Tropical Doctor最新文献_第2页

Scrotal exploration for suspected testicular torsion: Lessons from 61 consecutive cases presenting at an adult emergency room. 阴囊探查诊断疑似睾丸扭转：来自成人急诊室61例连续病例的经验教训。

IF 0.6 4区医学

Tropical Doctor Pub Date : 2026-04-30 DOI: 10.1177/00494755261446073

James Edward Mensah, Geoffrey Birinkorang, Ernest Kwame Adjepong-Tandoh, Enoch Tackie, John Nkrumah, Kofi Tawiah Mensah

{"title":"Scrotal exploration for suspected testicular torsion: Lessons from 61 consecutive cases presenting at an adult emergency room.","authors":"James Edward Mensah, Geoffrey Birinkorang, Ernest Kwame Adjepong-Tandoh, Enoch Tackie, John Nkrumah, Kofi Tawiah Mensah","doi":"10.1177/00494755261446073","DOIUrl":"https://doi.org/10.1177/00494755261446073","url":null,"abstract":"This study assessed the clinical presentation, diagnosis, and outcomes of patients presenting with acute scrotal pain as an adult emergency who underwent scrotal exploration. A retrospective review was conducted at Korle Bu Teaching Hospital, Ghana, over 5 years. Sixty-one patients aged 10-72 years (median 21) were included. Clinical findings, use of Doppler ultrasound, operative findings, and outcomes were analysed. Testicular torsion was confirmed in 44 patients (72.1%). Clinical evaluation alone achieved a diagnostic accuracy of 74%, while Doppler ultrasound, performed in 55.7% of cases, showed 88.5% sensitivity for torsion. Orchidectomy was required in 39.3% due to gangrenous testes, while 32.8% had viable testes salvaged. Delayed presentation (>72 h) was strongly associated with testicular gangrene (χ2 = 31.47, p < 0.00001). Delayed presentation reduces testicular salvage, and in resource-limited settings, careful clinical examination remains central to diagnosing suspected torsion and guiding timely surgical intervention.","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755261446073"},"PeriodicalIF":0.6,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822860","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

Decompressive fasciotomy as a limb-sparing intervention for gas-forming soft tissue infection of the lower limb in diabetic patients: A prospective cohort study of 20 cases from Dakar, Senegal. 减压筋膜切开术作为保肢干预糖尿病患者下肢气体形成软组织感染：一项来自塞内加尔达喀尔的20例前瞻性队列研究

IF 0.6 4区医学

Tropical Doctor Pub Date : 2026-04-30 DOI: 10.1177/00494755261446119

Seye Yacine, Gueye Mohamadou Lamine, Diop Mouhamadou Laye, Touré Alpha Oumar, Seck Mamadou, Dieng Madieng

{"title":"Decompressive fasciotomy as a limb-sparing intervention for gas-forming soft tissue infection of the lower limb in diabetic patients: A prospective cohort study of 20 cases from Dakar, Senegal.","authors":"Seye Yacine, Gueye Mohamadou Lamine, Diop Mouhamadou Laye, Touré Alpha Oumar, Seck Mamadou, Dieng Madieng","doi":"10.1177/00494755261446119","DOIUrl":"https://doi.org/10.1177/00494755261446119","url":null,"abstract":"Major amputation remains the default response to gas-forming soft tissue infection of the lower limb in diabetic patients across Sub-Saharan Africa, despite its devastating functional and economic consequences in settings with minimal prosthetic services. We report a prospective cohort study of 20 such patients who underwent primary decompressive fasciotomy at a tertiary centre in Dakar, Senegal. Overall limb salvage was achieved in 75% (15/20), and in-hospital mortality was zero. Among nine patients ultimately requiring amputation, the planned level was downstaged in 78%, including one patient initially assessed for hip disarticulation who underwent lower leg amputation. Preoperative vascular status was the decisive predictor: salvage reached 91% with good arterial perfusion versus 0% in mediacalcosis (Mönckeberg's arteriosclerosis) (p < 0.01). Therefore, decompressive fasciotomy, being a less invasive, inexpensive, and technically accessible procedure, should precede amputation in every diabetic patient with gas-forming lower limb infection and preserved arterial flow.","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755261446119"},"PeriodicalIF":0.6,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822868","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

Updates in paediatric advanced life support (PALS) 2025: Implications for clinical practice. 儿科晚期生命支持（PALS） 2025的更新：对临床实践的影响。

IF 0.6 4区医学

Tropical Doctor Pub Date : 2026-04-30 DOI: 10.1177/00494755261445181

Saroj Kumar Tripathy, Sarthak Das, Ehtesham Ansari

{"title":"Updates in paediatric advanced life support (PALS) 2025: Implications for clinical practice.","authors":"Saroj Kumar Tripathy, Sarthak Das, Ehtesham Ansari","doi":"10.1177/00494755261445181","DOIUrl":"https://doi.org/10.1177/00494755261445181","url":null,"abstract":"The 2025 pediatric advanced life support guidelines, developed by the American Heart Association and the American Academy of Pediatrics, are a resource for healthcare professionals caring for infants and children under 18 years of age in peri-arrest and other emergency care situations. The new guidelines address evolving pediatric cardiac arrest patterns, characterized predominantly by respiratory failure or shock, with persistent disparities in out-of-hospital survival and neurological outcomes. Major revisions include setting a blood pressure target above the 10th centile post-cardiac arrest, administering epinephrine after two attempts of defibrillation in a shockable rhythm, and administering early epinephrine in non-shockable cardiac arrest, as well as preventing hyperthermia. It also emphasizes evidence-based strategies such as early high-quality cardiopulmonary resuscitation (CPR), targeted post-arrest care, continuous electroencephalogram for neurological monitoring, and IV sotalol as an option for refractory supraventricular tachycardia. Long-term survivor support and family presence during resuscitation are integrated as vital aspects of care. While core recommendations-such as CPR technique, ventilation strategies, and shock management-are reaffirmed, the update provides a robust framework for multicentric harmonization. The adoption of these updated protocols in promises enhanced resuscitation outcomes, consistent neurological recovery, and the development of context-specific best practices in pediatric emergency care.","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755261445181"},"PeriodicalIF":0.6,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822831","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

Disseminated methicillin-resistant Staphylococcus aureus pyomyositis in an immunocompetent young adult: A case report. 播散性耐甲氧西林金黄色葡萄球菌化脓性炎在免疫能力的年轻人：一个病例报告。

IF 0.6 4区医学

Tropical Doctor Pub Date : 2026-04-30 DOI: 10.1177/00494755261446112

Ayesha Khan, Maria Rasheed, Syeda Wareesha Fareeduddin Shah, S M Aleem Hussain, Hussain Haider Shah, Anum Tahir Hashmi, Ahmed Ali

引用次数: 0

Coccidian co-infections in immuno-compromised patients: Prevalence, clinical impact, and insights from a tertiary care centre. 免疫功能低下患者的球虫合并感染：患病率、临床影响和来自三级保健中心的见解。

IF 0.6 4区医学

Tropical Doctor Pub Date : 2026-04-30 DOI: 10.1177/00494755261446083

Shaveta Kataria, Ashina Singla, Ved Prakash Mamoria, Rachna Priyadarshini

引用次数: 0

Rheumatoid-type hand deformities in psoriatic arthritis: An illustrative case. 银屑病关节炎的类风湿型手部畸形：一个说明性病例。