abstract：:This is a short report describing the clinical presentation, investigations, treatment and outcome of a patient living in the Jamaican countryside who was diagnosed with a live, motile subfoveal helminth identified as Angiostrongylus cantonensis on optical coherence tomography at the University Hospital of the West In...

journal_title：Tropical doctor

authors： Sawh R,Mowatt L

更新日期：2021-01-20 00:00:00

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

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

更新日期：2021-01-10 00:00:00

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

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

更新日期：2021-01-01 00:00:00

abstract：:Most snakebite victims in low- and middle-income countries continue to seek many forms of first aid therapy before reaching hospital, the commonest being the application of a tourniquet. Our study looked at a prospective cohort of 382 such patients to ascertain the association of pre-hospital care with clinical outcom...

journal_title：Tropical doctor

authors： Singaravelu KP,Pandit VR,Chinnakali P,Bammigatti C

更新日期：2021-01-01 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：:Transverse myelitis typically extends two or less spinal segments, whereas longitudinal extensive transverse myelitis (LETM) extends three or more spinal segments in length and may occasionally span all the segments of the spinal cord. We present a case of spinal tuberculosis presenting with LETM with true lower motor...

journal_title：Tropical doctor

authors： Goyal MK,Lal M

更新日期：2021-01-01 00:00:00

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：: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 s...

journal_title：Tropical doctor

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

更新日期：2020-12-23 00:00:00

abstract：:Kawasaki disease is a common childhood vasculitis. Fever and lymphadenopathy, at times, are the only clinical presentation of Kawasaki disease, which mimics infectious lymphadenitis, especially, when other features are yet to evolve. In such a scenario, ultrasonography of cervical lymph nodes can help to differentiate...

journal_title：Tropical doctor

authors： Patra PK,Banday AZ,Bhagat N,Vignesh P,Singh S

更新日期：2020-12-06 00:00:00

abstract：Œ:Globally, more women are likely to be obese than men, and the need for a gender-specific strategy concerning related health issues is important. Our study aimed to clarify gender difference related to obesity in Papua New Guinea by a sub-analysis of our previous questionnaire-based cross-sectional study. We used demo...

journal_title：Tropical doctor

authors： Saito T,Matsui N,Izawa KP

更新日期：2020-11-28 00:00:00

abstract：:Isolated pancreatic and peripancreatic nodal tuberculosis may mimic pancreatic malignancy and may result in unnecessary surgery. Being a treatable disease, it is desirable to diagnose this condition without a laparotomy. Pancreatic tuberculosis should be considered in the differential diagnosis of a peripancreatic mas...

journal_title：Tropical doctor

authors： Ray S,Das K,Ghosh R

更新日期：2020-10-26 00:00:00

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

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

更新日期：2020-10-13 00:00:00

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. ...

journal_title：Tropical doctor

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

更新日期：2020-10-12 00:00:00

abstract：:Leprosy is caused by the obligate intracellular organism Mycobacterium leprae which mainly affects the skin and nervous system. The course of the disease is determined by host immunity, it is thus believed that in lepromatous leprosy (LL), all manifestations are bilaterally symmetrical. This is because of the inabilit...

journal_title：Tropical doctor

authors： Mathachan SR,Sardana K,Ahuja A,Lavania M,Agrawal D

更新日期：2020-10-01 00:00:00

abstract：:We report what we believe is the first case in Gujarat of melioidosis in a 67-year-old man. Awareness of this disease is limited, especially in areas supposed not to be endemic. ...

journal_title：Tropical doctor

authors： Savaj P,Shaw T,Munim FC,Mukhopadhyay C

更新日期：2020-10-01 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：: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：:A haemocholecyst is a clot-filled gallbladder caused by bleeding into its lumen. It is a rare entity with fewer than 50 cases reported in the English literature. Preoperative diagnosis is often not possible even with good quality cross-sectional imaging. Here, we present a case of a gallbladder mass, whose nature was ...

journal_title：Tropical doctor

authors： Ray S,Ghosh R,Khamrui S,Kumar Das A,Saha S,Kumar D

更新日期：2020-07-01 00:00:00

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

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

更新日期：2020-07-01 00:00:00

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

authors： Meher BR,Padhy BM

更新日期：2020-04-01 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：:Neuroendocrine tumours (NET) are rare. They usually arise from the gastrointestinal or bronchopulmonary systems. Most are discovered incidentally and the small bowel tumours pose special difficulty in detection and treatment. Primary mesenteric involvement is very rare. Here we report such a case with a liver metastas...

journal_title：Tropical doctor

authors： Agarwal A,Kaman L,Gupta A,Ramavath K,Vaiphei K

更新日期：2020-01-01 00:00:00

abstract：:Results from medical research from high-income countries may not apply to low- and middle-income countries. Some expatriate physicians combine clinical duties with research. We present global health research conducted by Dutch medical doctors in Global Health and Tropical Medicine in low- and middle-income countries a...

journal_title：Tropical doctor

authors： Mooij R,Jurgens EM,van Dillen J,Stekelenburg J

更新日期：2020-01-01 00:00:00

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

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

更新日期：2019-10-01 00:00:00

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

authors： Budhiraja R,Bhargava S,Sood N

更新日期：2019-10-01 00:00:00

abstract：:Scrub typhus, a re-emerging acute febrile zoonosis can present as an undifferentiated fever often complicated by potentially fatal systemic involvement. Acute pancreatitis is a rare complication of scrub typhus which can result in a marked elevation of serum lipase. We report three cases of scrub typhus who presented ...

journal_title：Tropical doctor

authors： Bhargava A,Ali S,Rajeevan R,Udyavara R

更新日期：2019-10-01 00:00:00

abstract：:Tularaemia has become a public health threat in Turkey. Our aim was to examine the epidemiological characteristics of 154 tularaemia cases reported from Kayseri, Central Anatolia, between 2010 and 2017. Clinical diagnosis was confirmed by micro-agglutination test (≥1/160 titres). Most patients (56.5%) were residing in...

journal_title：Tropical doctor

authors： Borlu A,Benli AR,Doganay M

更新日期：2019-10-01 00:00:00

abstract：:Cutaneous chrysosporium infection is extremely rare and underdiagnosed. We present an immunocompromised patient who presented with recurrent cutaneous abscesses. Histopathology of the abscess showed thick-walled conidia and septate fungal hyphae within the subcutis and fungal culture grew Chrysosporium species. ...

journal_title：Tropical doctor

authors： Dincy PC,Meera T,Susanne PA,Promila RM

更新日期：2019-10-01 00:00:00

abstract：:Listeria monocytogenes is a gram-positive, facultative anaerobic, motile bacillus widely spread in the environment. However, clinical infection in humans is uncommon. The route of infection is often through ingestion of raw vegetables, meat and unpasteurised dairy products. Listeria is an uncommon cause of meningitis ...

journal_title：Tropical doctor

authors： Gulla KM,Gupta D,Sachdev A

更新日期：2019-07-01 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：:Malnutrition continues to be a major killer of children, predominantly in low- and middle-income countries such as India. An ecological study was undertaken to correlate different demographic factors with the prevalence of underweight children. Based on findings from the National Family Health Survey 4 (2015-2016), 81...

journal_title：Tropical doctor

authors： Pratim Roy M

更新日期：2019-04-01 00:00:00

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

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

更新日期：2019-04-01 00:00:00

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

authors： Koshy M,Sadanshiv P,Sathyendra S

更新日期：2019-04-01 00:00:00

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

authors： Fegan D,Glennon MJ

更新日期：2019-01-01 00:00:00

abstract：:Thyrotoxicosis can present as a sporadic form of hypokalaemic periodic paralysis. The condition is associated with massive intracellular shift of potassium, mainly in skeletal muscles. As the total body stores of potassium remain normal, overzealous potassium supplementation targeting serum potassium level results in ...

journal_title：Tropical doctor

authors： Pannu AK,Sharma N

更新日期：2019-01-01 00:00:00

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

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

更新日期：2019-01-01 00:00:00

abstract：:We present an unusual case of fever of unknown origin with bilateral adrenal masses in a patient with compensated chronic liver disease (compensated) due to hepatitis C who had been treated elsewhere with four months of anti-tuberculous therapy for suspected disseminated tuberculosis (TB). At our institution, he under...

journal_title：Tropical doctor

authors： Ramesh V,Narreddy S,Gowrishankar S,Barigala R,Nanda S

更新日期：2018-12-28 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：: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

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

更新日期：2018-10-01 00:00:00

abstract：:2,4-D (2,4-dichlorphenoxyacetic acid) is a chlorphenoxy group pesticide. Its relative safety and broad leaf selectivity makes it a favourite herbicide of many home gardeners and agricultural workers. Severe systemic toxicity requiring hospital admission and intensive care usually occurs following intentional oral inge...

journal_title：Tropical doctor

authors： Pannu AK,Saroch A,Agrawal J,Sharma N

更新日期：2018-10-01 00:00:00