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Melioidosis masquerading as other tropical diseases: Diagnostic lessons from three challenging cases. 伪装成其他热带病的类鼻疽病：来自三个具有挑战性的病例的诊断教训。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-10-01 DOI: 10.1177/00494755251384377
Ram Arvind Viswanathan, Rangarajan Devanathan, Manokaran Chinnusamy
{"title":"Melioidosis masquerading as other tropical diseases: Diagnostic lessons from three challenging cases.","authors":"Ram Arvind Viswanathan, Rangarajan Devanathan, Manokaran Chinnusamy","doi":"10.1177/00494755251384377","DOIUrl":"https://doi.org/10.1177/00494755251384377","url":null,"abstract":"<p><p>Melioidosis, an infection caused by the Gram-negative bacterium <i>Burkholderia pseudomallei</i>, has earned the nickname 'the great mimicker' owing to its tendency to resemble common infections, often leading to a delayed diagnosis and high mortality. We report three cases where it mimicked scrub typhus, tubercular arthritis, and <i>Klebsiella pneumoniae</i> infection. The diagnosis of melioidosis was achieved by extensive workup; our case series sends the lesson that none should stop and settle for less, but continuously search for the actual pathogen where no adequate response to treatment is perceived.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251384377"},"PeriodicalIF":0.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Touch imprint cytology of core needle biopsy: An underused low-cost strategy for same-day breast cancer diagnosis in resource-limited settings. 核心针活检的触摸印记细胞学：在资源有限的情况下，一种未充分利用的低成本策略，用于当日乳腺癌诊断。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-09-30 DOI: 10.1177/00494755251383963
Mansi Nema, Rajkumar Pachoria, Muktesh Khandare, Sanjay Kumar Yadav, Dhananjaya Sharma
{"title":"Touch imprint cytology of core needle biopsy: An underused low-cost strategy for same-day breast cancer diagnosis in resource-limited settings.","authors":"Mansi Nema, Rajkumar Pachoria, Muktesh Khandare, Sanjay Kumar Yadav, Dhananjaya Sharma","doi":"10.1177/00494755251383963","DOIUrl":"https://doi.org/10.1177/00494755251383963","url":null,"abstract":"<p><p>Delays in breast cancer diagnosis remain a critical barrier to timely care in low-resource settings. In this study, we evaluated the diagnostic accuracy, feasibility, and clinical impact of Touch Imprint Cytology (TIC) of core needle biopsies. TIC demonstrated high sensitivity and specificity for detecting malignancy, allowing same-day breast cancer diagnosis and earlier initiation of treatment decisions without the need for repeat visits. This easy-to-perform, frugal, innovative, pragmatic solution requires minimal resources, and can easily be integrated into existing diagnostic workflows in low-resource environments.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251383963"},"PeriodicalIF":0.6,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Case series: Drug reaction with eosinophilia and systemic symptoms (DRESS). 病例系列：药物反应伴嗜酸性粒细胞增多和全身症状（DRESS）。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-09-29 DOI: 10.1177/00494755251379952
Vinayak Chandan, Rishit Anand, Sumaiyya Pervez, Adith Reddy Bondugala, Basavaprabhu Achappa, Sharada Rai
{"title":"Case series: Drug reaction with eosinophilia and systemic symptoms (DRESS).","authors":"Vinayak Chandan, Rishit Anand, Sumaiyya Pervez, Adith Reddy Bondugala, Basavaprabhu Achappa, Sharada Rai","doi":"10.1177/00494755251379952","DOIUrl":"https://doi.org/10.1177/00494755251379952","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251379952"},"PeriodicalIF":0.6,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From stomach to heart: A rare case of Enterococcus avium infection. 从胃到心脏：罕见的鸟肠球菌感染病例。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-09-26 DOI: 10.1177/00494755251382735
Yu Cao, Zhoupeng Wu
{"title":"From stomach to heart: A rare case of <i>Enterococcus avium</i> infection.","authors":"Yu Cao, Zhoupeng Wu","doi":"10.1177/00494755251382735","DOIUrl":"https://doi.org/10.1177/00494755251382735","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251382735"},"PeriodicalIF":0.6,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Melioidosis, the great masquerader: From lung to joints: A case report. 类鼻疽，伟大的假面舞者：从肺到关节：1例报告。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-09-24 DOI: 10.1177/00494755251379967
Amal Joseph, Anna Carin Sunil, Devapriya Manazhy, Merlin Elizabeth Thomas
{"title":"Melioidosis, the great masquerader: From lung to joints: A case report.","authors":"Amal Joseph, Anna Carin Sunil, Devapriya Manazhy, Merlin Elizabeth Thomas","doi":"10.1177/00494755251379967","DOIUrl":"https://doi.org/10.1177/00494755251379967","url":null,"abstract":"<p><p>Melioidosis, caused by Burkholderia pseudomallei, is an under-diagnosed tropical infection that often mimics tuberculosis and other chest diseases. We report the case of a 42-year old diabetic female who presented with fever and pneumonia and who developed septic arthritis. Blood, joint fluid, and abscess cultures grew <i>B. pseudomallei</i>. Initial treatment was with meropenem but owing to a suboptimal response, the patient was changed to a combination therapy with ceftazidime which led to clinical and biochemical improvement. She was then discharged with a three month course of co-trimoxazole for eradication. This case illustrates the multifocal nature of melioidosis and the diagnostic challenges even in endemic areas, emphasizing the need for high clinical suspicion as well as the need for prompt and aggressive antimicrobial therapy for optimal outcome.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251379967"},"PeriodicalIF":0.6,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cycles on dengue incidence and mortality: Evaluating data from the global burden of diseases. 登革热发病率和死亡率的周期：评估来自全球疾病负担的数据。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-09-24 DOI: 10.1177/00494755251378818
Lucas Casagrande Passoni Lucas Lopes
{"title":"Cycles on dengue incidence and mortality: Evaluating data from the global burden of diseases.","authors":"Lucas Casagrande Passoni Lucas Lopes","doi":"10.1177/00494755251378818","DOIUrl":"https://doi.org/10.1177/00494755251378818","url":null,"abstract":"<p><p>Dengue is a mosquito-borne viral disease with four serotypes, manifesting as an acute febrile illness with potentially severe complications. While its temporal trends are well studied, the cyclical nature of its incidence and mortality remains underexplored. This ecological study analysed dengue incidence (1990-2021) and mortality (1980-2021) using global burden of disease data. Time series analysis, employing fast Fourier transform and harmonic regression, identified significant cyclical patterns. Dengue incidence and mortality exhibit marked cyclical behaviour, with regional periodicity ranging from ∼17 to 30 years. These patterns suggest that long-term environmental and socio-epidemiological factors drive predictable waves of transmission and severity. This finding underlines the need for tailored surveillance and intervention strategies to mitigate dengue outbreaks and fatalities.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251378818"},"PeriodicalIF":0.6,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Oromotor intervention as a method to improve transition from gavage to full katori spoon feeding in preterm newborns: An open label randomised control trial. oromomotor干预作为一种改善早产儿从灌胃到完全katori汤匙喂养过渡的方法：一项开放标签随机对照试验。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-09-22 DOI: 10.1177/00494755251375223
Sakshi Jindal, Seema Rai, Amanpreet Singh, Gurmeet Kaur
{"title":"Oromotor intervention as a method to improve transition from gavage to full katori spoon feeding in preterm newborns: An open label randomised control trial.","authors":"Sakshi Jindal, Seema Rai, Amanpreet Singh, Gurmeet Kaur","doi":"10.1177/00494755251375223","DOIUrl":"https://doi.org/10.1177/00494755251375223","url":null,"abstract":"<p><p>Preterm infants on gavage feeding encounter difficulties during their transition to direct oral feeds, which prolongs their hospital stay. The objectives of our study was to compare the transition time from gavage feeding to full katori spoon feeding in oromotor intervention (OMI) and control groups with feeding efficiency and milk volume transfer. An open labelled randomised control trial (RCT) was conducted. The new-born was followed up till reaching full katori spoon feeding. The mean transition time was shorter in the intervention group. Mean weight gain and mean length of stay in intervention group was improved compared to control. We concluded that OMI leads to shortened transition time to reach full katori spoon feeds and better feeding performance in the form of volume transfer and feeding efficiency.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251375223"},"PeriodicalIF":0.6,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
First Mpox emergency in Africa: Confronting the dual challenge of outbreak management and vaccine scarcity. 非洲首次麻疹紧急情况：面对疫情管理和疫苗短缺的双重挑战。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-09-18 DOI: 10.1177/00494755251378823
Bashar Haruna Gulumbe, Abdulrakib Abdulrahim, Munkaila Tirmizhi Abubakar
{"title":"First Mpox emergency in Africa: Confronting the dual challenge of outbreak management and vaccine scarcity.","authors":"Bashar Haruna Gulumbe, Abdulrakib Abdulrahim, Munkaila Tirmizhi Abubakar","doi":"10.1177/00494755251378823","DOIUrl":"https://doi.org/10.1177/00494755251378823","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251378823"},"PeriodicalIF":0.6,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The resurgence of measles: Is adolescent vaccination the key?? 麻疹死灰复燃：青少年接种疫苗是关键吗？
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-09-17 DOI: 10.1177/00494755251376406
Vernika Tyagi, Kshitij Saurabh, Bhanu K Bhakhri, D K Singh, Ruchi Rai
{"title":"The resurgence of measles: Is adolescent vaccination the key??","authors":"Vernika Tyagi, Kshitij Saurabh, Bhanu K Bhakhri, D K Singh, Ruchi Rai","doi":"10.1177/00494755251376406","DOIUrl":"https://doi.org/10.1177/00494755251376406","url":null,"abstract":"<p><p>Despite an effective vaccine, the goal of measles elimination has remained elusive so far. Our study found that almost one-third of children with measles were less than 9 months of age, which suggests the need for strengthening routine immunisation along with adolescent vaccination.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251376406"},"PeriodicalIF":0.6,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Visceral leishmaniasis in a 6-year-old girl from a non-endemic region of Nepal. 尼泊尔非流行地区1名6岁女童内脏利什曼病。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-09-17 DOI: 10.1177/00494755251374477
N D Vaswani, Seema Lekhwani, Vijay Rani
{"title":"Visceral leishmaniasis in a 6-year-old girl from a non-endemic region of Nepal.","authors":"N D Vaswani, Seema Lekhwani, Vijay Rani","doi":"10.1177/00494755251374477","DOIUrl":"https://doi.org/10.1177/00494755251374477","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251374477"},"PeriodicalIF":0.6,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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