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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
Concomitant lip and vulval involvement of Crohn's disease: A rare occurrence. 克罗恩病并发唇和外阴受累：罕见的发生。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-09-17 DOI: 10.1177/00494755251376816
Zoya Hasan, Ananya Sharma, Meeta Singh, Shivangi Garg, Chirantan S
{"title":"Concomitant lip and vulval involvement of Crohn's disease: A rare occurrence.","authors":"Zoya Hasan, Ananya Sharma, Meeta Singh, Shivangi Garg, Chirantan S","doi":"10.1177/00494755251376816","DOIUrl":"https://doi.org/10.1177/00494755251376816","url":null,"abstract":"<p><p>Crohn's disease is a chronic granulomatous inflammatory condition affecting any part of the gastrointestinal tract. Extra-intestinal manifestations affecting the mouth may also occur, with a prevalence varying between 0.5% and 37%. However, vulval involvement is rare with approximately130 reported cases in the literature so far. An extensive literature search has shown isolated lip and vulval involvement as extra-intestinal manifestations of Crohn's disease, with only one reported case of combined vulval and lip involvement.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251376816"},"PeriodicalIF":0.6,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082298","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
Long-undiagnosed histoid leprosy in a young female. 1例年轻女性长期未确诊的组织性麻风病。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-09-16 DOI: 10.1177/00494755251378580
Seema Rani, Anjali Sahu, Jayanthi Raika, Vibhu Mendiratta, Kiran Agarwal
{"title":"Long-undiagnosed histoid leprosy in a young female.","authors":"Seema Rani, Anjali Sahu, Jayanthi Raika, Vibhu Mendiratta, Kiran Agarwal","doi":"10.1177/00494755251378580","DOIUrl":"https://doi.org/10.1177/00494755251378580","url":null,"abstract":"<p><p>Histoid leprosy is a rare variant of multibacillary leprosy characterised by distinctive clinical and histopathological features. It typically presents as firm, shiny, skin-coloured to erythematous papules and nodules. Clinical presentations can vary, including keloid-like lesions and umbilicated papules, nodules with atrophic scarring. Accurate diagnosis is crucial for appropriate management and prevention of transmission. A case of long-standing histoid leprosy in a young female with atypical scarring lesions is reported. Histoid leprosy continues to challenge clinicians with its atypical presentations and diagnostic dilemmas.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251378580"},"PeriodicalIF":0.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076471","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
Vaccination among splenectomy patients: can unavailability or ignorance justify failure in administration? 脾切除术患者接种疫苗：无法获得或无知是否可以证明接种失败？
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-09-16 DOI: 10.1177/00494755251379545
Sahil Sandal, Pragyan Paramita Parija, Akshat Sudhanshu, Nitesh Kumar, Abhinav Mani
{"title":"Vaccination among splenectomy patients: can unavailability or ignorance justify failure in administration?","authors":"Sahil Sandal, Pragyan Paramita Parija, Akshat Sudhanshu, Nitesh Kumar, Abhinav Mani","doi":"10.1177/00494755251379545","DOIUrl":"https://doi.org/10.1177/00494755251379545","url":null,"abstract":"<p><p>Splenectomy (elective or emergency) increases susceptibility to life-threatening infections, particularly overwhelming post-splenectomy infection (OPSI) from encapsulated organisms. Despite clear guidelines recommending pneumococcal, meningococcal, haemophylus, and influenza vaccinations, coverage remains suboptimal, especially in low-resource settings such as India. Poor vaccine uptake is driven by a lack of awareness among patients and providers, financial constraints, limited availability, and weak post-operative follow-up systems. Adults face greater challenges due to out-of-pocket costs and emergency surgery, while children, despite receiving pentavalent vaccines, often miss boosters. Ethically, systemic failures in providing recommended vaccines represent breaches in distributive justice and accountability. Strengthening vaccine counselling, training healthcare providers, and integrating adult vaccines into national programmes are essential. Clinical trials should explore the safety and cost-effectiveness of paediatric pentavalent vaccines in adults when isolated haemophilus vaccines are unavailable. Bridging the gap between guidelines and practice is not only clinically necessary but an ethical imperative to protect these vulnerable.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251379545"},"PeriodicalIF":0.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076474","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 Garg classification for anal fistulas is accurate and robust, due to which it has stood the test of time: Update from the innovator. Garg肛瘘分类是准确而稳健的，因此它经受住了时间的考验：来自创新者的更新。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-09-16 DOI: 10.1177/00494755251379549
Pankaj Garg, Nicola Clemente, Kaushik Bhattacharya
{"title":"The Garg classification for anal fistulas is accurate and robust, due to which it has stood the test of time: Update from the innovator.","authors":"Pankaj Garg, Nicola Clemente, Kaushik Bhattacharya","doi":"10.1177/00494755251379549","DOIUrl":"https://doi.org/10.1177/00494755251379549","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251379549"},"PeriodicalIF":0.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076451","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
Genetic and clinical profile of neonates with meconium ileus: A case series. 新生儿胎便性肠梗阻的遗传和临床特征：一个病例系列。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-09-16 DOI: 10.1177/00494755251376415
Chaitra Angadi, Pankaj Chaudhary, Poonam Singh, Suman Chaurasia, Mayank Priyadarshi, Sriparna Basu
{"title":"Genetic and clinical profile of neonates with meconium ileus: A case series.","authors":"Chaitra Angadi, Pankaj Chaudhary, Poonam Singh, Suman Chaurasia, Mayank Priyadarshi, Sriparna Basu","doi":"10.1177/00494755251376415","DOIUrl":"https://doi.org/10.1177/00494755251376415","url":null,"abstract":"<p><p>We present a case series describing the management and genetic findings in five neonates with meconium ileus, presenting within 48 h of birth. Whole-exome sequencing identified cystic fibrosis transmembrane conductance regulator mutations in three neonates, confirming cystic fibrosis, with one heterozygous variant of unknown significance. Two ultimately required surgical intervention after failed conservative management. One died of septic shock.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251376415"},"PeriodicalIF":0.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076439","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 mask of deficiency: A rare case of facial hyperpigmentation in vitamin B12 deficiency - a case report and review of literature. 缺乏的面具：维生素B12缺乏症面部色素沉着的罕见病例报告及文献复习。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-09-16 DOI: 10.1177/00494755251378821
Ram Arvind Viswanathan
{"title":"The mask of deficiency: A rare case of facial hyperpigmentation in vitamin B<sub>12</sub> deficiency - a case report and review of literature.","authors":"Ram Arvind Viswanathan","doi":"10.1177/00494755251378821","DOIUrl":"https://doi.org/10.1177/00494755251378821","url":null,"abstract":"<p><p>Vitamin B<sub>12</sub> deficiency can manifest in various forms, including skin changes in the form of hyperpigmentation. The hyperpigmentation in vitamin B<sub>12</sub> deficiency commonly presents over the hands and feet, but presenting over the face and oral cavity is very rare. Here we describe an interesting case where there was hyperpigmentation in the face and oral cavity which was mimicking Addison's disease, but the actual diagnosis was vitamin B<sub>12</sub> deficiency. This case stresses that knowing the uncommon manifestations of common disease is more important than knowing the common manifestations of uncommon disease.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251378821"},"PeriodicalIF":0.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076462","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
Local, regional, and continental trends in tuberculosis mortality rates across the Americas at the beginning of the XXI century. 21世纪初美洲各地肺结核死亡率的地方、区域和大陆趋势。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-09-16 DOI: 10.1177/00494755251376416
Lucas Casagrande Passoni Lopes
{"title":"Local, regional, and continental trends in tuberculosis mortality rates across the Americas at the beginning of the XXI century.","authors":"Lucas Casagrande Passoni Lopes","doi":"10.1177/00494755251376416","DOIUrl":"https://doi.org/10.1177/00494755251376416","url":null,"abstract":"<p><p>This ecological time-series study analysed tuberculosis (TB) mortality trends in the Americas from 2000 to 2019 using data from the Pan American Health Organization. Age-adjusted mortality rates by country and sex were assessed with Joinpoint regression to estimate annual percentage changes. Results showed a general decline in TB mortality, with average annual reductions of -2.3% in men and -1.9% in women. Brazil, Colombia, and Canada exhibited continuous decreases, while Saint Lucia, Jamaica, and Honduras had episodes of increase or fluctuation. The highest mortality rates persisted in Bolivia, Mexico, Nicaragua, Honduras, and Peru. Regional analyses indicated periods of trend stabilisation, especially in Central and South America during the latter years. Despite overall progress, significant disparities by region and sex remain, reflecting complex social, economic, and healthcare factors. Strengthening surveillance systems and tailoring interventions to specific local contexts are crucial for further reducing TB mortality across the continent.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251376416"},"PeriodicalIF":0.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076426","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 burden: Noise pollution and mental health in low- and middle-income countries. 无声的负担：低收入和中等收入国家的噪音污染和心理健康。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-09-15 DOI: 10.1177/00494755251378210
Raja Babu Ramawat, Omar Afroz, Siddharth Sarkar
{"title":"The silent burden: Noise pollution and mental health in low- and middle-income countries.","authors":"Raja Babu Ramawat, Omar Afroz, Siddharth Sarkar","doi":"10.1177/00494755251378210","DOIUrl":"https://doi.org/10.1177/00494755251378210","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251378210"},"PeriodicalIF":0.6,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071080","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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