Genitourinary melioidosis: a descriptive study.


: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 ± 12.3 years. The common risk factors were diabetes mellitus (65%) and alcoholism (25%); a majority of patients (90%) had chronic melioidosis. Most had disseminated disease (n = 17) and 55% were bacteraemic. The prostate was the organ most frequently involved (60%, n = 12), followed by the kidney, bladder and seminal vesicles. Diagnosis was established by blood and urine cultures and imaging. Patients were successfully treated with ceftazidime intensive therapy followed by eradicative therapy, with surgical debridement and guided aspiration, when deemed necessary. There was one case fatality and no relapses. Melioidosis is an important differential to be considered in chronic genitourinary infections in the appropriate setting.


Trop Doct


Tropical doctor


Koshy M,Sadanshiv P,Sathyendra S




Has Abstract


2019-04-01 00:00:00












  • Thick stool smear wet mount examination: a new approach in stool microscopy.

    abstract::Microscopic examination of a wet mount of the stool has been the standard practice for the laboratory diagnosis of intestinal parasitic infections. Here we describe a novel method of stool microscopy of 80 stool samples, 31 (38.75%) were positive by the new thick stool smear wet mount method, whereas the corresponding...

    journal_title:Tropical doctor

    pub_type: 杂志文章


    authors: Parija SC,Bhattacharya S,Padhan P

    更新日期:2003-07-01 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


    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

  • Echocardiographic features of cardiac failure in Uganda.

    abstract::Cardiac failure is a common medical presentation in Uganda. This study primarily focuses on the aetiology of heart failure in 65 adult patients and assesses the utility of echocardiography in a resource-limited setting. Our findings suggest that endomyocardial fibrosis is much less prevalent than previously described ...

    journal_title:Tropical doctor

    pub_type: 信件


    authors: Ismail Y,Andia I,Byaruhanga S,Shaw MR,Mathieson PW,Wilde P

    更新日期:2007-10-01 00:00:00

  • Obstetric and gynaecological patients in an intensive care unit: a 1 year review.

    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

    pub_type: 杂志文章


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

    更新日期:1997-10-01 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


    authors: Oster N,Krause E,Hatz C

    更新日期:2000-10-01 00:00:00

  • A review of the epidemiology of cancers at the University Teaching Hospital, Lusaka, Zambia.

    abstract::This is a retrospective study based on pathology reports of specimens reviewed at the University Teaching Hospital (UTH) pathology laboratory in Lusaka, Zambia, from January 1997 to December 2005. UTH is the main reference hospital in Zambia and has a catchment area covering 1.3 million people. The most common cancer ...

    journal_title:Tropical doctor

    pub_type: 杂志文章,评审


    authors: Bowa K,Wood C,Chao A,Chintu C,Mudenda V,Chikwenya M

    更新日期:2009-01-01 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


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

    更新日期:2014-10-01 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


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

    更新日期:2012-01-01 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


    authors: Tukur J,Shittu SO,Abdul AM

    更新日期:2006-01-01 00:00:00

  • A non-resolving splenic 'abscess' in an elderly male - An unusual manifestation of splenic lymphoma.

    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

    pub_type: 杂志文章


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

    更新日期:2020-12-25 00:00:00

  • Monitoring diabetic control in developing countries: a review of glycated haemoglobin and fructosamine assays.

    abstract::Measurement of glycated proteins, especially haemoglobins, is now a routine procedure for monitoring previous glycaemic control in diabetic patients in the developed world. Until recently, however, the assays were sophisticated and costly and, therefore, were only rarely used in developing countries. With easier and c...

    journal_title:Tropical doctor

    pub_type: 杂志文章,评审


    authors: Rahlenbeck SI

    更新日期:1998-01-01 00:00:00

  • Brucellosis: a retrospective evaluation.

    abstract::One hundred and sixty-six presumed brucellosis patients were included in the study. These patients were classified as primary (91), relapse (18) and suspected (57) cases according to their clinical presentations, and serologic and microbiologic test results. Primary and relapse cases were evaluated retrospectively acc...

    journal_title:Tropical doctor

    pub_type: 杂志文章


    authors: Tasbakan MI,Yamazhan T,Gökengin D,Arda B,Sertpolat M,Ulusoy S,Ertem E,Demir S

    更新日期:2003-07-01 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


    authors: Anam AM,Rabbani R,Shumy F

    更新日期:2017-04-01 00:00:00

  • 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 roa...

    journal_title:Tropical doctor

    pub_type: 杂志文章


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

    更新日期:2020-10-13 00:00:00

  • The challenge of patients with severe psychiatric illness who do not access care - a way forward.

    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

    pub_type: 杂志文章


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

    更新日期:2010-10-01 00:00:00

  • Hypokalaemic periodic paralysis in rural northern India--most have secondary causes.

    abstract::Hypokalaemic periodic paralysis (HPP) is a life-threatening condition. Our aim was to study the clinical profile and laboratory parameters of HPP patients and to develop an algorithm to determine the causes of HPP. 84 patients presented with HPP over a 3 year period. 58 (69.0%) were found to have renal tubular acidosi...

    journal_title:Tropical doctor

    pub_type: 杂志文章


    authors: Kumar V,Armstrong L,Seshadri MS,Finny P

    更新日期:2014-01-01 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


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

    更新日期:2021-01-01 00:00:00

  • Gastrointestinal parasites in Ugandan cancer patients: a retrospective departmental review.

    abstract::Of all cancer patients, 28% had gastrointestinal parasites of medical importance. ...

    journal_title:Tropical doctor

    pub_type: 信件


    authors: Robinson AJ,Katongole-Mbidde E

    更新日期:2006-07-01 00:00:00

  • Epilepsy in practice.

    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

    pub_type: 杂志文章,评审


    authors: Kok P

    更新日期:1998-04-01 00:00:00

  • Post-malaria neurological syndrome: a rare manifestation of common disease.

    abstract::Several systemic and neurological complications can occur with Plasmodium falciparum malaria, of which cerebral malaria is well known and is the most serious. Rarely, patients may suffer a neurological disorder that occurs after complete recovery from P. falciparum infection, an entity known as post-malaria neurologic...

    journal_title:Tropical doctor

    pub_type: 杂志文章


    authors: Nayak R

    更新日期:2013-04-01 00:00:00

  • A psychiatric ward in an African district hospital.

    abstract::In most African district hospitals there are no separate facilities for psychiatric patients. Aformer general medical officer describes how a ward for these patients was set up at a rural district hospital in Zimbabwe using the already available resources. The effects on the psychiatric care at the hospital and the di...

    journal_title:Tropical doctor

    pub_type: 杂志文章


    authors: van der Heide DH,Gernaat HB

    更新日期:2001-07-01 00:00:00

  • How many bloods will a 'HIVCHEK' check? Multiple tests for HIV antibody for a single screening kit.

    abstract::Detection of HIV infection in blood donors or populations is usually by testing sera for antibodies to HIV-1 and HIV-2. Screening tests are now highly sensitive and specific, but still expensive and scarce in Africa. We tested the commercially available kits 'HIVCHEK 1 + 2' in two field laboratories, on specimens from...

    journal_title:Tropical doctor

    pub_type: 杂志文章


    authors: Wannan GJ,Cranefield MJ,Cutting WA,Fischer PR,Hargreaves FD,Inglis JM

    更新日期:1992-10-01 00:00:00

  • The use of misoprostol for mid-trimester therapeutic termination of pregnancy.

    abstract::Extra-amniotic prostaglandin F2alpha (PG F2alpha) is probably the most widely used medical method for mid-trimester termination of pregnancy. The method is highly effective but is financially costly, particularly for poor countries faced with restricted health budgets. The aim of this study was to establish whether mi...

    journal_title:Tropical doctor

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Munthali J,Moodley J

    更新日期:2001-07-01 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


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

    更新日期:2008-10-01 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


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

    更新日期:2008-01-01 00:00:00

  • Podoconiosis (endemic non-filarial elephantiasis) in two resettlement schemes in western Ethiopia.

    abstract::In a population-based study of podoconiosis in two resettlement schemes in western Ethiopia, we found that 5% of 194 settlers and 9% of 222 indigenous people were affected. Prevalence rates were generally higher in males than females and increased with age, indicating sex differences in occupationally linked trauma to...

    journal_title:Tropical doctor

    pub_type: 杂志文章


    authors: Kloos H,Bedri Kello A,Addus A

    更新日期:1992-07-01 00:00:00

  • Idiopathic CD4+ T-lymphocytopenia with cryptococcal meningitis: first case report from Cambodia.

    abstract::We report on a patient with cryptococcal meningitis with CD4+ T-lymphocytopenia and no evidence of HIV infection. ...

    journal_title:Tropical doctor

    pub_type: 杂志文章


    authors: Augusto E,Raguenaud ME,Kim C,Mony M,Isaakidis P

    更新日期:2009-07-01 00:00:00

  • Multifocal skeletal tuberculosis.

    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

    pub_type: 杂志文章


    authors: Aggarwal AN,Dhammi IK,Jain AK

    更新日期:2001-10-01 00:00:00

  • A rare case of diffuse cutaneous leishmaniasis in an immunocompetent patient from sub-Himalayan India.

    abstract::Diffuse cutaneous leishmaniasis (DCL) is a rare variant of cutaneous leishmaniasis (CL) characterised by multiple (≥10), widespread, slowly progressive, cosmetically disfiguring, non-ulcerating nodules without visceral involvement. The disease is resistant to chemotherapy and characterized by relapses. We present a ra...

    journal_title:Tropical doctor

    pub_type: 杂志文章


    authors: Verma GK,Verma S,Shanker V,Singh G,Tegta GR

    更新日期:2012-10-01 00:00:00

  • The eunuch patient.

    abstract::Eunuchs in India, commonly known as 'Hirjas', are under-represented and marginalized. They rarely access conventional health-provider systems due to mistrust and fear of censure. This is the story of Asha, who was brave enough to approach a community medicine resident in a municipal hospital for medical aid and counse...

    journal_title:Tropical doctor

    pub_type: 信件


    authors: Mukhopadhyay A,Chowdhury R

    更新日期:2009-01-01 00:00:00