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Vigilance in the operating room: Intraoperative carotid sinus hypersensitivity triggered by simple head manipulation. 手术室警惕：术中颈动脉窦超敏反应由简单的头部操作引起。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-07-16 DOI: 10.1177/00494755251358576
Bheemas B Atlapure, Aspari Mahammad Azeez, Subham Das
{"title":"Vigilance in the operating room: Intraoperative carotid sinus hypersensitivity triggered by simple head manipulation.","authors":"Bheemas B Atlapure, Aspari Mahammad Azeez, Subham Das","doi":"10.1177/00494755251358576","DOIUrl":"https://doi.org/10.1177/00494755251358576","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251358576"},"PeriodicalIF":0.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643994","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
A retained bee stinger in the tongue and review of the literature. 舌头上残留的蜂刺及文献综述。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-07-15 DOI: 10.1177/00494755251357079
Xiangwei Liu
{"title":"A retained bee stinger in the tongue and review of the literature.","authors":"Xiangwei Liu","doi":"10.1177/00494755251357079","DOIUrl":"https://doi.org/10.1177/00494755251357079","url":null,"abstract":"<p><p>Bee stings can cause severe systemic toxicity or anaphylactic reactions, both potentially life-threatening. While bee stings are relatively common, intra-oral stings involving the tongue, pharynx, or larynx are rare. Such injuries may induce edema, leading to severe pain and even airway obstruction.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251357079"},"PeriodicalIF":0.5,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638576","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
Prevalence and risk factors for Cryptosporidium spp. infection in immuno-compromised hosts: A neglected parasite with rise in menace and review of the literature. 隐孢子虫感染在免疫功能低下的宿主中的流行率和危险因素：一种被忽视的寄生虫的威胁和文献综述。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-07-15 DOI: 10.1177/00494755251356759
Shaveta Kataria, Ashina Singla, Kriti Goyal, Rachit Bhandari
{"title":"Prevalence and risk factors for <i>Cryptosporidium spp.</i> infection in immuno-compromised hosts: A neglected parasite with rise in menace and review of the literature.","authors":"Shaveta Kataria, Ashina Singla, Kriti Goyal, Rachit Bhandari","doi":"10.1177/00494755251356759","DOIUrl":"https://doi.org/10.1177/00494755251356759","url":null,"abstract":"<p><p>Cryptosporidiosis is a predominant cause of diarrhoea especially in immune-compromised individuals and causes self-limited infection in immune-competent hosts. It is a highly infectious and transmissible protozoan causing gastrointestinal infection mostly in communities of low socioeconomic status. A descriptive observational study was undertaken to determine its frequency and relevance.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251356759"},"PeriodicalIF":0.5,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638577","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 silent threat: A case series on lead-induced neurological and systemic damage. 无声的威胁：关于铅引起的神经和全身损伤的一系列案例。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-07-11 DOI: 10.1177/00494755251356758
Rohit Sharma, Mohini Asija, Shaveta Dahiya, H K Aggarwal, Manish Kumar
{"title":"The silent threat: A case series on lead-induced neurological and systemic damage.","authors":"Rohit Sharma, Mohini Asija, Shaveta Dahiya, H K Aggarwal, Manish Kumar","doi":"10.1177/00494755251356758","DOIUrl":"https://doi.org/10.1177/00494755251356758","url":null,"abstract":"<p><p>Lead toxicity remains a significant global public health concern, with diverse clinical manifestations influenced by the route and duration of exposure. The complexity of its presentation often makes timely diagnosis and intervention difficult. This case series presents two cases: a 35-year old male from rural Haryana, India, with environmental lead exposure resulting in cerebellar ataxia and microcytic anaemia, and a 30-year old battery factory worker with occupational exposure leading to motor neuropathy, nephropathy, and anaemia. These cases illustrate the diagnostic complexities associated with lead toxicity, particularly when serum lead levels do not reliably reflect the severity of exposure. The first case was linked to groundwater contamination, whereas the second case highlighted the impact of chronic workplace exposure despite apparently normal serum lead concentrations. Both cases demonstrated clinical improvement following exposure cessation and chelation therapy, emphasising the importance of early recognition and intervention. These case reports underscore the necessity of stringent environmental regulations, occupational safety measures, and heightened clinical awareness to mitigate lead-related morbidity.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251356758"},"PeriodicalIF":0.5,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610164","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
Subcutaneous mycoses - The hidden mould, a case series. 皮下真菌病-隐藏的霉菌，一个案例系列。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-07-10 DOI: 10.1177/00494755251356475
Gnanadayalan Deepika Dayalan, Muthurathinam Trishna Vaishali, Murugaiyyan Rangaraj, Renu G'Boy Varghese
{"title":"Subcutaneous mycoses - The hidden mould, a case series.","authors":"Gnanadayalan Deepika Dayalan, Muthurathinam Trishna Vaishali, Murugaiyyan Rangaraj, Renu G'Boy Varghese","doi":"10.1177/00494755251356475","DOIUrl":"https://doi.org/10.1177/00494755251356475","url":null,"abstract":"<p><p>Subcutaneous mycoses are a heterogenous group of infections common in subtropical and tropical regions. These infections have an insidious onset and slowly evolve as the pathogen survives and adapts to the host tissue environment. Common subcutaneous fungal infections include Sporotrichosis, Chromoblastomycosis, Mycetoma, Subcutaneous Zygomycosis, Subcutaneous Phaeohyphomycosis, Lobomycosis and Rhinosporidiosis. Even with rapid urbanization, the incidence of subcutaneous mycoses is on the rise. Confirmation by histopathological examination is necessary.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251356475"},"PeriodicalIF":0.5,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602074","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
Oral beetroot juice as a visual gastrointestinal (GI) leak monitor: A frugal bedside adjunct for unstable patients. 口服甜菜根汁作为视觉胃肠道（GI）泄漏监测器：一种不稳定患者的节俭床边辅助。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-07-08 DOI: 10.1177/00494755251356050
Reena Kothari, Ajay Dadoria, Aditi Tiwari, Atul Patel, Deepti Bala Sharma, Dhananjaya Sharma
{"title":"Oral beetroot juice as a visual gastrointestinal (GI) leak monitor: A frugal bedside adjunct for unstable patients.","authors":"Reena Kothari, Ajay Dadoria, Aditi Tiwari, Atul Patel, Deepti Bala Sharma, Dhananjaya Sharma","doi":"10.1177/00494755251356050","DOIUrl":"https://doi.org/10.1177/00494755251356050","url":null,"abstract":"<p><p>Oral Beetroot juice instillation is a simple, low-cost bedside adjunct for detecting postoperative gastrointestinal leaks in resource-limited settings. In patients too unstable for surgery, it provided a visual indicator of leak status and supported surgical decision-making in resource-limited settings. This frugal innovation may bridge a critical diagnostic gap where advanced imaging is unavailable or unsafe.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251356050"},"PeriodicalIF":0.5,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585409","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
Beyond the danger triangle: Septic cavernous sinus thrombosis following a temporal forehead furuncle. 危险三角之外：颞额疖后感染性海绵窦血栓形成。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-07-07 DOI: 10.1177/00494755251341979
Amar Simha, Selvam Suresh, Bapanapalle Sreeveni, Sagar Acharya, Vikas Bhatia, Ashok Kumar Pannu
{"title":"Beyond the danger triangle: Septic cavernous sinus thrombosis following a temporal forehead furuncle.","authors":"Amar Simha, Selvam Suresh, Bapanapalle Sreeveni, Sagar Acharya, Vikas Bhatia, Ashok Kumar Pannu","doi":"10.1177/00494755251341979","DOIUrl":"https://doi.org/10.1177/00494755251341979","url":null,"abstract":"<p><p>Septic cavernous sinus thrombosis (CST) is a rare but life-threatening complication of facial infections, typically arising from the midface 'danger triangle'. Rarely, lateral facial infections may also lead to CST through spread via deep venous pathways. We report a previously healthy adolescent boy who developed fever, bilateral orbital swelling, and painful ophthalmoplegia shortly after the resolution of a furuncle over the left temporal part of the forehead. Magnetic resonance imaging confirmed CST. He was treated with intravenous ceftriaxone, vancomycin, and low molecular weight heparin, resulting in clinical recovery. This case highlights the importance of considering CST even when the primary infection lies outside the classical anatomical danger zone.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251341979"},"PeriodicalIF":0.5,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576755","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
Occult organophosphate poisoning mimicking acute coronary syndrome. 模拟急性冠状动脉综合征的隐蔽性有机磷中毒。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-07-07 DOI: 10.1177/00494755251348527
Harleen Sood, Kannan Sibi, K C Bijay, Nishit Kumar Sahoo, Atul Saroch, Ashok Kumar Pannu
{"title":"Occult organophosphate poisoning mimicking acute coronary syndrome.","authors":"Harleen Sood, Kannan Sibi, K C Bijay, Nishit Kumar Sahoo, Atul Saroch, Ashok Kumar Pannu","doi":"10.1177/00494755251348527","DOIUrl":"https://doi.org/10.1177/00494755251348527","url":null,"abstract":"<p><p>Organophosphate (OP) poisoning is a frequent toxicological emergency worldwide, particularly in low- and middle-income countries. Because the characteristic cholinergic toxidrome involves multiple systems, the absence of a clear history of exposure and clinical suspicion may lead to a disastrous misdiagnosis. We report a previously healthy male who presented with acute dyspnoea, chest pain, and diaphoresis, whose signs were suggestive of non-ST elevation acute coronary syndrome and pneumonia. Despite standard treatment, he deteriorated, necessitating intubation. However, the characteristic odour of OP prompted atropine treatment, leading to significant clinical improvement. Serum acetylcholinesterase activity was markedly reduced, confirming OP poisoning as the underlying cause.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251348527"},"PeriodicalIF":0.5,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576756","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
Dioctophyma renale infestation in a child with unexplained neurological syndrome. 患有不明原因神经系统综合征的儿童肾双足虫感染。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-07-04 DOI: 10.1177/00494755251356068
Kanduri Sree Ramya, Mahesh Venkatachari, Thirunavukkarasu Arun Babu
{"title":"<i>Dioctophyma renale</i> infestation in a child with unexplained neurological syndrome.","authors":"Kanduri Sree Ramya, Mahesh Venkatachari, Thirunavukkarasu Arun Babu","doi":"10.1177/00494755251356068","DOIUrl":"https://doi.org/10.1177/00494755251356068","url":null,"abstract":"<p><p>A 11-year-old boy, previously healthy and developmentally normal, born to a second-degree consanguineous marriage, presented with a history of pain during urination, blood in urine and passage of worms in urine. There is history of one episode of abnormal movements, generalized weakness, muscle aches and difficulty in walking during the episode. On systemic examination, gait ataxia was noted. Routine blood investigations were within normal limits and urine showed the presence of eggs of Dioctophyma renale. The abdominal ultrasonography revealed a small and shrunken left kidney with compensatory hypertrophy of the right kidney. Histopathological analysis of the expelled worm was identified as Dioctophyma renale. He was treated with Ivermectin for 2 weeks and his symptoms subsided. Here we present a rare case of Dioctophymosis with waxing and waning neurological symptoms and to our knowledge this is the first case of Dioctophyma renale infestation reported in a child.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251356068"},"PeriodicalIF":0.5,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561732","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
English as a gatekeeper in global medicine. 英语作为全球医学的守门人。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-07-03 DOI: 10.1177/00494755251355076
Kaushik Bhattacharya, Neela Bhattacharya, Vipul D Yagnik, Pankaj Garg
{"title":"English as a gatekeeper in global medicine.","authors":"Kaushik Bhattacharya, Neela Bhattacharya, Vipul D Yagnik, Pankaj Garg","doi":"10.1177/00494755251355076","DOIUrl":"https://doi.org/10.1177/00494755251355076","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251355076"},"PeriodicalIF":0.5,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555535","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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