Scenario 1:
You are sitting in a nice quiet little office when a very beautiful young woman walks in and greets you sweetly.
She takes the seat across from you and gets straight to business. After all you are meeting to discuss business and not for you to stare at her amazing eyes and figure.
Suddenly you realise that the office is filled with the smell of sewage or rotting rubbish. You imagine it must be coming from the open window and you profusely apologise to your visitor as you get up to close it.
You mutter something about sewage pipes that always burst and wonder why council is failing to deal with the problem once and for all.
You go back to your seat to continue the conversation with the lady but realise the smell has not gone away.
Apologising again you ask her to permit you to spray some air freshener. She politely tells you that it is OK. That you do not need to go to all that trouble. You finish your discussion and you see the lady to her car, and realise to your mortification that the smell has followed you!
The woman's luxury sedan emits the same awful smell from its interior. You go back to your office refusing to believe that the Venus that lighted your day with her beauty upon entering your office is actually the carrier of the sewer smell.
Scenario 2: Your invited guest is a respected corporate executive of middle age. He exudes the confidence normally associated with his type.
His custom-made suit, expensive shoes and wristwatch are silent statements that tell you how moneyed the fellow is. The scent of expensive cologne announces his arrival at the VIP table. You chat easily as you wait for the music group to finish its rendition.
You sense a slight ammonia-like whiff. As the music group winds up their act the crowd applauds. You applaud, as does your guest. You involuntarily cough as a thick smell of rotting fish forces its way into your nostrils, choking you.
You refuse to think that the expensively dressed man could be responsible. However when the good-looking guy goes up to the podium, you are forced to place the blame squarely on him.
Especially that when he returns the smell is much stronger and you wonder if it could be because it is a hot day and the hall's air-conditioning is not working. Someone blurts: "Guys, what is that smell?" and gets a "You know I have been wondering!" You think you see some fleeting discomfort in the demeanour of the guest.
Mercifully the function ends. Your visitor says he cannot stay for refreshments as he has another engagement elsewhere. You see him out and come back to find your colleagues talking about how such a good-looking young man is failing to maintain proper body hygiene. You do not understand it.
The fellow was clean and there was no doubt he is someone who cares about his hygiene. You have no scientific proof, but you argue that the guy must have a medical condition.
You almost pray that he has a medical condition. For how can someone so...so blessed be so cursed with that faecal smell? You have your doubts about the fellow's hygiene but will not say it to your colleagues.
You have never met anyone who smells like this. That is how rare the condition is. It is so rare that none of the local doctors that this publication spoke to knew about it.
Mostly they were familiar with bacteria-induced smell that happens in most people but can be prevented with proper hygiene and avoiding certain foods. Further research however revealed that the condition, known as (African word), is a medical one.
Dr Donnica Moore writes in DrDonnica.com that the smell is a result of "...a very rare genetic condition called trimethylaminuria or 'Fish Odour Syndrome' which causes severe body odour.
This condition is so rare that most physicians are unaware of it, leaving frustrated patients without advice or solutions."
Dr Moore goes on: "This condition is a recessive inborn error of metabolism. This means that people who inherit one gene for it from each parent can be affected.
The genetic defect involves an enzyme that breaks down trimethylamine, a by-product of protein digestion released by bacteria living in the intestines. This molecule is the compound that gives fish their fishy odour; it has been described as smelling "foul" or "garbage-like" at low concentrations and "fishy" in larger amounts."
Affected patients may also complain of bad breath or a "horrible" taste in their mouths. While it affects people across all age groups and sexes the condition may become more severe after puberty.
The level of symptoms however can vary. A variety of reports say that trimethylaminuria (also called TMAU) is worse in women than in men.
In women this condition can get worse around puberty, just before and during menstrual periods, after taking oral contraceptives, and around the time of menopause.
Some researchers have suggested that female hormones may exacerbate the condition, she says. "The condition may also develop without any genetic link in patients who have had liver or kidney disease"
As can be expected TMAU often results in severe social consequences such as mockery by people, exclusion and frustration with oneself, which often leads sufferers to aggressive behaviour, poor performance at school or work, depression and even suicide.
Unfortunately, says Dr Moore, the diagnosis is usually missed due to an extreme lack of awareness on the part of doctors.
The painful reality for people with TMAU is that the person may never even know that they have bad odour because it is a part of them.
When they are aware they will, like most of us, avoid having a socially unacceptable body odour by taking showers regularly and using deodorants, perfumes, or colognes. However, because the condition is not a result of personal hygiene, it will not go away with showering or bathing.