Municipal community obstetrics in a developing country.

abstract：:Splenic abscess is a relatively uncommon condition, posing a diagnostic and therapeutic challenge for the treating physician. It occurs due to haematogenous spread from endocarditis or other septic foci, especially in immune-compromised individuals and diabetics. We describe an elderly male who presented with splenome...

journal_title：Tropical doctor

authors： Nagarajan RK,Gopal B,Tajudeen M,Sistla SC,Balamourougan K

更新日期：2020-12-25 00:00:00

abstract：:Primary small bowel volvulus is the commonest cause of intestinal obstruction in the Gorkha district of Nepal resulting in laparotomy. Yet, this problem is mentioned only briefly, if at all, in many standard textbooks of surgery. This paper presents details of the presentation, clinical findings, and surgical manageme...

journal_title：Tropical doctor

authors： Parkes G

更新日期：1997-07-01 00:00:00

abstract：:Ectopic pregnancy still remains a leading cause of maternal mortality and morbidity in the first trimester of pregnancy and also a significant cause of reproductive failure in Nigeria. A descriptive review of 211 consecutive cases of ectopic gestation over an 11-year period was undertaken. Ectopic pregnancy constitute...

journal_title：Tropical doctor

authors： Igberase GO,Ebeigbe PN,Igbekoyi OF,Ajufoh BI

更新日期：2005-07-01 00:00:00

abstract：:Squamous cell carcinoma (SCC) is the second most common form of skin cancer and frequently arises in the sun-exposed skin of middle-aged and elderly individuals. We retrospectively reviewed 443 patients managed for SCC (cutaneous and non-cutaneous) in our hospital from January 1979 to December 2002. The age distributi...

journal_title：Tropical doctor

authors： Adigun IA,Buhari MO,Ayorinde RO

更新日期：2006-07-01 00:00:00

abstract：:Following the occurrence of suspected cases of Vibrio cholerae in Karaj in 2008, this study was conducted in order to determine whether or not the cases were infected with cholera and, if so, to describe the prevalence of serotypes, route of transmission and the antimicrobial resistance profile. In this cross-sectiona...

journal_title：Tropical doctor

authors： Ranjbar M,Rahmani E,Nooriamiri A,Gholami H,Golmohamadi A,Barati H,Rajabifar D,Barati S,Sabet MS,Zamiri A,Haghighi S,Taifehashemi P,Nojomi M

更新日期：2010-10-01 00:00:00

abstract：:Without a vaccine or proven therapeutic options in COVID-19, the World Health Organization (WHO) recommends a combination of measures: rapid diagnosis and immediate isolation of cases; rigorous contact tracing; and precautionary self-isolation of close contacts to curb the spread of COVID-19. During a Nipah outbreak i...

journal_title：Tropical doctor

authors： Wilson A,Warrier A,Rathish B

更新日期：2020-07-01 00:00:00

abstract：:Management of the critically ill patient forms a significant proportion of obstetric and gynaecological (O & G) practice. There have however, been very few reports on the management of such patients in intensive care units (ICU). We review all O & G patients admitted to the surgical ICU at King Edward VIII Hospital, D...

journal_title：Tropical doctor

authors： Platteau P,Engelhardt T,Moodley J,Muckart DJ

更新日期：1997-10-01 00:00:00

abstract：:In low-income countries, where surgical expertise and resources are limited, displaced supracondylar fractures of the distal humerus are routinely managed with traction or closed reduction and casting. This is in contrast to high-income nations, where percutaneous K-wire fixation forms the mainstay of treatment. The a...

journal_title：Tropical doctor

authors： Yeomans D,Graham SM,Mkandawire NC,Harrison WJ,Perry DC

更新日期：2018-10-01 00:00:00

abstract：:External ophthalmomyiasis is a superficial infestation of the eye tissues by the larvae or maggots of flies. External ophthalmomyiasis, caused by Oestrus ovis, is found occasionally in shepherding areas, but is rare in the cities of eastern China. We present a case of a 30-year-old man with complaints of a foreign bod...

journal_title：Tropical doctor

authors： Zhang A,Nie Q,Song J

更新日期：2018-04-01 00:00:00

abstract：:Eosinophilic gastroenteritis (EGE) is an uncommon disease characterised by eosinophilic infiltration in the gastrointestinal tract. EGE may involve more than one layer of the gastrointestinal tract. Clinical features depend on the layer and location which is involved. We report an unusual case of eosinophilic ascites ...

journal_title：Tropical doctor

authors： Kodan P,Shetty MA,Pavan MR,Kariappa A,Mahabala C

更新日期：2015-01-01 00:00:00

abstract：:Scrub typhus and leptospirosis are bacterial zoonotic diseases reported from different parts of India, whose prevalence in Chhattisgarh is unknown. Our study was carried out to delineate the prevalence of these illnesses there and to assess the clinical profiles of rural and urban patients. A total of 169 patients wit...

journal_title：Tropical doctor

authors： Vikram K,Agarwala P,Bhargava A,Jain Y,Jagzape T,Wasnik P

更新日期：2020-04-01 00:00:00

abstract：:Epilepsy is a common and often neglected illness in developing countries requiring a conscious effort by health workers, especially at community level, to enhance access to regular treatment and to motivate patients to continue treatment. Effective new drugs have recently come on to the market. However, their high cos...

journal_title：Tropical doctor

authors： Kok P

更新日期：1998-04-01 00:00:00

abstract：:Non-typhoidal salmonella (NTS) infections are severe, invasive and recurrent in the HIV-infected adult, and NTS are the commonest cause of hospital admission with bacteraemia in sub-Saharan Africa. NTS bacteraemia typically presents in patients with HIV/AIDS once the CD4 count falls below 200 cells/microL. In-patient ...

journal_title：Tropical doctor

authors： Kankwatira AM,Mwafulirwa GA,Gordon MA

更新日期：2004-10-01 00:00:00

abstract：:Cirrhotic patients with ascites are at high risk of developing spontaneous bacterial peritonitis (SBP). After exclusion of patients with acute kidney injury (AKI) or other infections, urinary neutrophil gelatinase-associated lipocalin (NGAL) levels were compared between two matched groups of Egyptian cirrhotic patient...

journal_title：Tropical doctor

authors： Fouad TR,Abdelsameea E,Elsabaawy M,Ashraf Eljaky M,Zaki El-Shenawy S,Omar N

更新日期：2019-07-01 00:00:00

abstract：:Multifocal skeletal tuberculosis is an uncommonly reported entity. The article presents a series of 18 cases encountered in our institution. There clinical characteristics are analysed and compared with available international literature. ...

journal_title：Tropical doctor

authors： Aggarwal AN,Dhammi IK,Jain AK

更新日期：2001-10-01 00:00:00

abstract：:Histopathological examination of biopsies from 111 patients with clinically diagnosed leprosy was carried out in order to observe the clinico-histopathological correlation. Clinical diagnosis was based on Ridley and Jopling (R-J) classification and World Health Organization (WHO) classification. The concordance rate b...

journal_title：Tropical doctor

authors： Singh PA,Agarwal R,Misra V,Gupta SC,Bajaj AK

更新日期：2000-10-01 00:00:00

abstract：:We report a case of expanded dengue syndrome, where three uncommon presentations occurred concomitantly. A patient with dengue haemorrhagic fever presented initially with acute acalculous cholecystitis along with acute pancreatitis, but later on, during resolution of pancreatitis and cholecystitis, developed pancytope...

journal_title：Tropical doctor

authors： Anam AM,Rabbani R,Shumy F

更新日期：2017-04-01 00:00:00

abstract：:Infections of the central nervous system (CNS) are a leading cause of mortality in low- and middle-income countries. We studied the spectrum, aetiology and outcome of CNS infections in 401 consecutive patients aged ≥12 years admitted at the medical emergency centre of PGIMER, Chandigarh, India. An aetiological diagnos...

journal_title：Tropical doctor

authors： Kumar D,Pannu AK,Dhibar DP,Singh R,Kumari S

更新日期：2021-01-01 00:00:00

abstract：:One hundred and sixty-eight laparoscopies, performed for various indications between 1985 and 1989, were studied retrospectively and the findings and experiences are reported. The most frequent diagnoses were hepatocellular carcinoma (20%) and liver cirrhosis (18%). Correlation of macroscopic and histopathological dia...

journal_title：Tropical doctor

authors： Missalek W,Mmuni K

更新日期：1991-07-01 00:00:00

abstract：:Scrub typhus is an emerging infectious disease in India. Among its protean clinical manifestations, central nervous system involvement is common. In this prospective observational study, altered sensorium, headache, seizures and aseptic meningitis were found to be common central nervous system manifestations. Prompt t...

journal_title：Tropical doctor

authors： Boorugu H,Chrispal A,Gopinath KG,Chandy S,Prakash JJ,Abraham AM,Abraham OC,Thomas K

更新日期：2014-01-01 00:00:00

abstract：:Local prevalences of individual diseases influence the prioritization of the differential diagnoses of a clinical syndrome of acute undifferentiated febrile illness (AFI). This study was conducted in order to delineate the aetiology of AFI that present to a tertiary hospital in southern India and to describe disease-s...

journal_title：Tropical doctor

authors： Chrispal A,Boorugu H,Gopinath KG,Chandy S,Prakash JA,Thomas EM,Abraham AM,Abraham OC,Thomas K

更新日期：2010-10-01 00:00:00

abstract：:Chronic osteomyelitis is a relapsing, persistent, low-grade inflammation of bone caused by various infectious agents. The present study, conducted over a two-year period, on specimens received from cases of chronic osteomyelitis was, to determine the frequency of isolation of aerobic and anaerobic bacteria and to anal...

journal_title：Tropical doctor

authors： Shenoy PA,Vishwanath S,Bhat SN,Mukhopadhyay C,Chawla K

更新日期：2020-07-01 00:00:00

abstract：:Psychiatric illnesses are a significant cause of morbidity all over the world. In India many people with mental disorders are unable to access psychiatric care for a variety of reasons. This article describes the successful management of a person with schizophrenia in the community through a primary care team in liais...

journal_title：Tropical doctor

authors： John SM,Venkatesan S,Tharyan A,Bhattacharji S

更新日期：2010-10-01 00:00:00

abstract：:Given the world-wide focus on how to rationally use antibiotics, national drug policy programmes have been developed in many countries in order to minimize the environmental antibiotic pressure and thereby hopefully limit increasing bacterial resistance. This study investigated perceptions of antibiotics in a health s...

journal_title：Tropical doctor

authors： Halfvarsson J,Heijne N,Ljungman P,Ham MN,Holmgren G,Tomson G

更新日期：2000-01-01 00:00:00

abstract：:Chronic volvulus of the stomach is a relatively rare entity. We present a series of six cases diagnosed over the past 18 months. Three patients underwent surgical treatment by gastropexy alone or with gastrojejunostomy while the other three were managed conservatively. Symptomatic relief was equally good in both group...

journal_title：Tropical doctor

authors： Senapati MK,Sivasubramanian S,Tapase VG,Chhatriwalla MF

更新日期：1997-01-01 00:00:00

abstract：:Of 921 women examined, 112, or 12.1%, were identified as having gonorrhoea by positive culture; 25.6% of 78 strains isolated from the women were resistant to penicillin at 0.10 mug/ml level and 14.1% resistant at the 0.50 mug/ml level as determined by an agar dilution MIC test. Our results were compatible with a simil...

journal_title：Tropical doctor

authors： Zirak-Zadah T,Delavarian H,Bahavar MA,Majidi V,Yaminifar R,Masoumi P

更新日期：1977-04-01 00:00:00

abstract：:Two cases of cutaneous amoebiasis which presented as malignant ulcers are reported. In non-healing ulcers in the perianal or gluteal region, the possibility of amoebiasis should be kept in mind, especially in the tropics. An immediate examination of the scraping from the ulcer is sufficient to confirm or rule out the ...

journal_title：Tropical doctor

authors： Venkataramaiah NR,Reinaerts HH,Van Raalte JA,Shaba KJ

更新日期：1982-10-01 00:00:00

abstract：:Epidemiological data of HIV affected individuals of aged 50 years and above in India are lacking for various reasons. Diagnosing HIV infection among the elderly is challenging as chronic HIV/AIDS can mimic those typically associated with aging in parallel to the myth that elderly individuals lead asexual lives. In thi...

journal_title：Tropical doctor

authors： Talukdar A,Khanra D,Ray S,Talukdar P,Rana S,Banerjee B,Saha B

更新日期：2013-07-01 00:00:00

abstract：:Thirty patients (34 limbs) with compressive peroneal neuropathy induced by prolonged squatting of more than 5 h during harvesting season were treated conservatively and followed-up to an average of 28.2 months. A marked preponderance of involvement of the left side was noticed. We attribute this to the intermittent ex...

journal_title：Tropical doctor

authors： Sangwan SS,Marya KM,Kundu ZS,Yadav V,Devgan A,Siwach RC

更新日期：2004-10-01 00:00:00

abstract：:Limited data are available on the stroke subtypes in Tanzania and sub-Saharan Africa. The present study was aimed at determining retrospectively the pattern of confirmed strokes in all patients in our hospital who had been given a computerized tomography (CT) brain scan during the study period (April 2001 to May 2002)...

journal_title：Tropical doctor

authors： Matuja W,Janabi M,Kazema R,Mashuke D

更新日期：2004-07-01 00:00:00