Complex open sternal fracture with impingement of the pericardium.

Abstract:

:The incidence of sternal fracture ranges from 3 to 8%. In more than half, they are associated with other organ trauma such as blunt cardiac injuries, rib, scapular or vertebral fractures. Hence, the presence of sternal fracture is considered a marker for significant transmission of energy. The management of isolated sternal fractures is usually non-operative with surgery reserved for displaced fractures or in cases of respiratory insufficiency. However, management may become challenging when they are associated with other significant trauma. We discuss a case of sternal fracture complicated by the presence of blunt cardiac injury, open pneumothorax, rib fractures, anterior flail chest and empyema.

journal_name

Trop Doct

journal_title

Tropical doctor

authors

Tiwari S,Singh A,Bhandari P,Ghatak D,Agarwal H

doi

10.1177/0049475520981264

subject

Has Abstract

pub_date

2020-12-23 00:00:00

pages

49475520981264

eissn

0049-4755

issn

1758-1133

pub_type

杂志文章
  • Complicated malaria: a rare presentation of Plasmodium ovale.

    abstract::Malaria has emerged as a major public health problem worldwide. Complications are commonly seen in Plasmodium falciparum (P. falciparum) and Plasmodium vivax (P. vivax) infection, but due to Plasmodium ovale (P. ovale) infection is rarely described in literature. Here we report a case of severe disease due to P. ovale...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475515571989

    authors: Tomar LR,Giri S,Bauddh NK,Jhamb R

    更新日期:2015-04-01 00:00:00

  • Drug prescribing pattern in pregnancy in a secondary care hospital in south India: a retrospective study.

    abstract:BACKGROUND:In pregnancy drug treatment presents a special concern due potential teratogenic effects and physiologic alterations in mother. This retrospective study was performed to evaluate the drug prescribing pattern in pregnancy among pregnant women in a secondary care hospital in India. MATERIALS AND METHODS:This ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475515609841

    authors: Das S,Winston A B,Sukumaran D,Kumar A,Fx MS,Prasad J

    更新日期:2016-04-01 00:00:00

  • Contact tracing: a lesson from the Nipah virus in the time of COVID-19.

    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

    pub_type: 杂志文章

    doi:10.1177/0049475520928217

    authors: Wilson A,Warrier A,Rathish B

    更新日期:2020-07-01 00:00:00

  • The diagnosis of extrapulmonary tuberculosis in Malawi.

    abstract::There is little information on a country-wide basis in sub-Saharan Africa about how the diagnosis of extra-pulmonary tuberculosis (EPTB) is made. A country-wide cross-sectional study was carried out in 40 non-private hospitals in Malawi which register and treat (TB) patients in order to assess diagnostic practices in ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947550303300106

    authors: Harries AD,Hargreaves NJ,Kwanjana JH,Salaniponi FM

    更新日期:2003-01-01 00:00:00

  • Assessing knowledge and skills of laypersons bringing victims of road traffic collisions to Queen Elizabeth Central Hospital in Blantyre, Malawi.

    abstract::In Malawi, pre-hospital care assistance is mainly provided by laypersons who witnessed the event. The aim of our study was to determine the knowledge and skills of such persons who bring victims of road traffic crashes to hospital. The study was conducted at Adult Emergency and Trauma Centre at Queen Elizabeth Central...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475520974365

    authors: Sheikh S,Mulwafu W,Gondwe WTM,Nyirenda M,Mbomuwa F,Chokhotho L

    更新日期:2021-01-01 00:00:00

  • On a national drug policy for Bangladesh.

    abstract::On April 27, 1982 the Ministry of Health of the government of Bangladesh, set up an 8-man expert committee to evaluate all the registered pharmaceutical products presently available, and to formulate a draft National Drug Policy. Objectives are: 1) to provide support for ensuring quality and availability of drugs; 2...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947558401400103

    authors: Islam N

    更新日期:1984-01-01 00:00:00

  • Thrombocytopenia in severe iron deficiency anaemia: A report of two cases.

    abstract::Iron deficiency, the commonest cause of anaemia in children, is a global public health problem. Worldwide, almost 50% of children <5 years of age are anaemic. Platelet count in iron deficiency anaemia is mostly normal or high; thrombocytopenia is rare. We describe two children with iron deficiency anaemia and severe t...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475520983658

    authors: Mohammad F,Sridhar M,Samprathi M,Vemgal P

    更新日期:2021-01-10 00:00:00

  • Jejunal stricture due to mucormycosis.

    abstract::Mucormycosis is generally considered to be an acute, rapidly progressing, opportunistic fungal infection. Chronic manifestations are extremely rare. Mucormycosis affecting the jejunum is very rare and few cases have been reported. We report a case of mucormycosis causing jejunal stricture in an infant aged six months....

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475519864250

    authors: Budhiraja R,Bhargava S,Sood N

    更新日期:2019-10-01 00:00:00

  • Meningoencephalitis associated with hepatitis A infection: a case report and review of literature.

    abstract::Hepatitis A virus uncommonly causes neurological problems. Among these manifestations meningoencephalitis is very rare. We describe the clinical and laboratory features of a young boy with hepatitis A associated meningoencephalitis and compare it with other cases which had the same diagnoses. ...

    journal_title:Tropical doctor

    pub_type: 杂志文章,评审

    doi:10.1258/td.2010.090424

    authors: Davoudi S,Soudbakhsh A,Emadikouchak H,Nikbakht G,Modabbernia A

    更新日期:2010-07-01 00:00:00

  • Expanded dengue syndrome: three concomitant uncommon presentations in the same patient.

    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

    pub_type: 杂志文章

    doi:10.1177/0049475517696638

    authors: Anam AM,Rabbani R,Shumy F

    更新日期:2017-04-01 00:00:00

  • HIV and syphilis serostatus of antenatals in traditional Maasai pasturalist communities in Kajiado District, Kenya: 1989-1992.

    abstract::Although much research has been carried out on high risk populations, little is known about HIV prevalence in traditional rural communities who limit contact with other tribes, non-traditional tribesman and Europeans. This study considers traditional Maasai living near a high HIV transmission area. A time series analy...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947559902900211

    authors: Valadez JJ,Loolpapit PM,Nyangao A,Dikir F

    更新日期:1999-04-01 00:00:00

  • Noradrenaline in upper gastrointestinal haemorrhage. A prospective, randomized, double blind controlled clinical trial.

    abstract::The effect of noradrenaline (8 mg in 100 ml cold saline) gastric lavage was compared with that of cold saline alone in 42 patients with upper gastrointestinal haemorrhage in a prospective, randomized, double blind study. Fifty three per cent (11/21) of the patients given noradrenaline stopped bleeding within two hours...

    journal_title:Tropical doctor

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/004947558401400404

    authors: Sarin SK,Nundy S,Tandon BN

    更新日期:1984-10-01 00:00:00

  • Prevalence and clinical aspects of tungiasis in south-west Nigerian schoolchildren.

    abstract::Tungiasis is highly prevalent in resource-poor communities in sub-Saharan Africa, but studies among schoolchildren are scanty. We assessed prevalence, parasite load and clinical aspects of tungiasis in schoolchildren in south-western Nigeria. A total of 545 schoolchildren was examined. Of these, 133 (24.4%; 95% CI, 20...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475516657503

    authors: Ugbomoiko US,Ariza L,Babamale AO,Heukelbach J

    更新日期:2017-01-01 00:00:00

  • Appendicitis versus genital disease in young women in tropical Africa.

    abstract::The differential diagnosis in women between acute appendicitis and acute gynaecological conditions on clinical examination is often difficult. A plea is made for the more widespread use of ultrasound and laparoscopy in the differential diagnosis of these conditions. ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:

    authors: Ameh EA

    更新日期:2000-04-01 00:00:00

  • Aetioepidemiological profile of spinal injury patients in Eastern Nepal.

    abstract::This is a retrospective case series of 233 spinal injury patients admitted to the orthopaedic ward of BPKIHS from May 1997 to April 2001. The inpatient records were analysed. In all, 40.3% of spinal injuries resulted from falls from trees while cutting leaves for fodder, and 27.9% resulted from falls from first/second...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/004947505774938756

    authors: Lakhey S,Jha N,Shrestha BP,Niraula S

    更新日期:2005-10-01 00:00:00

  • Complications of classical tracheostomy and management.

    abstract::Tracheostomy can prevent many deaths in otherwise fatal airway diseases and problems but has numerous complications that are mostly avoidable if the procedure is carefully performed together with strict postoperative management. This is a retrospective review of tracheostomy complications over a 10 year period (1991-2...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947550303300309

    authors: Onakoya PA,Nwaorgu OG,Adebusoye LA

    更新日期:2003-07-01 00:00:00

  • The epidemiology and clinical spectrum of infections of the central nervous system in adults in north India.

    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

    pub_type: 杂志文章

    doi:10.1177/0049475520959905

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

    更新日期:2021-01-01 00:00:00

  • Simple leg ulcers: difficult diagnosis.

    abstract::Chronic leg ulcers in children in tropical developing countries are common. They are difficult to diagnose clinically and to manage. Our case illustrates that even in areas where yaws is endemic and point of care testing is available, the diagnosis remains difficult. ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475518804703

    authors: Fegan D,Glennon MJ

    更新日期:2019-01-01 00:00:00

  • Alternative medicine use at Vila Central Hospital: a survey of 'custom medicine' use in patients and staff a decade later.

    abstract::A structured questionnaire was administered to 50 medical patients, 50 surgical patients and 50 staff members at Vila Central Hospital, Vanuatu. A similar study was conducted 10 years earlier. In the intervening decade, Vanuatu has seen unprecedented population growth, increasing expatriate numbers, and the introducti...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475514526593

    authors: Lai Y,Grace R

    更新日期:2014-07-01 00:00:00

  • Evaluation of formalin preserved allogeneic bone graft as a grafting material.

    abstract::Formalin preserved allogeneic (FPA) bone graft was used in 18 patients with benign bone cavities, nine patients with malignant bone cavities, 12 patients with atrophic nonunion of fractures, seven with gap nonunion and 18 with comminuted fractures. The benign bone cavities were obliterated in 20 weeks and malignant ca...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947550003000207

    authors: Agarwal S,Mishra US,Jain UK

    更新日期:2000-04-01 00:00:00

  • Childhood leprosy: lest we forget.

    abstract::Leprosy remains an important public health and social issue in South Asia, particularly in India. Its presence in childhood is an immense social burden because of the associated disabilities and widely prevalent misconceptions regarding communicability and treatment potential. The prevalence of leprosy among children ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2011.100477

    authors: Sachdeva S,Amin SS,Khan Z,Sharma PK,Bansal S

    更新日期:2011-07-01 00:00:00

  • Cholecystectomy without operative cholangiography in a district hospital.

    abstract::Thirty-seven patients underwent cholecystectomy without intraoperative cholangiography. Patients were selected using clinical and investigatory parameters. One patient had a negative common bile duct exploration. During the follow-up period of 2 1/2-3 1/2 years, all patients remained symptomatically and sonologically ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947559802800408

    authors: Puthu D,Chitnis AR

    更新日期:1998-10-01 00:00:00

  • Towards minimizing postoperative wound infection.

    abstract::The rate of postoperative wound infection was found to be low at 1.12% overall in a prospective study. This was achieved by careful preoperative preparation, judicious use of cheap prophylactic antibiotics which are included in the WHO model list of essential drugs, and meticulous operative technique. ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947559002000408

    authors: Nasher AA

    更新日期:1990-10-01 00:00:00

  • The value of the mini mental state examination in Nigerian epileptics.

    abstract::This study assessed the role of the Mini Mental State examination (MMSE) in detecting cognitive impairment in Nigerian epileptics. The performance of 65 epileptics on the MMSE was compared with that in 65 age- and education-matched controls. There were significantly more epileptics than controls with cognitive dysfunc...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/0049475054037057

    authors: Imam I,Ogunniyi A

    更新日期:2005-04-01 00:00:00

  • Giant molluscum contagiosum: an unusual presenting complaint of paediatric HIV disease.

    abstract::We report a widely disseminated, disfiguring facial molluscum contagiosum (MC) as a presenting complaint in an 11-year-old girl secondary to human immune-deficiency virus infection. A biopsy specimen demonstrated lobulated epidermal growth consisting of keratinocytes with large intracytoplasmic eosinophilic inclusion ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475514568133

    authors: Chatterjee S,Banerjee M,Bhattacharya S

    更新日期:2015-04-01 00:00:00

  • Wonder of Life (kalanchoe pinnata) leaves to treat diabetic foot infections in Trinidad & Tobago: a case control study.

    abstract:UNLABELLED:: Wonder of Life (kalanchoe pinnata) leaves are commonly used to treat diabetic foot infections. These patients are usually non-compliant with conventional medical therapy. We surmised that these patients would have a higher incidence of treatment failures. Patients admitted with diabetic foot infections wer...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475514543656

    authors: Cawich SO,Harnarayan P,Budhooram S,Bobb NJ,Islam S,Naraynsingh V

    更新日期:2014-10-01 00:00:00

  • Conservative management of displaced paediatric supracondylar fractures: a systematic review.

    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

    pub_type: 杂志文章

    doi:10.1177/0049475518788474

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

    更新日期:2018-10-01 00:00:00

  • Human rabies in India: epidemiological features, management and current methods of prevention.

    abstract::In most endemic countries stray dogs are the main source of rabies infection in humans. In India 95-97% of rabies patients are infected by dogs. Most pet dogs do not regularly receive booster doses of vaccine. In Thailand, most rabies patients develop the disease within 1 month of exposure. Rabies immunoglobulin is co...

    journal_title:Tropical doctor

    pub_type: 杂志文章,评审

    doi:10.1177/004947559902900404

    authors: Dutta JK

    更新日期:1999-10-01 00:00:00

  • Frequency and determinants of the metabolic syndrome in apparently healthy adult Nigerians.

    abstract::Non-communicable disease conditions such as the metabolic syndrome further strain the already insufficient health resources in Africa, where communicable diseases such as malaria and HIV/AIDS are still causing significant morbidity and mortality. We studied the frequency and determinants of the syndrome in apparently ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2007.070335

    authors: Wahab KW,Sani M,Gbadamosi M,Yandutse M

    更新日期:2008-10-01 00:00:00

  • Telemedicine--the way ahead for medicine in the developing world.

    abstract::An e-mail link with the facility to send high-resolution digital images is a cheap and uncomplicated telemedicine method. The Swinfen Charitable Trust helped establish such a link in Patan Hospital Kathmandu, Nepal in March 2000. Over 12 months using this link 42 telemedicine referrals were sent to specialists through...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947550303300118

    authors: Graham LE,Zimmerman M,Vassallo DJ,Patterson V,Swinfen P,Swinfen R,Wootton R

    更新日期:2003-01-01 00:00:00