Tuberculosis heralding connective tissue disorder.

Abstract:

:Connective tissue diseases and infections are amongst the causes for organising pneumonia. However, organising pneumonia preceding other connective tissue disease manifestations is rare. Mycobacterium tuberculosis is rarely associated with organising pneumonia. We report such a case. A 50-year-old diabetic male, a roadside shop keeper, a current smoker presented with fever, breathlessness, cough and weight loss for four months. Chest radiography demonstrated areas of consolidation with halo signs. Anti-nuclear antibody blot was positive for Scl-70 and Jo-1 suggestive of a syndrome of systemic sclerosis and polymyositis overlap. Fibre-optic bronchoscopy guided lung biopsy was suggestive of organising pneumonia, and broncho-alveolar lavage detected Mycobacterium tuberculosis. Mycobacterium tuberculosis should be investigated as an aetiology of organising pneumonia, as this may occur in unestablished cases of connective tissue disease even before clinical and radiological manifestations appear, as response can be achieved with anti-tuberculosis therapy alone, without additional use of systemic steroids.

journal_name

Trop Doct

journal_title

Tropical doctor

authors

Pratap U,Ravindrachari M,RamyaPriya A,Toi PC,Manju R

doi

10.1177/0049475520962743

subject

Has Abstract

pub_date

2020-10-13 00:00:00

pages

49475520962743

eissn

0049-4755

issn

1758-1133

pub_type

杂志文章
  • Aetiology of acute diarrhoea and antimicrobial usage among children aged under five years at health centres in Bahir Dar, Ethiopia.

    abstract::The aetiology of diarrhoea with Cryptosporidium species and pathogenic bacteria has not been identified in the Ethiopian primary healthcare system. Thus, antibiotic consumption for unconfirmed pathogenic diarrhoea is not infrequent. A total of 344 children aged <5 years with diarrhoea were included in the present stud...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475520912558

    authors: Abera B,Hailu T,Beza L,Mulu W,Yizengaw E,Kibret M

    更新日期:2020-07-01 00:00:00

  • Ultrasonographic evaluation of gallbladder function in patients with Schistosoma mansoni infection.

    abstract::Gallbladder function was studied in 22 patients with portal hypertension due to advanced Schistosoma mansoni infection and in 17 healthy adults. The fasting volume of the gallbladder was significantly less in patients than in controls. The gallbladder wall was grossly thickened in the study group. There was a signific...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947559002000308

    authors: Ali QM,Abdel-Rahim IM,Doehring-Schwertfegar E,Franke D,Kardorff R,el Sheikh M,Ehrich JH

    更新日期:1990-07-01 00:00:00

  • Clinical patterns and major causes of infertility among Sudanese couples.

    abstract::An understanding of the medical causes of infertility is crucial in order to reduce incidences of Infertility and for improving the clinical management of infertility. Although there were much data on infertility in other African countries, no data exist on infertility in Sudan. Seven hundred and ten Sudanese couples ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2007.070125

    authors: Elussein EA,Magid YM,Omer MM,Adam I

    更新日期:2008-10-01 00:00:00

  • Cold saline enema in priapism--a useful tool for underprivileged.

    abstract::Priapism, prolonged painful erection of the penis, is a urological emergency. Untreated, the patient can end up with impotence. Various methods have been described for its treatment but the initial management remains conservative. This study presents our experience with the use of sedation followed by an ice-cold sali...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947550403400414

    authors: Bansal AR,Godara R,Garg P

    更新日期:2004-10-01 00:00:00

  • Comparison of albendazole regimen for prophylaxis of strongyloides hyperinfection in nephrotic syndrome patients on long-term steroids in Cambodia.

    abstract::Nephrotic syndrome patients on long-term steroids face the risk of having heavy uncomplicated strongyloidiasis or death from its extreme form, the strongyloides hyperinfection. The risk can be minimized if we eradicate the parasite first. We compare a once daily and twice daily albendazole regimen in preventing this p...

    journal_title:Tropical doctor

    pub_type: 临床试验,杂志文章

    doi:10.1258/004947505774938558

    authors: Leang B,Lynen L,Schrooten W,Hines J

    更新日期:2005-10-01 00:00:00

  • Osteomalacia in Hazara District, Pakistan.

    abstract::Osteomalacia is most commonly seen in the remoter northern regions (Kohistan District) of Hazara District, Pakistan. Low serum calcium is common, as is tetany, but not universal. A 2% prevalence was found retrospectively in all obstetric patients from 1978--1985. Overall, there was a 12% caesarean section rate (61/ann...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/0049475053001787

    authors: Herm FB,Killguss H,Stewart AG

    更新日期:2005-01-01 00:00:00

  • External herniae: ventral herniae and summary.

    abstract::1. In three articles, inguinal, femoral, and ventral herniae have been discussed, one of the aims being to draw the attention of those who are new to surgery in the tropics to some of the things the author thought were peculiar to these herniae. Experiences in the 1,100-bed Korle Bu Hospital, Accra, where a retrospect...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947557500500204

    authors: Wosornu L

    更新日期:1975-04-01 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

  • 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

  • The proctoscope.

    abstract::A cheaper version of a self-illuminated proctoscope which suitable for use in developing countries designed for diagnosis and intervention in anorectal diseases is described. ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2007.070133

    authors: Ray D

    更新日期:2008-07-01 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

  • A case control study of active genital Chlamydia trachomatis infection among patients with tubal infertility in northern Nigeria.

    abstract::A case-controlled study of the prevalence of genital Chlamydia trachomatis infection in 120 patients with tubal infertility (study group) and 120 clients of the family planning clinic (control group) attending the Ahmadu Bello University Teaching Hospital, Zaria in northern Nigeria is reported. The prevalence was 38.3...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/004947506775598987

    authors: Tukur J,Shittu SO,Abdul AM

    更新日期:2006-01-01 00:00:00

  • Routine prenatal screening of Indian women for HBsAg: benefits derived versus cost.

    abstract::This study finds that pregnant mothers in India should receive prenatal screening for hepatitis B in order to prevent perinatal transmission and spread of the infection within the larger community. Neonates who contract hepatitis B will have an almost 90% risk of developing chronic hepatitis B surface antigen (HBsAg)...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947559702700323

    authors: Sriprakash I,Anil TP

    更新日期:1997-07-01 00:00:00

  • Handling postpartum haemorrhage- obstetrics between tradition and modernity in post-war Sierra Leone.

    abstract:OBJECTIVES:How traditional birth attendants (TBAs) in post-war Sierra Leone explain, handle and prevent postpartum haemorrhage (PPH) and their potential role in a better management of PPH to reduce maternal mortality in this low resource setting. METHODS:Semi-quantitative interviews about knowledge and measures in PPH...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475514557579

    authors: Bräuer MD,Antón J,George PM,Kuntner L,Wacker J

    更新日期:2015-04-01 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

  • Peripheral gangrene in Plasmodium vivax malaria: a rare manifestation.

    abstract::Symmetrical peripheral gangrene (SPG) is an extremely rare complication of malaria that has been well described in multiple case reports of Plasmodium falciparum and mixed infection. We present a case of malaria with isolated Pl. vivax infection complicated by SPG. This index case is the first reported case of periphe...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475512472440

    authors: Arora N,Gogna A,Kumar D,Puri K

    更新日期:2013-01-01 00:00:00

  • Maternal and neonatal profile and immediate outcome in extremely low birth weight babies in Delhi.

    abstract::We studied the maternal and neonatal profile and outcome of extremely low birth weight (ELBW) babies at the level III neonatal intensive care unit (NICU) in Delhi. Case records of ELBW inborn babies delivered between August 2000 and August 2001 were analysed by using a pre-set proforma. A total of 52 ELBW babies were ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947550403400315

    authors: Sehgal A,Telang S,Passah SM,Jyothi MC

    更新日期:2004-07-01 00:00:00

  • A case of ectopic fascioliasis in the skin.

    abstract::A four-year-old boy presented to the hospital with a four-month history of recurrent bouts of fever and abdominal pain. Half a month before being admitted to hospital, multiple red cutaneous nodules had emerged at the left epigastric region and a dark red serpentine track appeared under the skin at the same site. The ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2010.090445

    authors: Yi-Zhu X,Zhi-Bang Y

    更新日期:2010-10-01 00:00:00

  • Palatal ulceration as the first sign of pulmonary tuberculosis: a case report.

    abstract::Tuberculosis (TB) is one of the leading casues of morbidity and death in a number of countries worldwide. A healthy 42-year-old patient presented with a chronic palatal ulcer that was not responsive to routine antibiotic treatment. A biopsy and further systemic investigation revealed a diagnosis of TB. An eight-month ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2011.110240

    authors: Peck MT,Stephen LX,Marnewick J,Majeed A

    更新日期:2012-01-01 00:00:00

  • Prevalence of opportunistic infections in AIDS patients in Mangalore, Karnataka.

    abstract::A study was conducted to determine the prevalence of opportunistic infections in HIV-seropositive patients at Kasturba Medical College Hospital, Mangalore. Three hundred and seven HIV-positive patients were screened for various opportunistic pathogens. Tuberculosis was the most common infection followed by candidiasis...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2007.070171

    authors: Saldanha D,Gupta N,Shenoy S,Saralaya V

    更新日期:2008-07-01 00:00:00

  • Chest ultrasound findings in pulmonary tuberculosis.

    abstract::In resource-limited countries, the diagnosis of pulmonary tuberculosis (TB) is based on clinical findings, chest radiography and the demonstration of acid-fast bacilli in sputum. Few data are available on the use of ultrasound (US) to diagnose pulmonary TB. Chest US was performed in patients with lung TB from a rural ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475517709633

    authors: Agostinis P,Copetti R,Lapini L,Badona Monteiro G,N'Deque A,Baritussio A

    更新日期:2017-10-01 00:00:00

  • Are incidentally detected gall bladder cancers really incidental? A report of two cases from a developing nation.

    abstract::Gallbladder cancer (GBC) is a rare gastrointestinal tumour. It occurs in women with pre-existing cholelithiasis. These tumours pose therapeutic as well as diagnostic challenges to treating clinicians. Early suspicion and optimal surgery for suspected GBC results in the best outcome. We describe two cases of metastatic...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475518788486

    authors: Gupta A,Gupta A,Gupta S,Chauhan U,Joshua LM

    更新日期:2018-10-01 00:00:00

  • Bone mineral density and its influencing factors in children with idiopathic nephrotic syndrome: a prospective observational study.

    abstract::Glucocorticoids are first-line therapy for children with idiopathic nephrotic syndrome (INS). These children are at risk of deranged bone metabolism and low bone mineral density (BMD). We studied 60 children with INS and divided them into two groups. Group 1 included 21 children (initial and infrequent relapsing) and ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475519868055

    authors: Sharawat IK,Dawman L,Kumkhaniya MV,Devpura K,Mehta A

    更新日期:2019-10-01 00:00:00

  • Isolated cold abscess of the thigh in an immunocompetent infant.

    abstract::Isolated cold abscess of the thigh without active tuberculosis elsewhere in the body is a rare entity, and only a few cases have been reported in the literature. We report a case of isolated cold abscess of the thigh following DPT vaccination in an immunocompetent child. The association with DPT vaccination is intrigu...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475514524200

    authors: Sharma J,Sharma T,Bhatt GC,Bhargava R

    更新日期:2014-10-01 00:00:00

  • A cluster of anthrax cases including meningitis.

    abstract::We report a common-source outbreak of anthrax. The source of infection was the carcass of a cow. Three patients developed anthrax, which affects meninx, skin and larynx. The patient with meningitis died. In all, 20 people who contacted or ate the cooked meat of the dead cow were given prophylactic tetracycline and rem...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/004947506775598798

    authors: Leblebicioglu H,Turan D,Eroglu C,Esen S,Sunbul M,Bostanci F

    更新日期:2006-01-01 00:00:00

  • Lichen planus following hepatitis B vaccination in an African girl.

    abstract::Lichen planus is a papulosquamous disorder with distinctive clinical features. Until now the aetiology has been largely unknown, however, several postulations have been proposed. The immunopathogenic basis has been most favoured. We report a case of a 13-year-old girl who presented with Lichen planus after receiving t...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947550203200227

    authors: Daramola OO,Ogunbiyi AO,George AO

    更新日期:2002-04-01 00:00:00

  • Primary small bowel volvulus in rural Nepal.

    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

    pub_type: 杂志文章

    doi:10.1177/004947559702700313

    authors: Parkes G

    更新日期:1997-07-01 00:00:00

  • Is the clinicopathological pattern of colorectal carcinoma similar in the state and private healthcare systems of South Africa? Analysis of a Durban colorectal cancer database.

    abstract::Previous state hospital-based local studies suggest varying population-based clinicopathological patterns of colorectal cancer (CRC). Patients diagnosed with CRC in the state and private sector hospitals in Durban, South Africa over a 12-month period (January-December 2009) form the basis of our study. Of 491 patients...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475517710887

    authors: Ntombela XH,Zulu BM,Masenya M,Sartorius B,Madiba TE

    更新日期:2017-10-01 00:00:00

  • An unusual presentation of post-kala-azar dermal leishmaniasis.

    abstract::An atypical presentation of post-kala-azar dermal leishmaniasis is reported to highlight the importance of suspecting dermatosis in patients from areas endemic for kala-azar. ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/004947507781524809

    authors: Ramesh V,Kumar J,Salotra P

    更新日期:2007-07-01 00:00:00

  • Addressing the attitudes of service providers: increasing access to professional midwifery care in Nepal.

    abstract::Increasing access to professional care during labour and delivery is the central strategy in Nepal's commitment to reducing its maternal mortality ratio. This paper outlines a number of complementary interventions used by the Nepal Safer Motherhood Project to address the negative attitudes prevalent among service prov...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2008.070291

    authors: Clapham S,Pokharel D,Bird C,Basnett I

    更新日期:2008-10-01 00:00:00