culture from tissue specimens gave a better isolation rate of fungi than from cotton swab specimens

Eastern Mediterranean Health Journal, 2003

Osteomyelitis, or bone infection, affects all age groups and develops from various sources includ... more Osteomyelitis, or bone infection, affects all age groups and develops from various sources including haematogenously from distant infection foci, from external sources such as post-operative or post-traumatic wound infections and from adjoining soft tissue infections. Staphylococcus aureus, Streptococcus pyogenes and Haemophilus influenzae are the most common pathogens of haematogenous osteomyelitis. Aerobic and facultative gram-negative bacteria have emerged as significant pathogens in some types of osteomyelitis while anaerobic bacteria are increasingly recognized as potential pathogens in non-haematogenous osteomyelitis. The emergence of antibiotic resistance is of increasing concern, although improvements in radiologic imaging, antibiotic treatment and heightened awareness have led to earlier detection such that long-term sequelae and morbidity are now primarily due to delays in diagnosis and inadequate treatment

Eastern Mediterranean Health Journal, 2000

From 1983 to 1989, 110 cases of haematogenous osteomyelitis were studied retrospectively. The mos... more From 1983 to 1989, 110 cases of haematogenous osteomyelitis were studied retrospectively. The most commonly affected were children under 1 year. No adult cases were reported. Staphylococcus aureus was isolated from 72.7% of cases. During 1992-1997, 80 cases were studied prospectively. The most commonly affected were children aged 9 years. This group included 19 adults. S. aureus was isolated from 43.7% of the cases. There was a clear difference in the incidence of S. aureus and age presentation in the cases before and after the Gulf conflict. Working children and malnutrition might have caused changes in the infecting organisms and age presentation in recent years

Journal of evidence-based complementary & alternative medicine, Jan 6, 2016

In recent years viral respiratory tract infections, especially influenza viruses, have had a majo... more In recent years viral respiratory tract infections, especially influenza viruses, have had a major impact on communities worldwide as a result of unavailability of effective treatment or vaccine. The frequent alterations in the antigenic structures of respiratory viruses, particularly for RNA viruses, pose difficulties in production of effective vaccines. The unavailability of optimal medication and shortage of effective vaccines suggests the requirement for alternative natural therapies. Several herbal remedies were used for prevention and treatment viral respiratory illnesses. Among those that were found effective included maoto, licorice roots, antiwei, North American ginseng, berries, Echinacea, plants extracted carnosic acid, pomegranate, guava tea, and Bai Shao. There is scientific evidence regarding the effectiveness of several complementary therapies for colds. Oral zinc may reduce the length and severity of a cold. Taking vitamin C supplements on a regular basis only slight...

Enliven: Clinical Dermatology, 2015

Copyright: @ 2015 Dr. Haider Abdul-Lateef Mousa. This is an Open Access article published and dis... more Copyright: @ 2015 Dr. Haider Abdul-Lateef Mousa. This is an Open Access article published and distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.credited. Received Date: 27th April 2015 Accepted Date: 29th April 2015 Published Date: 30th April 2015 Short Report Enliven: Clinical Dermatology ISSN: 2379-5832

Enliven: Clinical Dermatology, 2015

Sunlight exposure with consumption of cholesterol for vitamin D synthesis might be the protective... more Sunlight exposure with consumption of cholesterol for vitamin D synthesis might be the protective factor from CVD. Therefore, vitamin D supplement is questionable in regard to CVD prevention. This could also explain the higher rate of CVD among people with dark skin who live in cold climate countries where the effect of reduced sunlight exposure is more prominent. Therefore, the prevalence of cardiovascular diseases according to in-door and out-door occupation might be different. The average duration of sunlight exposure could have an effect on cholesterol level.

Journal of Infectious Diseases & Therapy, 2015

The frequent alterations in the antigenic structures of respiratory viruses make obstacles in the... more The frequent alterations in the antigenic structures of respiratory viruses make obstacles in the development of a novel vaccine or lead to ineffectiveness of an established one especially for RNA viruses. The unavailability of optimal medication and shortage of effective vaccines suggests the requirement for alternative therapies. Traditional herbal remedies were utilized by societies for prevention and treatment of viral respiratory illnesses. Several herbal extracts were proved effective on scientific bases such as maoto, licorice roots, antiwei, North American ginseng, berries, Echinacea, pomegranate, guava tea, and Bai Shao. The active ingredients of the plants (neuraminidase inhibitors, glycyrrhizin, polyphenol, baicalin) and the mechanism of action are well established. The herbal extracts could fight influenza by neuraminidase inhibition, preventing virus budding, assistance of viral bounding to natural antibodies, stimulation of IFN-gamma production by T cells, inhibition viral hemagglutination activity, inhibition viral binding to and penetration into host cells, enhancement production of anti-influenza virus immunoglobulin, synthesis inhibition of both viral RNA and protein, replication suppression of influenza virus, secretion induction of type I IFN and pro-inflammatory cytokines with subsequent stimulation of the antiviral activity, and exertion virion structural damage.

Journal of Infectious Diseases & Therapy, 2015

JMM Case Reports, 2015

Introduction: Chronic mastoiditis is generally a result of chronic suppurative otitis media; it i... more Introduction: Chronic mastoiditis is generally a result of chronic suppurative otitis media; it is rarely a result of failure of treatment of acute mastoiditis. Case presentation: Seven patients with chronic mastoiditis were investigated. Four patients had bilateral mastoiditis. The duration of illness ranged from 1 to 45 years. A comparison between operative and external auditory canal cultures was performed. The operative specimens were obtained directly from the infected mastoids. The external ear and mastoid specimens were inoculated and cultivated immediately by bedside. All cases showed positive bacterial cultures. The growth was monomicrobial in two cases and polymicrobial in five cases. Seventeen isolates were recovered (11 aerobes and six anaerobes). Pseudomonas aeruginosa was the most predominant isolate (23.5 %) and was recovered from four patients (57 %). This high prevalence may be related to misuse of ear drops that transmit this organism from skin flora towards the mastoid. The anaerobes were isolated from four patients. This may indicate a significant role of anaerobic bacteria in producing chronic mastoiditis that would not respond to usual treatment measures. Conclusion: Cultures from external ear canal discharge might be used as a source for isolation of bacteria causing chronic mastoiditis and chronic otitis media provided that the specimen was collected and cultivated properly. They revealed sensitivity (88 %), specificity (100 %), positive predictive value (100 %) and negative predictive value (66 %). In anaerobic cultures, the sensitivity was 66.7 %. No previous studies were found with regard to evaluation of the reliability of external ear culture for isolation of the causative agents of chronic mastoiditis or chronic otitis media.

Spine tuberculosis affecting multiple vertebrae at different levels is a rare disease. This case ... more Spine tuberculosis affecting multiple vertebrae at different levels is a rare disease. This case report describes a condition of multiple spine tuberculosis of vertebral bodies number T6, T12 and L1 in 53-year-old man. The patient presented backache for two months that followed by paraplegia due to compression of the spinal cord at the level of T12. This was caused by tuberculous necrotic material. Plain radiographs revealed signs of spine tuberculosis. Myelographs demonstrated the spinal cord compression at the level of T12. In addition, the operative material was used to confirm the diagnosis of spine tuberculosis by showing positive culture of Mycobacterium tuberculosis and signs of tuberculosis on histopathological examination. A laminectomy was made to ease the compression and a combination of anti-tuberculous chemotherapy was given to the patient for one year. Gradual recovery was initiated within five weeks after operation that was assisted by physiotherapy. Good improvement was gained after six months whereas complete recovery was obtained after one year. It is recommended, therefore, when spine tuberculosis is detected in certain vertebra, x-ray of other ones should be made to exclude the possibility of other spine infection.

Eastern Mediterranean health journal = La revue de santé de la Méditerranée orientale = al-Majallah al-ṣiḥḥīyah li-sharq al-mutawassiṭ

Burns are one of the most harmful physical and psychological traumas. Infection is the major caus... more Burns are one of the most harmful physical and psychological traumas. Infection is the major cause of morbidity and mortality in burns. Infections acquired from hospital or from the patient's own endogenous flora have a significant prevalence after burns. Pseudomonas aeruginosa and Staphylococcus aureus are the most frequent colonizing agents whereas group A beta-haemolytic streptococci are the most virulent bacteria. Anaerobic bacteria and fungi are also prevalent. Viral infection is less frequent. Aggressive resuscitation, nutritional support, thorough surgical excision of infected wounds, early wound closure, grafting and the development of effective topical and systemic chemotherapy have largely improved morbidity and mortality rates of burn patients.

Journal of Infectious Diseases and Therapy, 2014

Qatar Medical Journal, 1998

Environmental Health and Preventive Medicine, 2014

Mycoses, 2001

In a prospective study, 132 patients were investigated for yeast infection of burn wounds. Ten pa... more In a prospective study, 132 patients were investigated for yeast infection of burn wounds. Ten patients (7.6%) were infected with Candida species. All patients with yeast infections were also infected with bacteria with the exception of one patient who was infected with Candida tropicalis alone. The predominant yeast recovered was Candida krusei. Yeast infection was found to be more common in the younger age group. The isolation of a Candida species alone from one patient and Candida isolation from patients with sepsis in burn wounds indicate a signi®cant role for yeasts in the production of infection in burn wounds. Therefore, special cultures for yeasts are recommended for all cases of burn wound infection. Zusammenfassung. In einer prospektiven Studie wurden 132 Verbrennungspatienten auf Hefe-Wundinfektionen untersucht. Zehn Patienten (7.6%) waren mit Candida-Arten in®ziert. Die Patienten waren auch mit Bakterien in®ziert auûer einem, von dem nur Candida tropicalis isoliert wurde. Die vorherrschen isolierte Hefe war Candida krusei. Hefeinfektionen waren bei jungen Patienten ha Èu®ger. Die Candida-Monoinfektion bei einem Patienten und die Candida-Isolierung von Patienten mit Sepsis begru È nden die Empfehlung, sa Èmtliche Wundinfektionen bei Verbrennungspatienten auch auf Hefen zu untersuchen.

Journal of Hospital Infection, 1997

The Journal of Bone and Joint Surgery, 1997

Eastern Mediterranean Health Journal, 2001

Forty-seven patients were investigated for early or late postoperative infections of orthopaedic ... more Forty-seven patients were investigated for early or late postoperative infections of orthopaedic implants and/or bone. A total of 88 isolates were recovered [64 aerobes and 24 anaerobes]. Pseudomonas aeruginosa and Staphylococcus epidermidis were the most common causative agents. Anaerobic bacteria were isolated from 16 [34%] patients; 50% of patients with late-onset infection and 10.5% with early-onset infection. In 6 [12.8%] patients, infection was with anaerobic organisms alone. All these patients had retained an extramedullary internal fixation device. Anaerobic microorganisms appear to play a significant role in the pathogenesis of late-onset postoperative infection, especially where there is an extramedullary internal fixation device.

Eastern Mediterranean Health Journal, 2021

The prevalence and role of anaerobic bacteria in bone infection were investigated in this prospec... more The prevalence and role of anaerobic bacteria in bone infection were investigated in this prospective study on 134 cases with pyogenic osteomyelitis. Specimens were inoculated immediately in the operating theatre or in the ward and incubated under aerobic and anaerobic conditions without using transport media. Anaerobic organisms were isolated from 39 of the 134 cases [29%] of all types of pyogenic osteomyelitis. The total number of aerobic and anaerobic isolates was 224, of which 50 were anaerobes [22%]. Syringe-aspirated specimens were better than swab specimens for the isolation of anaerobes. Anaerobes were mostly isolated from osteomyelitis cases of long duration

Eastern Mediterranean Health Journal, 1999

Fungal infection of burn wounds was investigated in a prospective study of 130 patients managed e... more Fungal infection of burn wounds was investigated in a prospective study of 130 patients managed either with open or occlusive treatment methods. In all, 30 fungal isolates were recovered from 26 patients all of whom had bacterial infection also, except for one patient. The predominant fungi recovered were Aspergillus spp. and Candida spp. Fungal infection was more common in patients treated with open dressing [25.5%]than occlusive dressing [16.0%]. Fungal culture from tissue specimens gave a better isolation rate of fungi than from cotton swab specimens

Eastern Mediterranean Health Journal, 2003

Osteomyelitis, or bone infection, affects all age groups and develops from various sources includ... more Osteomyelitis, or bone infection, affects all age groups and develops from various sources including haematogenously from distant infection foci, from external sources such as post-operative or post-traumatic wound infections and from adjoining soft tissue infections. Staphylococcus aureus, Streptococcus pyogenes and Haemophilus influenzae are the most common pathogens of haematogenous osteomyelitis. Aerobic and facultative gram-negative bacteria have emerged as significant pathogens in some types of osteomyelitis while anaerobic bacteria are increasingly recognized as potential pathogens in non-haematogenous osteomyelitis. The emergence of antibiotic resistance is of increasing concern, although improvements in radiologic imaging, antibiotic treatment and heightened awareness have led to earlier detection such that long-term sequelae and morbidity are now primarily due to delays in diagnosis and inadequate treatment

Eastern Mediterranean Health Journal, 2000

From 1983 to 1989, 110 cases of haematogenous osteomyelitis were studied retrospectively. The mos... more From 1983 to 1989, 110 cases of haematogenous osteomyelitis were studied retrospectively. The most commonly affected were children under 1 year. No adult cases were reported. Staphylococcus aureus was isolated from 72.7% of cases. During 1992-1997, 80 cases were studied prospectively. The most commonly affected were children aged 9 years. This group included 19 adults. S. aureus was isolated from 43.7% of the cases. There was a clear difference in the incidence of S. aureus and age presentation in the cases before and after the Gulf conflict. Working children and malnutrition might have caused changes in the infecting organisms and age presentation in recent years

Journal of evidence-based complementary & alternative medicine, Jan 6, 2016

In recent years viral respiratory tract infections, especially influenza viruses, have had a majo... more In recent years viral respiratory tract infections, especially influenza viruses, have had a major impact on communities worldwide as a result of unavailability of effective treatment or vaccine. The frequent alterations in the antigenic structures of respiratory viruses, particularly for RNA viruses, pose difficulties in production of effective vaccines. The unavailability of optimal medication and shortage of effective vaccines suggests the requirement for alternative natural therapies. Several herbal remedies were used for prevention and treatment viral respiratory illnesses. Among those that were found effective included maoto, licorice roots, antiwei, North American ginseng, berries, Echinacea, plants extracted carnosic acid, pomegranate, guava tea, and Bai Shao. There is scientific evidence regarding the effectiveness of several complementary therapies for colds. Oral zinc may reduce the length and severity of a cold. Taking vitamin C supplements on a regular basis only slight...

Enliven: Clinical Dermatology, 2015

Copyright: @ 2015 Dr. Haider Abdul-Lateef Mousa. This is an Open Access article published and dis... more Copyright: @ 2015 Dr. Haider Abdul-Lateef Mousa. This is an Open Access article published and distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.credited. Received Date: 27th April 2015 Accepted Date: 29th April 2015 Published Date: 30th April 2015 Short Report Enliven: Clinical Dermatology ISSN: 2379-5832

Enliven: Clinical Dermatology, 2015

Sunlight exposure with consumption of cholesterol for vitamin D synthesis might be the protective... more Sunlight exposure with consumption of cholesterol for vitamin D synthesis might be the protective factor from CVD. Therefore, vitamin D supplement is questionable in regard to CVD prevention. This could also explain the higher rate of CVD among people with dark skin who live in cold climate countries where the effect of reduced sunlight exposure is more prominent. Therefore, the prevalence of cardiovascular diseases according to in-door and out-door occupation might be different. The average duration of sunlight exposure could have an effect on cholesterol level.

Journal of Infectious Diseases & Therapy, 2015

The frequent alterations in the antigenic structures of respiratory viruses make obstacles in the... more The frequent alterations in the antigenic structures of respiratory viruses make obstacles in the development of a novel vaccine or lead to ineffectiveness of an established one especially for RNA viruses. The unavailability of optimal medication and shortage of effective vaccines suggests the requirement for alternative therapies. Traditional herbal remedies were utilized by societies for prevention and treatment of viral respiratory illnesses. Several herbal extracts were proved effective on scientific bases such as maoto, licorice roots, antiwei, North American ginseng, berries, Echinacea, pomegranate, guava tea, and Bai Shao. The active ingredients of the plants (neuraminidase inhibitors, glycyrrhizin, polyphenol, baicalin) and the mechanism of action are well established. The herbal extracts could fight influenza by neuraminidase inhibition, preventing virus budding, assistance of viral bounding to natural antibodies, stimulation of IFN-gamma production by T cells, inhibition viral hemagglutination activity, inhibition viral binding to and penetration into host cells, enhancement production of anti-influenza virus immunoglobulin, synthesis inhibition of both viral RNA and protein, replication suppression of influenza virus, secretion induction of type I IFN and pro-inflammatory cytokines with subsequent stimulation of the antiviral activity, and exertion virion structural damage.

Journal of Infectious Diseases & Therapy, 2015

JMM Case Reports, 2015

Introduction: Chronic mastoiditis is generally a result of chronic suppurative otitis media; it i... more Introduction: Chronic mastoiditis is generally a result of chronic suppurative otitis media; it is rarely a result of failure of treatment of acute mastoiditis. Case presentation: Seven patients with chronic mastoiditis were investigated. Four patients had bilateral mastoiditis. The duration of illness ranged from 1 to 45 years. A comparison between operative and external auditory canal cultures was performed. The operative specimens were obtained directly from the infected mastoids. The external ear and mastoid specimens were inoculated and cultivated immediately by bedside. All cases showed positive bacterial cultures. The growth was monomicrobial in two cases and polymicrobial in five cases. Seventeen isolates were recovered (11 aerobes and six anaerobes). Pseudomonas aeruginosa was the most predominant isolate (23.5 %) and was recovered from four patients (57 %). This high prevalence may be related to misuse of ear drops that transmit this organism from skin flora towards the mastoid. The anaerobes were isolated from four patients. This may indicate a significant role of anaerobic bacteria in producing chronic mastoiditis that would not respond to usual treatment measures. Conclusion: Cultures from external ear canal discharge might be used as a source for isolation of bacteria causing chronic mastoiditis and chronic otitis media provided that the specimen was collected and cultivated properly. They revealed sensitivity (88 %), specificity (100 %), positive predictive value (100 %) and negative predictive value (66 %). In anaerobic cultures, the sensitivity was 66.7 %. No previous studies were found with regard to evaluation of the reliability of external ear culture for isolation of the causative agents of chronic mastoiditis or chronic otitis media.

Spine tuberculosis affecting multiple vertebrae at different levels is a rare disease. This case ... more Spine tuberculosis affecting multiple vertebrae at different levels is a rare disease. This case report describes a condition of multiple spine tuberculosis of vertebral bodies number T6, T12 and L1 in 53-year-old man. The patient presented backache for two months that followed by paraplegia due to compression of the spinal cord at the level of T12. This was caused by tuberculous necrotic material. Plain radiographs revealed signs of spine tuberculosis. Myelographs demonstrated the spinal cord compression at the level of T12. In addition, the operative material was used to confirm the diagnosis of spine tuberculosis by showing positive culture of Mycobacterium tuberculosis and signs of tuberculosis on histopathological examination. A laminectomy was made to ease the compression and a combination of anti-tuberculous chemotherapy was given to the patient for one year. Gradual recovery was initiated within five weeks after operation that was assisted by physiotherapy. Good improvement was gained after six months whereas complete recovery was obtained after one year. It is recommended, therefore, when spine tuberculosis is detected in certain vertebra, x-ray of other ones should be made to exclude the possibility of other spine infection.

Eastern Mediterranean health journal = La revue de santé de la Méditerranée orientale = al-Majallah al-ṣiḥḥīyah li-sharq al-mutawassiṭ

Burns are one of the most harmful physical and psychological traumas. Infection is the major caus... more Burns are one of the most harmful physical and psychological traumas. Infection is the major cause of morbidity and mortality in burns. Infections acquired from hospital or from the patient's own endogenous flora have a significant prevalence after burns. Pseudomonas aeruginosa and Staphylococcus aureus are the most frequent colonizing agents whereas group A beta-haemolytic streptococci are the most virulent bacteria. Anaerobic bacteria and fungi are also prevalent. Viral infection is less frequent. Aggressive resuscitation, nutritional support, thorough surgical excision of infected wounds, early wound closure, grafting and the development of effective topical and systemic chemotherapy have largely improved morbidity and mortality rates of burn patients.

Journal of Infectious Diseases and Therapy, 2014

Qatar Medical Journal, 1998

Environmental Health and Preventive Medicine, 2014

Mycoses, 2001

In a prospective study, 132 patients were investigated for yeast infection of burn wounds. Ten pa... more In a prospective study, 132 patients were investigated for yeast infection of burn wounds. Ten patients (7.6%) were infected with Candida species. All patients with yeast infections were also infected with bacteria with the exception of one patient who was infected with Candida tropicalis alone. The predominant yeast recovered was Candida krusei. Yeast infection was found to be more common in the younger age group. The isolation of a Candida species alone from one patient and Candida isolation from patients with sepsis in burn wounds indicate a signi®cant role for yeasts in the production of infection in burn wounds. Therefore, special cultures for yeasts are recommended for all cases of burn wound infection. Zusammenfassung. In einer prospektiven Studie wurden 132 Verbrennungspatienten auf Hefe-Wundinfektionen untersucht. Zehn Patienten (7.6%) waren mit Candida-Arten in®ziert. Die Patienten waren auch mit Bakterien in®ziert auûer einem, von dem nur Candida tropicalis isoliert wurde. Die vorherrschen isolierte Hefe war Candida krusei. Hefeinfektionen waren bei jungen Patienten ha Èu®ger. Die Candida-Monoinfektion bei einem Patienten und die Candida-Isolierung von Patienten mit Sepsis begru È nden die Empfehlung, sa Èmtliche Wundinfektionen bei Verbrennungspatienten auch auf Hefen zu untersuchen.

Journal of Hospital Infection, 1997

The Journal of Bone and Joint Surgery, 1997