Duodenal strongyloidiasis - Our 15-year histopathological experience at a tertiary gastrointestinal centre.

Abstract:

:In order to emphasise the importance of histopathology in the clinically unsuspected diagnosis of duodenal strongyloidiasis, we report six cases diagnosed on duodenal biopsies identified from the database over a period of 15 years, and clinical, endoscopic and histopathological findings were analysed retrospectively. Four were elderly males and the remainder young females. Only one patient had an underlying immunocompromised state. Three presented with cholestatic jaundice and simulated hepatobiliary malignancy. In all cases, endoscopy provided non-specific findings. Only one case showed a predominant eosinophilic infiltrate. Eggs, larvae and adult forms of strongyloides were seen in crypts and showed intense basophilic staining on HE stain. It is concluded that since mostly undetected clinically, duodenal biopsy serves as the first step in the diagnosis of strongyloidiasis. Hepatobiliary manifestations, though very infrequent, should raise the suspicion for strongyloidiasis and thus necessitate the need for duodenal biopsy.

journal_name

Trop Doct

journal_title

Tropical doctor

authors

Gupta L,Gaur K,Sakhuja P,Sharma BC,Saran RK,Batra VV

doi

10.1177/0049475520962744

subject

Has Abstract

pub_date

2020-10-12 00:00:00

pages

49475520962744

eissn

0049-4755

issn

1758-1133

pub_type

杂志文章
  • 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

  • Indication-specific pricing of drugs: a utopian idea, a pragmatic proposition or unrealistic in economically constrained settings?

    abstract::The concept of indication-specific pricing (ISP) of drugs means that the cost of a drug will vary depending on the reasons for its use. ISP is a novel concept and its beneficial or detrimental effects are unknown. Experience from richer countries suggests that it is fraught with many administrative, ethical and regula...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475520903644

    authors: Meher BR,Padhy BM

    更新日期:2020-04-01 00:00:00

  • Preoperative analgesia in emergency surgical care in Ibadan.

    abstract::Pain is the main complaint of patients presenting as surgical emergencies. However, preoperative analgesia has not been studied in developing countries. The adequacy of preoperative analgesia in 106 consecutive acute surgical cases admitted to the Accident and Emergency Department of The University College Hospital, I...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/004947506775598789

    authors: Aisuodionoe-Shadrach OI,Olapade-Olaopa EO,Soyannwo OA

    更新日期:2006-01-01 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

  • Helicobacter pylori infection in dyspeptic patients in an industrial belt of India.

    abstract::The present study is done to study different aspects of Helicobacter pylori (H. pylori) such as its prevalence, association with upper gastrointestinal pathology, diagnosis and treatment outcome. Gastric antral biopsy and serology for H. pylori was done for all dyspeptic patients. Histopathology, gram stain and biopsy...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475515626033

    authors: Satpathi P,Satpathi S,Mohanty S,Mishra SK,Behera PK,Maity AB

    更新日期:2017-01-01 00:00:00

  • Adaption of suction connectors for use in meconium aspiration syndrome.

    abstract::Severe meconium aspiration syndrome is difficult to manage and has a high mortality in developing countries. Guidelines are available for the initial management. If the infant has been born through particulate meconium and is not vigorous, an inspection of the vocal cords by laryngoscopy is recommended. If meconium is...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2009.090200

    authors: Green DA

    更新日期:2010-01-01 00:00:00

  • Cervical cancer in developing countries: how can we reduce the burden? Awareness raising, screening, treatment and palliation.

    abstract::Cervical cancer is an important health problem in developing countries. Most women present with advanced disease, resulting in low cure rates. Screening by Visual Inspection with the Aid of Acetic Acid and optionally HPV DNA detection as a second test is technically feasible. However, the majority of women appear to b...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947550703700202

    authors: Ansink AC

    更新日期:2007-04-01 00:00:00

  • Aggressive fluid resuscitation and broad spectrum antibiotics decrease mortality from typhoid ileal perforation.

    abstract::One of the most severe complications of typhoid enteritis is perforation of ileal ulcerations. The typically high mortality rates from these perforations are in part due to extremely limited supportive care in hospitals in typhoid endemic areas. In the setting of a rural African hospital, this study demonstrated a dec...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947559502500309

    authors: Mock C,Visser L,Denno D,Maier R

    更新日期:1995-07-01 00:00:00

  • Pseudomalignant cutaneous amoebiasis.

    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

    pub_type: 杂志文章

    doi:10.1177/004947558201200405

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

    更新日期:1982-10-01 00:00:00

  • Towards a rational malaria management at district hospital level: exploratory case series of febrile adult patients in a holoendemic area of Tanzania.

    abstract::One hundred and sixty eight febrile adult outpatients were investigated at St Francis Designated District Hospital in fakara, a holoendemic area in Tanzania. We wanted to assess the potential anamnestic and clinical risk indicators for malaria and to establish a rational strategy for malaria management. Blood slide in...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947550003000407

    authors: Oster N,Krause E,Hatz C

    更新日期:2000-10-01 00:00:00

  • Granuloma multiforme: an uncommon differential for leprosy.

    abstract::Granuloma multiforme (GM) is a chronic granulomatous skin condition which is clinically characterised by annular lesions mainly over sun-exposed areas and histologically by focal necrobiosis and histiocytic granulomas. Its significance lies in the fact that it can clinically resemble tuberculoid leprosy and hence it c...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475518803191

    authors: Bhatia S,Shenoi SD,Pai K,Ps S

    更新日期:2019-01-01 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

  • Assessment of the seroprevalence of viral hepatitis B, viral hepatitis C and HIV in multitransfused thalassaemia major patients in Karachi, Pakistan.

    abstract::This cross-sectional study reveals the seroprevalence of hepatitis B, hepatitis C and HIV in multi-transfused thalassemia major patients. Thirty-four out of 79 (43.0%) patients enrolled in the study serologically tested positive for hepatitis C (mean ± standard deviation age = 12 ± 4.1 years), four (5.1%) for hepatiti...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2010.100158

    authors: Riaz H,Riaz T,Ullah F,Aziz S,Khan MU,Pervaiz R,Ejaz A,Hasan M,Moiz F,Naqvi SA

    更新日期:2011-01-01 00:00:00

  • Genitourinary melioidosis: a descriptive study.

    abstract::Melioidosis is the disease caused by the soil and water bacterium, Burkholderia pseudomallei. Our study aimed to delineate its genitourinary manifestations. Over a 10-year period (2006-2016), 20 adults with culture-confirmed genitourinary melioidosis were identified. The patients were all men with a mean age of 45.3 ±...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475518817416

    authors: Koshy M,Sadanshiv P,Sathyendra S

    更新日期:2019-04-01 00:00:00

  • Reasons for non-immunization of children in an urban, low income group in North India.

    abstract::A study was undertaken on 500 children under the age of 5 years belonging to a low income group. All were attending the paediatrics outpatient department of a large teaching hospital in New Delhi, India. Only 25% were found to have received complete primary immunization as per the National Immunization Schedule (bacil...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947550203200305

    authors: Mathew JL,Babbar H,Yadav S

    更新日期:2002-07-01 00:00:00

  • Co-existence of mycobacterial infections: is it an emerging issue with retroviral infections?

    abstract::We report a 46-year-old woman presenting with leprosy, HIV and active pulmonary tuberculosis (TB). It is advisable to screen for each one of TB, HIV and leprosy patients, especially when an extra feature emerges. Particularly in a leprosy case, if TB remains undiagnosed, the development of rifampicin resistance second...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475518819618

    authors: Keragala B,Herath H,Janappriya G,Gunasekera CN

    更新日期:2019-04-01 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

  • Anaemia in infancy.

    abstract::Anaemia in infancy is a very common clinical problem in the tropics and will continue to be common while infectious disease and poor nutrition prevail. In the diagnosis of anaemia in a child the clinician must expect a number of factors to be involved. On the basis of clinical features it is possible to arrive at a wo...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947557900900314

    authors: Wright SG

    更新日期:1979-07-01 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

  • Declining seroprevalence of HIV infection among paediatric inpatients.

    abstract::An unlinked anonymous testing for HIV infection among consecutive paediatric admissions at Cama and Albless Hospital, Mumbai, was performed in 1998-99 and again in 2003-04. The seroprevalence declined from 5.5% (24/535) to 2.2% (10/447). Greater awareness, enhanced antenatal detection and measures taken to prevent mot...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/004947507782332847

    authors: Daga SR,Verma B,Gosavi DV,Kapse V,Shinde N

    更新日期:2007-10-01 00:00:00

  • An overnight sedimentation method: improving the diagnosis of tuberculosis when electrical centrifuge is not available.

    abstract::An experimental comparative study was conducted in order to compare the positivity pattern of sputum microscopy using the direct and overnight sedimentation Ziehl-Neelsen (ZN) smears, direct and NaOCl pretreated centrifuged ZN smears and overnight sedimentation and NaOC1 pretreated centrifuged ZN smears methods. We ex...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2007.060037

    authors: Rasheed MU,Dechu T

    更新日期:2008-04-01 00:00:00

  • Laparoscopy as a diagnostic method in internal medicine: experiences with 168 procedures at Kilimanjaro Christian Medical Centre, Moshi, Tanzania.

    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

    pub_type: 杂志文章

    doi:10.1177/004947559102100307

    authors: Missalek W,Mmuni K

    更新日期:1991-07-01 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

  • 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

  • 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

  • False negative serological tests may lead to misdiagnosis and mismanagement in osteoarticular brucellosis.

    abstract::Non-specific clinical presentations and paraclinical findings in osteoarticular brucellosis may mimic many other diseases and other causes of arthritis which could lead to misdiagnosis and mismanagement. We studied retrospectively the records of 232 patients with osteoarticular brucellosis who were admitted to the thr...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2008.080042

    authors: Janmohammadi N,Roushan MR

    更新日期:2009-04-01 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

  • Knowledge of the risks associated with skin bleaching among Togolese users.

    abstract::We examined the extent of Togolese users' knowledge of the health risks associated with the regular use of bleaching agents. A massive underestimation of some of the main risks was discovered. The more frequent the use of bleaching agents, the higher the underestimation. ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2007.060151

    authors: Kpanake L,Sastre MT,Sorum PC,Mullet E

    更新日期:2008-01-01 00:00:00

  • Microbiological profile of chronic osteomyelitis with special reference to anaerobic osteomyelitis in a tertiary care hospital of coastal Karnataka.

    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

    pub_type: 杂志文章

    doi:10.1177/0049475520921283

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

    更新日期:2020-07-01 00:00:00