Tropical DoctorPub Date : 2025-03-04DOI: 10.1177/00494755251325318
Namita Mishra, Amit Shukla, Anamika Gupta
{"title":"'Unveiling the hidden threat: Delayed presentation of congenital syphilis'.","authors":"Namita Mishra, Amit Shukla, Anamika Gupta","doi":"10.1177/00494755251325318","DOIUrl":"https://doi.org/10.1177/00494755251325318","url":null,"abstract":"<p><p>Maternal and congenital syphilis are a major public health problem worldwide. The World Health Organization and Centre for Disease Control both recommend routine screening of pregnant females for syphilis. Despite guidelines in place, maternal syphilis often remains undiagnosed and untreated and there is currently a surge in cases of congenital syphilis. We present a case of a 3-month-old male illustrating a delayed diagnosis of congenital syphilis despite characteristic skin lesions, hepatosplenomegaly, haemolytic anaemia, failure to thrive and history of untreated syphilis in the mother. This case highlights the need to strengthen existing guidelines for intensive screening and early treatment for maternal syphilis. It also underscores the importance of increased awareness amongst paediatricians and dermatologists regarding overlapping clinical features of congenital syphilis.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251325318"},"PeriodicalIF":0.5,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544075","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}
{"title":"Tubercular spondylitis with prevertebral and epidural abscess masquerading as a mediastinal mass.","authors":"Nishtha Nagar, Parija Chauhan, Pradeep Kumar Gunasekaran, Sivanesan Sivagnanaganesan, Sreedhara Bettadahally Chaluvashetty, Sanjay Verma","doi":"10.1177/00494755251323333","DOIUrl":"https://doi.org/10.1177/00494755251323333","url":null,"abstract":"<p><p>A 10-year old girl presenting with an insidious-onset low-grade fever for one month was found to have mediastinal widening with bilateral perihilar opacities. MRI scanning further revealed dorsal spondylitis with collapse of T2-4 vertebral bodies with prevertebral and epidural tubercular collections of 3 × 6.5 × 8 cm. This case emphasises the importance of considering TB among differential diagnoses of a mediastinal mass, especially among children from endemic countries.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251323333"},"PeriodicalIF":0.5,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505668","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}
Tropical DoctorPub Date : 2025-02-21DOI: 10.1177/00494755251320165
Moiz A Khan, Saad Ahmed, Syeda A N Zaidi
{"title":"The resurgence of chikungunya virus: Why South Asia is ground zero for global spread.","authors":"Moiz A Khan, Saad Ahmed, Syeda A N Zaidi","doi":"10.1177/00494755251320165","DOIUrl":"https://doi.org/10.1177/00494755251320165","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251320165"},"PeriodicalIF":0.5,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469729","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}
{"title":"Ileal bezoar secondary to ileal duplication - a case report.","authors":"Sandip Kumar Rahul, Rupesh Keshri, Digamber Chaubey","doi":"10.1177/00494755251319146","DOIUrl":"https://doi.org/10.1177/00494755251319146","url":null,"abstract":"<p><p>Ileal bezoars usually occur secondary to gastric bezoars, gastric or bowel surgery, or lumen-narrowing lesions of the ileum. Primary ileal bezoars, being rare, are diagnosed only after excluding secondary causes. Ileal duplication associated with bezoar has seldom been reported.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251319146"},"PeriodicalIF":0.5,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450767","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}
Tropical DoctorPub Date : 2025-02-09DOI: 10.1177/00494755251318077
Peter Finch, Maclean Ndovie, Michael Rashid, David McCarty
{"title":"Low-cost paperless electrocardiograph for low-income countries, with derived V leads and a QRS detection algorithm.","authors":"Peter Finch, Maclean Ndovie, Michael Rashid, David McCarty","doi":"10.1177/00494755251318077","DOIUrl":"https://doi.org/10.1177/00494755251318077","url":null,"abstract":"<p><p>A low-cost device capable of recording a full 12-lead electrocardiogram (ECG) is described using a commercially available analogue front end (ADS1293) and a microprocessor (ESP32) transmitting a signal by Bluetooth to a smartphone. Comparison of the measured V leads and V leads derived by vector analysis using a transverse plane 0° reference vector (lead I) showed significant cross-correlation both for traces acquired from 120 Blantyre patients (0.43) and from the historical PhysioNet ECG database (0.85) and also when a + 30° transverse plane vector (-aVR) was used (0.50 Blantyre, 0.83 PhysioNet). Good correlation was also found between the mean transverse axis vector for the synchronous PhysioNet data (<i>r</i> = 0.91) but not for the asynchronous Blantyre data (<i>r</i> = 0.13) perhaps as a result of the QRS detection algorithm employed.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251318077"},"PeriodicalIF":0.5,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383902","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}
{"title":"Gender-based violence against female patients in hospitals.","authors":"Surajit Bhattacharya, Kaushik Bhattacharya, Neeta Bhattacharya, Neela Bhattacharya","doi":"10.1177/00494755251318089","DOIUrl":"https://doi.org/10.1177/00494755251318089","url":null,"abstract":"<p><p>Gender-based violence (GBV) against female patients in Indian hospitals is an under-recognized but critical issue that undermines the principles of equitable healthcare. This phenomenon encompasses physical, verbal, emotional, and structural abuse, often exacerbated by deeply entrenched societal norms, gender discrimination, and systemic inefficiencies in healthcare delivery. Female patients in India frequently encounter GBV in its various forms, namely neglect, inappropriate physical contact, discriminatory attitudes, and breaches of confidentiality. Women from marginalized communities (lower socio-economic or minority groups) are particularly vulnerable. Contributing factors include insufficient privacy protocols, overburdened healthcare facilities, inadequate staff training on gender sensitivity, and power dynamics, all of which particularly disadvantage female patients. The consequences of GBV are profound, leading to psychological trauma, diminished trust in healthcare systems, or delayed or avoided medical care. Despite its prevalence, GBV in Indian hospital settings remains under-reported owing to fear of stigma, societal pressure, and lack of accessible reporting mechanisms.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251318089"},"PeriodicalIF":0.5,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366345","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}
Tropical DoctorPub Date : 2025-02-04DOI: 10.1177/00494755251317834
Amna Zaheer, Jamuna Shrestha, Anum Akbar
{"title":"A rising threat: The outbreak of group a Streptococcus in Japan.","authors":"Amna Zaheer, Jamuna Shrestha, Anum Akbar","doi":"10.1177/00494755251317834","DOIUrl":"https://doi.org/10.1177/00494755251317834","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251317834"},"PeriodicalIF":0.5,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190482","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}
{"title":"Prevalence of typhoid fever in dengue patients: Insights from a retrospective study at a tertiary care hospital in Delhi.","authors":"Anandi Goel, Arpita Panda, Belinda Jothi J, Monika Matlani, Shilpee Kumar, Deepthi Nair","doi":"10.1177/00494755251317562","DOIUrl":"https://doi.org/10.1177/00494755251317562","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251317562"},"PeriodicalIF":0.5,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123930","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}
Tropical DoctorPub Date : 2025-01-28DOI: 10.1177/00494755241313073
Or Kaplan, Gidon Test, Inbal Kestenbom, Oren Tavor
{"title":"Pediatric acral pigmentation related to a beetle contact.","authors":"Or Kaplan, Gidon Test, Inbal Kestenbom, Oren Tavor","doi":"10.1177/00494755241313073","DOIUrl":"https://doi.org/10.1177/00494755241313073","url":null,"abstract":"<p><p>We report a case of the appearance of dark pigmented skin on the plantar surface of the foot and toes in a young child, likely caused by the beetle <i>Carabus impressus.</i> Few such documented cases occur in the literature and none reported from our region. Identifying the cause is important to avoid unnecessary investigations and treatment, and to provide reassurance to patients.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755241313073"},"PeriodicalIF":0.5,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054024","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}