{"title":"Barriers to the treatment of clubfoot in low- and middle-income countries: A guide to improve compliance.","authors":"Sitanshu Barik, Vishal Kumar, Vikash Raj, Saurabh Varshney","doi":"10.1177/00494755241284335","DOIUrl":"10.1177/00494755241284335","url":null,"abstract":"<p><p>The Ponseti method of clubfoot treatment is ideal for low- and middle-income countries since it is minimally invasive and easily implementable through non-surgeon providers. However, variables related to the socioeconomic status of the community, patient-related factors, treatment provider-related factors, and health system-related factors may influence the outcome of this deformity. These barriers need a two-pronged approach, a top-down (involvement at the policy level) as well as a bottom-up method (involvement at an individual level). Improving the knowledge level of the caregiver as well as the provider and addressing the issues regarding financial constraints will help in eliminating various barriers to the treatment of clubfoot. Furthermore, regular audits help in identifying the efficacy of various solutions employed as well as identifying new barriers to treatment. Integration at the policy level with the involvement of governmental as well as non-governmental organisations helps to remove health system-level bottlenecks.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"38-41"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299470","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 : 2025-01-01Epub Date: 2024-10-14DOI: 10.1177/00494755241287605
Amit Rai, Krati Agarwal, Parul Singh, Atul R Rukadikar
{"title":"<i>Chromobacterium violaceum</i>: An incidental finding in a neonate.","authors":"Amit Rai, Krati Agarwal, Parul Singh, Atul R Rukadikar","doi":"10.1177/00494755241287605","DOIUrl":"10.1177/00494755241287605","url":null,"abstract":"<p><p><i>Chromobacterium violaceum</i> is a gram-negative saprophytic bacterium causing human infection in tropical and subtropical countries. Such infections are uncommon but cause high mortality when the bacterium enters the bloodstream through an open wound. We present a case of <i>C. violaceum</i> infection isolated from a blood culture sample in a neonate identified at a tertiary care teaching hospital in North East Uttar Pradesh. Timely diagnosis by microbiological methods and antimicrobial treatment led to a successful cure for this life-threatening infection. Thus, such bacteria should be included in the routine spectrum for differential diagnosis of sepsis, to provide a chance of cure.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"65-66"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478964","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 : 2025-01-01Epub Date: 2024-11-06DOI: 10.1177/00494755241296171
Valeri Velev, Metodi Popov, Maria Pavlova, Yordanka Mitova-Mineva
{"title":"Campylobacter cholecystitis and bacteraemia caused by <i>Campylobacter jejuni</i> in a child.","authors":"Valeri Velev, Metodi Popov, Maria Pavlova, Yordanka Mitova-Mineva","doi":"10.1177/00494755241296171","DOIUrl":"10.1177/00494755241296171","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"75-77"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591966","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 : 2025-01-01Epub Date: 2024-09-23DOI: 10.1177/00494755241282221
Arpit Shastri, Bhavin Davra, Mohammad Uwais Ashraf, Raghav Lal, Nalini Gupta, Arka De
{"title":"Tuberculosis masquerading as a pancreatic cyst in a patient with cirrhosis.","authors":"Arpit Shastri, Bhavin Davra, Mohammad Uwais Ashraf, Raghav Lal, Nalini Gupta, Arka De","doi":"10.1177/00494755241282221","DOIUrl":"10.1177/00494755241282221","url":null,"abstract":"<p><p>Cystic lesions of the pancreas are being increasingly diagnosed incidentally in recent decades due to easy availability of abdominal imaging. They may be neoplastic or benign. Tuberculosis, the great masquerader, may rarely involve the pancreas mimicking pancreatic malignancy, cyst, or abscess. Identification of this rare entity is crucial to avoid potentially risky surgery as anti-tubercular pharmacotherapy is highly effective. We report a case of a 40-year old cirrhotic man who presented with a cystic hypodense lesion in the pancreatic tail and was subsequently diagnosed with pancreatic tuberculosis. Apart from the rarity of diagnosis, our case also highlights the utility of endoscopic ultrasound for minimally invasive assessment of pancreatic lesions.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"54-56"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299473","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 : 2025-01-01Epub Date: 2024-09-27DOI: 10.1177/00494755241284426
Sanjay Kumar Yadav, M Mohammed Imran, Dhananjaya Sharma, Yogesh Tiwari, Arpan Mishra, Pawan Agarwal
{"title":"Is it time to say goodbye to drainage after axillary lymph node dissection in breast cancer? A randomized clinical trial of systemic tranexamic acid combined with topical epinephrine + xylocaine versus conventional drainage.","authors":"Sanjay Kumar Yadav, M Mohammed Imran, Dhananjaya Sharma, Yogesh Tiwari, Arpan Mishra, Pawan Agarwal","doi":"10.1177/00494755241284426","DOIUrl":"10.1177/00494755241284426","url":null,"abstract":"<p><p>Drainage after axillary lymph node dissection is a major cause of morbidity. We evaluated the outcomes of topical epinephrine with xylocaine + systemic tranexamic acid (EXT) after axillary lymph node dissection. The primary endpoint was the rate of seroma development. This resulted in reduced hospital stay with similar rates of seroma as drainage after axillary lymph node dissection; thereby making it possible to avoid drainage.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"22-26"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331005","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 : 2025-01-01Epub Date: 2024-10-25DOI: 10.1177/00494755241293182
Shrinivas Patil, Debdeep Mitra
{"title":"Scrub typhus eschar: Clinical and 365 nm fluorescence dermoscopic correlation and follow-up till cure.","authors":"Shrinivas Patil, Debdeep Mitra","doi":"10.1177/00494755241293182","DOIUrl":"10.1177/00494755241293182","url":null,"abstract":"<p><p>This case report presents an instance of scrub typhus, distinguished by a solitary eschar on the thigh, and explores the application of dermoscopy with 365 nm ultraviolet illumination for real-time monitoring during treatment. Scrub typhus, caused by Orientia tsutsugamushi, typically manifests with eschars that can be easily overlooked due to their painless nature. This case highlights the utility of dermoscopy in improving eschar detection and therapeutic monitoring, offering a novel approach to managing this potentially severe disease.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"48-50"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511615","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":"Navigating the disappointment of manuscript rejection: An author's dialogue with a reviewer and editor of tropical doctor (TD).","authors":"Kaushik Bhattacharya, Dhananjaya Sharma, Micheal Cotton","doi":"10.1177/00494755241271955","DOIUrl":"10.1177/00494755241271955","url":null,"abstract":"<p><p>With the majority of medical journals having a rejection rate of >80% of submitted manuscripts, it does come as a shock and as grief to the author who great expectations before submission. Though the majority of literature available does mention how to overcome the lacunae in the manuscript before considering resubmission in another journal, none addresses the mental agony and setback the author faces and the way to overcome this setback. Every author should develop immunity and also be adequately mentally prepared to overcome this misery.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"307-309"},"PeriodicalIF":0.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989335","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 : 2024-10-01Epub Date: 2024-07-23DOI: 10.1177/00494755241260477
Yashita Gupta, Vats Mehta
{"title":"Granulomatous mycosis fungoides: A difficult diagnosis!","authors":"Yashita Gupta, Vats Mehta","doi":"10.1177/00494755241260477","DOIUrl":"10.1177/00494755241260477","url":null,"abstract":"<p><p>Mycosis fungoides (MF) is the most common type of cutaneous lymphoma. However, granulomatous MF remains a rare subtype. Its incidence is estimated in the literature to be 6.3%. Clinical and pathological diagnosis of this entity is difficult owing to clinical heterogenicity and various histopathological mimics. We report one such case.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"359-361"},"PeriodicalIF":0.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753155","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}