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Multi-level approach to workplace violence against healthcare workers Trop. Dr. (IF 0.6) Pub Date : 2024-03-19 Isaac KS Ng
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Duragen: A dermal substitute for the management of suboptimal wounds Trop. Dr. (IF 0.6) Pub Date : 2024-03-18 Prashant Yadav, Satyam Soni, Rajeev Kukrele, Pawan Agarwal, Dhananjaya Sharma
Using a flap in a large wound with a very small area of exposed vital structures may be an excessive intrusion and cause unnecessary donor site morbidity. Dermal matrix (DuraGen) was applied onto critical areas where bone or tendons were exposed and a split skin graft was placed thereon. All patients had satisfactory wound closure without the need for a flap. DuraGen appears to be a safe, single-stage
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Assessment of symptomatic response to intravesical alkalinized lidocaine, bupivacaine, heparin and steroids in patients with bladder pain syndrome Trop. Dr. (IF 0.6) Pub Date : 2024-03-18 Ravikant Mahant, Fanindra Singh Solanki, Chandan Tiwari, Ankush Lokhande, Deepti B Sharma, Dhananjaya Sharma
Bladder Pain Syndrome (BPS) is a puzzling and complicated disorder. 12 such patients, with a mean age 48.3 years, were treated with weekly intravesical instillation of admixture of alkalinized lidocaine, bupivacaine, heparin and steroids for six weeks. Evaluating the benefits of this therapy, patients experienced 82.2% & 90.9% relief at 3rd & 6th week of instillation. After completion of six cycles
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Flap blood glucose measurement for flap monitoring and early detection of circulatory problems Trop. Dr. (IF 0.6) Pub Date : 2024-03-18 Mohammed H Anwar, Rishabh Dwivedi, Bhupendra Singh, Vrinda Agarwal, Pawan Agarwal, Dhananjaya Sharma
Postoperative monitoring of skin flaps is subjective and cannot detect early circulatory problems in the flap. Early detection and rapid remedial re-exploration are important for flap salvage. We evaluated flap glucose measurement to monitor the flaps for early detection of circulatory problems. In total, 30 patients underwent cutaneous flap reconstruction. This is an easy, economic, objective, and
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The race against time: Zika virus on the horizon in Pakistan Trop. Dr. (IF 0.6) Pub Date : 2024-03-12 Moiz Ahmed Khan, Summaiya Zafar
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e-Cigarettes: Assessing the differences and the harms Trop. Dr. (IF 0.6) Pub Date : 2024-03-11 Shubhajeet Roy, Jay Tewari, Jyoti Bajpai, Kartikeya Mani Tripathi
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Advocacy for surgeons: Ensuring excellence in patient care Trop. Dr. (IF 0.6) Pub Date : 2024-03-08 Siddhesh Zadey, Dhananjaya Sharma, Michael Cotton
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Scope of antibiotic stewardship in enteric fever: An evidence-based summary Trop. Dr. (IF 0.6) Pub Date : 2024-02-29 Dipankar Pal
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Knuckle hyperpigmentation in a young male: A clinical sign of B12 deficiency not to be missed Trop. Dr. (IF 0.6) Pub Date : 2024-02-29 Harpreet Singh, Arvind Subramanian, Deba P Dibhar, Vikas Suri, Ashish Bhalla
Vitamin B12 and folate deficiency are reversible causes of megaloblastic anemia. Strict vegetarians are at risk of megaloblastic anemia due to low cobalamin in their diet. Knuckle hyperpigmentation in patients with megaloblastic anemia is due to excess melanin synthesis in skin. Here we present a case of a young vegetarian male with megaloblastic anemia with knuckle hyperpigmentation managed successfully
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A simple three-pronged approach to managing infantile methaemoglobinaemia Trop. Dr. (IF 0.6) Pub Date : 2024-02-27 Isaac KS Ng
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A meta-analysis of the incidence of infections following open tibia fractures and the microorganisms that cause them in high-, middle- and low-income countries Trop. Dr. (IF 0.6) Pub Date : 2024-02-27 Djenna Chebli, Fatema Dhaif, Ali Ridha, Alexander Schade, Chetan Khatri
Open tibia fractures are devastating, life changing injuries, with infection associated with substantial morbidity to the patient. Reducing infection is a research priority, but before interventional studies can be designed, the incidence of infection following this injury needs to be better defined. Our aim was to estimate the global incidence of infection following an open tibia fracture. A systematic
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Privacy concerns and challenges with informed consent in medical tourism Trop. Dr. (IF 0.6) Pub Date : 2024-02-22 Isaac KS Ng
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The unsettling reality of violence against healthcare workers: Past, present and future Trop. Dr. (IF 0.6) Pub Date : 2024-02-21 Hritvik Jain, Samia Aziz Sulaiman, Suman Saurabh
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The Nipah virus resurgence 2023: Kerala's resilience in overcoming the outbreak Trop. Dr. (IF 0.6) Pub Date : 2024-02-21 Feriha Fatima Khidri
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Newborns with congenital complete heart block: Advice for perinatal care providers Trop. Dr. (IF 0.6) Pub Date : 2024-02-21 Vijay Rani, Renu Sharma, Jagjit Singh Dalal, Anita Saxena, Shamsher Singh Lohchab, Monika Dalal
Congenital complete heart block (CCHB) is a rare, but a potentially life-threatening manifestation of autoimmune diseases in neonates. Bradycardia in CCHB can be misdiagnosed as foetal distress in utero and thus precipitating a Caesarean section. We report a case series of three neonates with bradycardia without any electrolyte abnormalities and structurally normal hearts with favourable outcomes.
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Sensorineural hearing loss as an atypical presentation of typhoid fever: A case report Trop. Dr. (IF 0.6) Pub Date : 2024-02-07 Mohammed Javad KV, Mohammed Saif, Basheer Kalathil, Faiz Mohamed, N. A. Uvais
Typhoid fever, also known as enteric fever, is a multisystemic infection primarily caused by Salmonella enterica serotype Typhi, and less commonly by Salmonella enterica serotypes Paratyphi A, B, and C. The classic presentation includes fever, malaise, diffuse abdominal pain, and constipation. If left untreated, typhoid fever can progress to delirium, obtundation, intestinal haemorrhage, bowel perforation
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Difficult to treat liver abscesses in children – Do not forget parasitic infections Trop. Dr. (IF 0.6) Pub Date : 2024-02-05 Ruchi Mishra, Shivangi Tetarbe, Pradnya Suhas Bendre, Ira Shah
Liver abscess (LA) is a significant health concern worldwide, particularly in tropical regions such as India, and is usually pyogenic or amoebic in origin. In rare cases it can be caused by parasites. We present two children with difficult-to-treat LAs, revealing underlying parasitic infections as the causative agents, implicated by eosinophilia, elevated immunoglobulin-E levels and exposure to domestic
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Modified trichrome stain for faster and improved detection of intestinal protozoan parasites Trop. Dr. (IF 0.6) Pub Date : 2024-02-05 Priya Datta, Puja Garg, Sadhna Lal Bhasin, Pankaj Malhotra, Surinder Singh Rana, Sumeeta Khurana
Permanent stains such as trichrome have better sensitivity but are time-consuming and the fixative includes toxic mercuric chloride. Thus, a newer modification was tested and found to be a superior, faster and safer staining technique for intestinal parasitic detection. Our study lasted 9 months and a single stool sample was collected from each enrolled patient. We evaluated classical trichrome (T1
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Impact of Ascaris lumbricoides infection on the development of chronic pulmonary aspergillosis in patients with COPD Trop. Dr. (IF 0.6) Pub Date : 2024-01-31 Abdurakhim Toychiev, Natalya Gafner, Vera Belotserkovets, Dildora Sekler, Shakhnoza Tashpulatova, Svetlana Osipova
The aetiopathogenesis of chronic obstructive pulmonary disease (COPD) remains unclear. The aim of our study was to determine the possible influence of Ascaris lumbricoides on the development of chronic pulmonary aspergillosis (CPA) in patients with COPD. The prevalence of A. lumbricoides in patients with COPD with CPA (19.05%) was significantly higher than that in those without (9.20%) and controls
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‘Double whammy’: An Unusual Co-occurrence of Idiosyncratic phenytoin–induced agranulocytosis and acute liver failure in a pediatric patient Trop. Dr. (IF 0.6) Pub Date : 2024-01-27 Neha Agarwal
Idiosyncratic adverse events to phenytoin therapy, such as agranulocytosis and acute liver failure, though rare, may be life-threatening. Simultaneous occurrence of both adverse events is exceedingly rare; only two cases have been reported in the literature to date. We describe such a case in a 15-year-old girl. Prompt haematological and hepatic recovery occurred after discontinuation of the drug.
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Acute acalculous cholecystitis due to hepatitis B virus reactivation: A case report and review of the literature Trop. Dr. (IF 0.6) Pub Date : 2024-01-22 Abdurrahman Kaya, Esin Beycan, Sibel Yıldız Kaya, Gülhan Özdemir, Hasan Zerdali, Ali Mert
We report a 52-year-old man presenting with acute acalculous cholecystitis triggered by hepatitis B virus infection. The patient developed protective antibodies and cleared the infection. The relevant data is also discussed.
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Hookworm infestation as a rare cause of melaena in tropics: A case report Trop. Dr. (IF 0.6) Pub Date : 2024-01-22 Narendra Pandit, Sameer Bhattarai, Dinesh Nalbo, Sanjay Yadav
Melaena due to hookworm infestation is a rare clinical presentation. It usually presents with symptoms of iron-deficiency anaemia owing to slow blood loss. Here we present a case of 45-year male who presented with a one-year history of intermittent melena requiring multiple blood transfusions. Preliminary endoscopies at different centres were normal. The presence of hookworm in the duodenum was only
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Acute kidney injury in the tropics Trop. Dr. (IF 0.6) Pub Date : 2024-01-22 Asha Maria Xavier, AG Sravan Kumar
Acute kidney injury in the Tropics is strikingly different from that in developed countries in terms of aetiology and presentation. Moreover, there are radical differences between the developed world and the economically poorer regions within the tropics. Infections are the number one cause leading to significant mortality. This article reviews the most common causes of acute kidney injury in the Tropics
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A curious case of expanded dengue syndrome Trop. Dr. (IF 0.6) Pub Date : 2024-01-16 Muzeer Ahmed, Muhammad Arsalan Wasim, Abdul Nafey Kazi, Hiba Akber, Maheen Sheikh, Muhammad Junaid Patel
Dengue fever (DF) primarily presents with fever, headache, malaise, bleeding manifestations and haemoconcentration. World Health Organization (WHO) classifies DF according to levels of severity: (a) without warning signs; (b) with warning signs, such as abdominal pain, persistent vomiting, fluid accumulation, mucosal bleeding, lethargy, liver enlargement, increasing haematocrit and thrombocytopenia;
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From mosquitoes to menace: Unveiling the dangers of West Nile virus in Pakistan Trop. Dr. (IF 0.6) Pub Date : 2024-01-16 Moiz Ahmed Khan, Fareeha Adnan, Nazia Khursheed
Pakistan, a subtropical nation, has seen a rapid rise in Arboviral transmission in the past decade. Environmental hazards such as intense monsoon rains and yearly floods in addition to unsanitary living conditions pose an increased risk of arboviral infections. In recent years, the emergence and spread of West Nile virus (WNV), which can lead to a life-threatening meningoencephalitis, in Pakistan has
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Surfactant for the treatment of respiratory distress syndrome in very low birth weight infants at a level 2 hospital: A descriptive retrospective cohort study - safety and efficacy. Trop. Dr. (IF 0.6) Pub Date : 2023-11-30 M Nxumalo,I Els-Goussard,K Sprenger,Y Joolay
Respiratory distress syndrome (RDS) is common and is a leading cause of death in pre-term infants. The purpose of our study is to describe the demographics and incidence of adverse events in very low birth weight (VLBW) pre-term infants with RDS treated with surfactant at George, a level 2 Hospital in the Western Cape Province of South Africa. This was a retrospective observational study. We conducted
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Meconium aspiration syndrome in a preterm newborn: An orphan disease. Trop. Dr. (IF 0.6) Pub Date : 2023-11-29 Chetan Khare,Anisha Rosilyn Abraham,Gargi Gautam,Shweta Patel
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An unusual case of a giant vesico-urethral calculus in a Developing country: A case report. Trop. Dr. (IF 0.6) Pub Date : 2023-11-29 Avinash Goel
An elderly farmer presented with urine leakage around a long-term suprapubic catheter (SPC). He was diagnosed to have a displaced SPC with a giant vesico-urethral calculus (struvite), not reported in literature so far. Managed successfully by performing open surgery. Pre-disposing risk factors, evaluation, operative procedure, management and prevention is presented.
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Surgical tourism in low- and middle-income countries: Current Status and the impact on the poor. Trop. Dr. (IF 0.6) Pub Date : 2023-11-20 Michael Cotton,Haadi Tarek Shalabi,Saggah Tarek Shalabi
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Chronic type 2 reaction in lepromatous leprosy with underlying Plasmodium falciparum infection: A case report. Trop. Dr. (IF 0.6) Pub Date : 2023-11-13 Harish Kumar Sagar,Harpreet Singh Pawar
Tropical diseases prevalent in leprosy-endemic areas may alter the immunological patient response and also complicate the presentation of leprosy reactional episodes. The introduction of anti-malarial drugs in our case produced a subsidence of reaction. With dwindling manpower skilled in leprosy, the reactional episodes are very often treated with non-steroidal anti-inflammatory drugs, steroids and
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Physical examination - Crucial to timely diagnosis. Trop. Dr. (IF 0.6) Pub Date : 2023-11-13 Vijay Alexander,John T George,Jackwin S Paul
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Delays in adjuvant radiotherapy for primary breast cancer is harmful, especially in low-income countries. Trop. Dr. (IF 0.6) Pub Date : 2023-11-13 Ravi Maharaj,Christo Cave,Shastri Motilal,Vijay Naraynsignh
Our retrospective cohort study of the effects of radiotherapy delay on the oncological outcome of breast cancer patients showed a prolonged radiotherapy waiting interval was associated with a statistically significant increase in the 3-year breast cancer-specific mortality. This research should stimulate setting up protocols geared towards minimizing delays.
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Time to revisit the purported link of leprosy reactions with infective triggers: An unnecessary economic burden for patients. Trop. Dr. (IF 0.6) Pub Date : 2023-11-03 Aishwarya Muddebihal,Kabir Sardana,Ananta Khurana,Arvind Ahuja,Itu Singh
Existing literature on factors triggering leprosy reactions is based only on case reports and case series, and thus probably gives a biased view. We undertook a case-control study to investigate such purported trigger factors in 42 leprosy reaction patients and 40 non-reactional controls, and the cost of investigations required for the same. Detailed history, clinical evaluation and investigations
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The rise and fall of Vibrio cholerae O139. Trop. Dr. (IF 0.6) Pub Date : 2023-11-01 Shubhajeet Roy,Aditi Shah,Vaishali Singh,Harendra Kumar,Dattatreya Mukherjee
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Cough elixir overdose causing toxic leuco-encephalopathy and serotonin syndrome. Trop. Dr. (IF 0.6) Pub Date : 2023-10-30 Ajay Asranna,Karthik Kulanthaivelu,Subasree Ramakrishnan,Kenchiah Raghavendra
Acute toxic leukoencephalopathy and serotonin syndrome are rare neurological complications associated with various drugs and toxins, some of which overlap. However, the co-occurrence of these conditions is poorly documented. We present the case of a 14-year-old boy who suddenly developed altered consciousness and autonomic dysfunction after consuming excessive quantities of cough remedies containing
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Multiple heterotopic sebaceous glands in the oesophagus: A case report and literature review. Trop. Dr. (IF 0.6) Pub Date : 2023-10-25 Yuan Fang,Zhi Wang,Yong Qiang Yang,Bei Wen Song,Wen Bin Gou
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The future of surgical care advocacy at the United Nations General Assembly: The last stretch to 2030. Trop. Dr. (IF 0.6) Pub Date : 2023-10-23 Manon Pigeolet,Natalie E Sheneman,Alaaeldin A Ahmad,Ashok N Johari
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Training rural surgeons using virtual reality in surgery: An efficient cost-effective method. Trop. Dr. (IF 0.6) Pub Date : 2023-10-19 Gnanaraj Jesudian,Jagtar Dhanda,Robert Mugarura,Elias Muruiki
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Current practices of antimicrobial stewardship in the emergency department: A cross-sectional study from a tertiary care center in North India. Trop. Dr. (IF 0.6) Pub Date : 2023-10-19 Bharathi Arunan,Kirtana Jonnalagadda,Priyam Batra,Akshay Kumar,Rama Chaudhry,Sarita Mohapatra
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A Quality Improvement (QI) initiative in diagnostic stewardship of urine culture in an era of Laboratory Information Systems (LIS). Trop. Dr. (IF 0.6) Pub Date : 2023-10-16 Neha Nityadarshini,Sarita Mohapatra,Bimal Kumar Das,Hitender Gautam,Seema Sood,Benu Dhawan
Standard urine culture is the gold standard for diagnosing urinary tract infections (UTIs) but fails to differentiate true UTI from asymptomatic bacteriuria, which is important to prevent the overuse of antibiotics. Correlation with the presence or absence of pyuria can be helpful in giving a hint of the true situation. With the help of Laboratory Information System (LIS), patients' urinalysis reports
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Role of visually impaired in screening of diseases and the way forward. Trop. Dr. (IF 0.6) Pub Date : 2023-10-16 Ravleen Kaur Bakshi
The role of visually impaired individuals in disease screening can be significant and beneficial. While visually impaired people may have limitations related to their sight, they can still contribute to and participate in various aspects of disease screening owing to their heightened senses, especially touch. It is important to recognize that each visually impaired individual's capabilities and preferences
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Acquired methaemoglobinaemia in infancy associated with acute diarrhoea: A case series. Trop. Dr. (IF 0.6) Pub Date : 2023-10-09 Vipul Jajoo,Sanjeevani Masavkar,Syed Ahmed Zaki,Pooja Pawar
Acute diarrhoeal illness remains a common medical problem in children with nearly 1.7 billion cases globally every year. We report five infants who, following severe diarrhoea, developed methaemoglobinemia. This is an altered state of haemoglobin presenting with cyanosis and can pose a diagnostic dilemma. It should be suspected in young infants without cyanotic heart disease presenting with severe
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Distal duodenal web with malrotation: An unusual finding. Trop. Dr. (IF 0.6) Pub Date : 2023-10-05 Greeshma Suresh,Vaibhav Pandey,Ruchira Nandan,Seth Kachhap
The most common site of the congenital duodenal web is the second part. Web distal to the second part of the duodenum is rare. It mimics the windsock deformity. Diagnosis may be missed if accompanying malrotation is present. We hereby report two cases of distal duodenal webs associated with malrotation and challenges in their diagnosis and management.
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Retained fragmented needle in intravenous drug users: An institutional experience and treatment protocol. Trop. Dr. (IF 0.6) Pub Date : 2023-10-03 Sanjib Rawat,Reuben Lamiaki Kynta,Bhupen Barman,Neelamjinghba Sun,Ankur Khandelwal,Prakash Deb
Retained needle fragments can occur in intravenous drug user (IVDU), which can lead to significant morbidity and mortality. The aim of present study is to give an overview of our institutional experience and treatment protocol followed for such patients. IVDU with retained fragment of fractured needle were taken from the patient presenting in Emergency, Medicine and CTVS departments with history of
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A proposed methodology of health education for inherited genetic disorders: Bag and Ball technique. Trop. Dr. (IF 0.6) Pub Date : 2023-09-29 Sam Marconi David,Midhun Sasikumar,Muhammed Basheer K M,Anuradha Rose,Kuryan George,Shantidani Minz
The life-threatening genetic blood disorder, thalassemia, which causes decreased haemoglobin production, is preventable. Sociocultural determinants and the level of public health awareness must be used to adopt control measures of prevention. Identifying information gaps and educating the community about screening should be a priority, especially in areas with high disease burdens. A relevant health
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Prevalence of vascular thrombosis in patients with liver abscess. Trop. Dr. (IF 0.6) Pub Date : 2023-09-29 Rayidi Rajesh,Monica Gupta,Narinder Kaur,Sarabmeet Singh Lehl,Anita Tahlan,Daljinderjit Kaur
Thrombotic complications in liver abscess are less commonly identified in the literature. In this prospective observational study, vascular thrombosis was detected in 21.9% cases. However, there was no significant difference in outcome with or without vascular thrombosis, properly treated.
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Scapular ulcero-nodular Actinomycosis masquerading as soft tissue tumor: A case report. Trop. Dr. (IF 0.6) Pub Date : 2023-09-28 Rakesh Kumar Gupta,Kartavya Kumar Verma,Radhakrishna Ramchandani
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Yield of coeliac screening in children with non-specific functional abdominal pain: A cross-sectional study from North India. Trop. Dr. (IF 0.6) Pub Date : 2023-09-24 Shraddha Madavi,Anuradha Rai,Manish Kumar,Shikha Sharma,Santosh Mittal
A significant group of children suffer from non-specific functional abdominal pain. We argue that the prevalence of coeliac disease is higher in this group than the general population; thus, screening in this group is justified.
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Erythematous papules in a preterm infant. Trop. Dr. (IF 0.6) Pub Date : 2023-09-11 Chetan Khare,Deepika Rustogi
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Occult paraquat poisoning causing pneumomediastinum and organizing pneumonia. Trop. Dr. (IF 0.6) Pub Date : 2023-09-07 Suresh Selvam,Amar Simha,Rana Sadaqat Nawaz,Aziza Sarmin,Ramesha Chinakarihalli Gangadharappa,Ashok Kumar Pannu
Pneumomediastinum is not an uncommon manifestation of lung toxicity in acute paraquat ingestion. The condition is almost invariably seen with other lung parenchymal abnormalities such as consolidations, ground-glass opacities and interlobular septal thickening. The diagnosis may be challenging in cases with no history of toxin exposure, presentation with a subacute illness and/or absence of typical
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Case report of scrub typhus with bilateral acute sensorineural hearing loss and cerebral salt-wasting disease. Trop. Dr. (IF 0.6) Pub Date : 2023-09-06 Asitha Goonetilleke,Shehan Silva
Scrub typhus is a re-emerging and endemic disease in the Asia Pacific region caused by Orientia tsutsugamushi. We present a 65-year-old male from Sri Lanka who presented with fever, bilateral acute sensorineural hearing loss, and confusion. On examination, he was dehydrated. Significant orthostatic hypotension and an eschar were noted. Investigations revealed hyponatremia with elevated urine sodium
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An alarming surge of scrub typhus cases presenting as acute encephalitis in children. Trop. Dr. (IF 0.6) Pub Date : 2023-08-30 Uneza Husain,Arpita,Raj Kumar Kalyan
Scrub typhus, which is prevalent in the Asia Pacific region is most feared owing to its life-threatening neurological complications. We present four cases of scrub typhus with acute encephalitis, including one with multiorgan failure and another serologically proven co-infection with Hepatitis C. Treatment of scrub typhus is not, however, so difficult, so its early diagnosis is paramount.
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Adrenal histoplasmosis in an immunocompetent host. Trop. Dr. (IF 0.6) Pub Date : 2023-08-28 Nawsabah Noor,Homayra Tahseen Hossain,Ishrat Jahan Urmee,Sharmin Akter,Md Abul Kashem Khandakar,Quazi Tarikul Islam
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The disappearing art of clinical examination. Trop. Dr. (IF 0.6) Pub Date : 2023-08-28 Michael Cotton,Dhananjaya Sharma
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Improvisation of surgical light: Another way round the obstacle. Trop. Dr. (IF 0.6) Pub Date : 2023-08-25 Alexander A Dimoko,Sotonye Fyneface-Ogan
The importance of surgical lighting is to illuminate the operative site on and within a patient for proper visualisation by operating theatre staff during a surgical procedure. With a good surgical illumination, a higher level of efficacy and safety can be achieved during surgery thus reducing the risk of complications. A rechargeable home LED bulb was converted into an improvised surgical lamp after
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Retrospective analysis of clinico-laboratory parameters, outcome and predictors of scrub typhus co- infection in covid-19 affected children. Trop. Dr. (IF 0.6) Pub Date : 2023-08-17 Mihir Sarkar,Aniket Roy,Subhajit Bhakta,Satyabrata Roy Chowdhoury,Rakesh Kumar Mandal
The objective of this study was to describe clinico-laboratory parameters, outcome and predictors of scrub typhus co- infection in COVID-19 affected children. Ours was a retrospective analysis done in a tertiary care pediatric COVID facility. COVID-19 positive children in the age group of 1 month to 12 years who were tested for scrub typhus co-infection between May to August 2020 were included in the
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Risk factors and outcome of acute kidney injury in children with snake envenomation. Trop. Dr. (IF 0.6) Pub Date : 2023-08-07 Kedarnath Das,Siddhanta Das,Nirmal Kumar Mohakud,Subal Kumar Pradhan,Sanjay Kumar Sahu
Our study evaluates the risk factors of acute kidney injury (AKI) in children with snake envenomation. Out of 145 cases, 54 (37%) developed AKI. Unsurprisingly, the mortality increased with oliguria and higher levels of creatinine. Bleeding manifestations were also more common among the AKI group.
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Identifying risk factors and disease severity in leptospirosis: A meta-analysis of clinical predictors. Trop. Dr. (IF 0.6) Pub Date : 2023-07-28 Pavlo Petakh,Larysa Rostoka,Vitaliia Isevych,Aleksandr Kamyshnyi
Leptospirosis is a bacterial zoonosis with a wide spectrum of clinical presentations. In order to identify potential risk factors and predictors of disease severity, a meta-analysis of the clinical features of severe and non-severe leptospirosis patients was conducted. PubMed was searched to collect studies on the difference in clinical characteristics of severe and nonsevere patients, and data were
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Setbacks faced by the Global Polio Eradication Initiative (GPEI) in low-income countries and rectifications needed. Trop. Dr. (IF 0.6) Pub Date : 2023-07-27 Shubhajeet Roy,Shreya Verma,Vaishali Singh,Dattatreya Mukherjee