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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 0.6 4区 医学
Tropical Doctor Pub Date : 2025-07-01 Epub 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":"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":"270-272"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","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
Sub-optimal oxygen blending and saturation monitoring despite widespread continuous positive airway pressure use: A survey of select sub-Saharan hospitals. 尽管广泛使用持续气道正压通气，但次优氧混合和饱和度监测：对撒哈拉以南地区选定医院的调查。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-07-01 Epub Date: 2025-06-23 DOI: 10.1177/00494755251348062
Jennifer Harling, Lloyd Tooke
{"title":"Sub-optimal oxygen blending and saturation monitoring despite widespread continuous positive airway pressure use: A survey of select sub-Saharan hospitals.","authors":"Jennifer Harling, Lloyd Tooke","doi":"10.1177/00494755251348062","DOIUrl":"10.1177/00494755251348062","url":null,"abstract":"<p><p>Respiratory support for neonates is key for reducing mortality; however, the capabilities of countries in sub-Saharan Africa (SSA) are not exactly known. Our aim was to assess the availability of respiratory support systems and medications for neonates in a sample of hospitals in SSA. A survey was conducted among neonatal providers attending an annual neonatal conference in Tanzania. One response per healthcare facility was invited. A total of 47 institutions completed the survey. Continuous positive airway pressure (CPAP) was used in almost all (96.6%) tertiary hospitals and in 88.9% of frontline hospitals. Continuous oxygen saturation monitoring is available in less than 50% of healthcare facilities; the ability to blend oxygen for all infants is available in 22% of facilities. Although the availability of CPAP is high, this sample may not be representative of all hospitals. Monitoring oxygen saturation and the ability to blend oxygen are suboptimal.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"228-233"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477612","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
Secondary haemophagocytic lymphohistiocytosis associated with acute viral hepatitis A - A case series. 继发性噬血细胞淋巴组织细胞增多症与急性病毒性甲型肝炎病例系列。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-07-01 Epub Date: 2025-06-04 DOI: 10.1177/00494755251343390
Suprabhat Giri, Chandramauli Mishra, Prasanna Gore, Dibya Lochan Praharaj, Ramesh Uddaraju, Girish Kumar Pati
{"title":"Secondary haemophagocytic lymphohistiocytosis associated with acute viral hepatitis A - A case series.","authors":"Suprabhat Giri, Chandramauli Mishra, Prasanna Gore, Dibya Lochan Praharaj, Ramesh Uddaraju, Girish Kumar Pati","doi":"10.1177/00494755251343390","DOIUrl":"10.1177/00494755251343390","url":null,"abstract":"<p><p>Hepatitis A-associated haemophagocytic lymphohistiocytosis (HLH) is an uncommon but severe complication that arises from an exaggerated immune response triggered by multiple aetiology. HLH is characterised by excessive inflammation and tissue destruction due to abnormal immune activation, often leading to multi-organ failure and high mortality if not promptly diagnosed and treated. Although HLH is more commonly associated with other viral infections, its occurrence with hepatitis A virus (HAV) is rare and primarily documented through case reports. The present case series aims to report the clinical presentations, diagnostic challenges, treatment strategies and outcomes of five cases of HAV-associated HLH.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"251-254"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217372","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
Autochthonous cases of malaria in central Anatolia. 安纳托利亚中部的本地疟疾病例。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-07-01 Epub Date: 2025-06-11 DOI: 10.1177/00494755251344650
Zehra Beştepe Dursun, Hande Sağlam, Esma Eryilmaz Eren, Ayşin Kilinç Toker, Merve Elmaağaç, İlhami Çelik
{"title":"Autochthonous cases of malaria in central Anatolia.","authors":"Zehra Beştepe Dursun, Hande Sağlam, Esma Eryilmaz Eren, Ayşin Kilinç Toker, Merve Elmaağaç, İlhami Çelik","doi":"10.1177/00494755251344650","DOIUrl":"10.1177/00494755251344650","url":null,"abstract":"<p><p>Malaria incidence has significantly declined worldwide and Turkey has not been classified as an endemic region since 2016. By 2023, all cases reported in the country were linked to travels to an endemic region. In this report, four cases of malaria caused by <i>Plasmodium falciparum</i> are presented from the province of Kayseri but with no history of travel to any malaria-endemic region. Three cases were diagnosed by reverse transcription-polymerase chain reaction. The second case had mixed parasitemia of <i>P. falciparum</i> and <i>P. vivax</i>. Artemether (20 mg)-lumefantrin were given to all patients. After discharge, the first and fourth malaria cases were admitted with recurrent parasitaemia. They were re-treated and then recovered. The second case improved, but the third case developed organ failure and died. Malaria should be considered in the preliminary clinical diagnosis of patients even when no history of endemic region residence can be verified.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"255-259"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267748","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
Emphysematous pyelonephritis due to mucormycosis. 毛霉病所致的肺气肿性肾盂肾炎。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-07-01 Epub Date: 2025-04-17 DOI: 10.1177/00494755251332993
Spoorthi Sriram, Venu Shakthivel, Rangineni Jayaprada, Madala Chandana Sree, Kandula Venkata Koti Reddy, Rapur Ram
{"title":"Emphysematous pyelonephritis due to mucormycosis.","authors":"Spoorthi Sriram, Venu Shakthivel, Rangineni Jayaprada, Madala Chandana Sree, Kandula Venkata Koti Reddy, Rapur Ram","doi":"10.1177/00494755251332993","DOIUrl":"10.1177/00494755251332993","url":null,"abstract":"<p><p>Emphysematous pyelonephritis is an acute necrotizing parenchymal and peri-renal infection caused by gas-forming uropathogens. We present such a diagnosis in a non-diabetic patient with a rare causative agent.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"273-274"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049102","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 0.6 4区 医学
Tropical Doctor Pub Date : 2025-07-01 Epub 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":"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":"290-292"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","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
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 0.6 4区 医学
Tropical Doctor Pub Date : 2025-07-01 Epub 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":"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":"284-286"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","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
Atypical intussusception: When altered consciousness masks a gastrointestinal emergency. 非典型肠套叠：意识改变掩盖了胃肠急症。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-07-01 Epub Date: 2025-05-28 DOI: 10.1177/00494755251341982
Hatice Feray Arı
{"title":"Atypical intussusception: When altered consciousness masks a gastrointestinal emergency.","authors":"Hatice Feray Arı","doi":"10.1177/00494755251341982","DOIUrl":"10.1177/00494755251341982","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"281-283"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163503","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
Does English hegemony in dissemination of medical literature represent an unjust barrier to global knowledge equity? 英国在医学文献传播方面的霸权是否代表着全球知识公平的不公正障碍？
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-07-01 Epub Date: 2025-05-29 DOI: 10.1177/00494755251345570
Dhananjaya Sharma, Michael Cotton
{"title":"Does English hegemony in dissemination of medical literature represent an unjust barrier to global knowledge equity?","authors":"Dhananjaya Sharma, Michael Cotton","doi":"10.1177/00494755251345570","DOIUrl":"10.1177/00494755251345570","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"205-206"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175452","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
Human immunodeficiency virus and Helicobacter pylori coinfection: Immune modulation and eradication failure. 人类免疫缺陷病毒和幽门螺杆菌共感染：免疫调节和根除失败。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-07-01 Epub Date: 2025-05-09 DOI: 10.1177/00494755251339521
Haidi Karam-Allah Ramadan, Zeinab N Ahmed, Abdel-Rahman AboDief, Zeinab R Mohamed, Hager M Hamed, Taha H El-Sherif
{"title":"Human immunodeficiency virus and <i>Helicobacter pylori</i> coinfection: Immune modulation and eradication failure.","authors":"Haidi Karam-Allah Ramadan, Zeinab N Ahmed, Abdel-Rahman AboDief, Zeinab R Mohamed, Hager M Hamed, Taha H El-Sherif","doi":"10.1177/00494755251339521","DOIUrl":"10.1177/00494755251339521","url":null,"abstract":"<p><p>The relationship between Human Immunodeficiency Virus (HIV) and <i>Helicobacter pylori</i> (H. pylori) is bidirectional and complex. <i>Helicobacter pylori,</i> by inducing local gastric and systemic immune responses, counteracts HIV invasion to CD4+ cells and other inflammatory cells and can reactivate HIV in latently infected immune cells. Human Immunodeficiency Virus infection, by reducing secretion of pro-inflammatory cytokines, reduces the incidence of H. pylori-induced gastric pathology. Gastric lymphoma regressed in some cases of people living with HIV (PLWH) after H. pylori eradication. Triple therapy for H. pylori could be associated with a strong immune. Treatment for both H. pylori and HIV can reduce the activation of either organism. However, the primary resistance to antibiotics such as levofloxacin, clarithromycin and metronidazole is higher among PLWH. This review highlights the need for further research and guidelines on the appropriate antibiotics in HIV-H. pylori co-infection particularly in PLWH who receive multiple antibiotic prophylaxis.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"207-214"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054200","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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