Tropical DoctorPub Date : 2026-10-08DOI: 10.1177/00494755261497097
Dhananjaya Sharma, Pawan Agarwal, Michael Cotton
{"title":"Diabetic foot profile (DFP): A global taxonomy for clinical phenotyping of the Diabetic Foot.","authors":"Dhananjaya Sharma, Pawan Agarwal, Michael Cotton","doi":"10.1177/00494755261497097","DOIUrl":"https://doi.org/10.1177/00494755261497097","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755261497097"},"PeriodicalIF":0.6,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139192","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 : 2026-10-08DOI: 10.1177/00494755261495754
Gabriel Nery da Silva Menezes, Eduardo Ráfaga Gonçalves Calvoso
{"title":"Disseminated cryptococcosis in systemic lupus erythematosus: Case report.","authors":"Gabriel Nery da Silva Menezes, Eduardo Ráfaga Gonçalves Calvoso","doi":"10.1177/00494755261495754","DOIUrl":"https://doi.org/10.1177/00494755261495754","url":null,"abstract":"<p><p>We report a rare case of disseminated <i>cryptococcosis gattii</i> infection with initial central nervous system manifestations in a 28-year old male under regular treatment for systemic lupus erythematosus since 2020. He presented with headache evolving into hearing loss, hypogeusia, amblyopia and mental confusion. This case highlights the challenge of diagnosing opportunistic fungal infections in patients with chronic immuno-suppression, emphasizing how early targeted management is critical to mitigate severe neurological sequelae and reduce mortality.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755261495754"},"PeriodicalIF":0.6,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139219","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 : 2026-10-07DOI: 10.1177/00494755261495780
Lucas Casagrande Passoni Lopes
{"title":"Temporal trends in congenital syphilis incidence per 1000 live births in the Americas.","authors":"Lucas Casagrande Passoni Lopes","doi":"10.1177/00494755261495780","DOIUrl":"https://doi.org/10.1177/00494755261495780","url":null,"abstract":"<p><p>Congenital syphilis (CS) is a significant infectious condition associated with a high social and economic burden. In the Americas, the epidemiological situation remains concerning, with varying patterns across countries. Our study evaluated temporal trends in CS incidence per 1000 live births in countries across the Americas between 2009 and 2021. An ecological study was conducted using data from the Pan American Health Organization and analyzed via the Joinpoint Regression Program and Project R. Sixteen countries were included, showing an average annual increase of 6.42% in CS incidence. Canada showed a continuous downward trend, while Cuba and Panama showed little change. Brazil, Paraguay, and Panama recorded the highest average incidence rates, while the other countries displayed heterogeneous temporal patterns, with periods of increase, decrease, and stabilization. These results highlight significant epidemiological inequalities and underline the need for targeted strategies for CS prevention, surveillance, and control in the Americas.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755261495780"},"PeriodicalIF":0.6,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128970","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":"Adult-onset IgA vasculitis with crescentic nephritis triggered by pulmonary tuberculosis: A case report.","authors":"Akash Rawat, Dhruv Gupta, Varuna Jethani, Sushant Khanduri, Rashmi Jindal, Vikas Chandel","doi":"10.1177/00494755261492886","DOIUrl":"https://doi.org/10.1177/00494755261492886","url":null,"abstract":"<p><p>Adult-onset IgA vasculitis is a rare, under-recognised cause of crescentic nephritis in adults, with infections, drugs and malignancies among common triggers; tuberculosis is also an uncommon but important one. We describe such a case.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755261492886"},"PeriodicalIF":0.6,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128990","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 : 2026-10-07DOI: 10.1177/00494755261493670
Lucas Casagrande Passoni Lopes
{"title":"Temporal trends in envenomation by venomous animals: A global burden of disease analysis.","authors":"Lucas Casagrande Passoni Lopes","doi":"10.1177/00494755261493670","DOIUrl":"https://doi.org/10.1177/00494755261493670","url":null,"abstract":"<p><p>Envenomation by venomous animals remains a critical public health issue in tropical regions; however, long-term global epidemiological trends have not yet been sufficiently characterised. By analysing data from the Global Burden of Disease study from 1990 to 2021, we found a decline in envenomation incidence and mortality globally, with South Asia being the region with the highest burden, despite recording the sharpest reductions. Disparities persist between working-age men and the elderly, highlighting the need for targeted occupational protection measures and improvements in antivenom distribution for emergencies.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755261493670"},"PeriodicalIF":0.6,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129007","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 : 2026-10-01Epub Date: 2026-05-06DOI: 10.1177/00494755261447340
Rafey A Rahman, Survesh K Gupta, Anshuma Kant, Muniba Alim, Vinay Kanaujia
{"title":"A low-cost pen-type neuromuscular electrical stimulator for intraoperative muscle complex localization in anorectal malformation surgery.","authors":"Rafey A Rahman, Survesh K Gupta, Anshuma Kant, Muniba Alim, Vinay Kanaujia","doi":"10.1177/00494755261447340","DOIUrl":"10.1177/00494755261447340","url":null,"abstract":"<p><p>Accurate placement of the neo-anus within the sphincter complex is critical for continence in anorectal malformation (ARM) surgery. Intraoperative localization may be difficult, and dedicated stimulators are not always available. We describe the modification and clinical use of a low-cost pen-type neuromuscular electrical stimulator for intraoperative muscle complex localization, with successful localization achieved in all patients, enabling precise neo-anal placement without device-related complications or significant increase in operative time.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"707-712"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845074","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":"Dual arthropathy in previously treated multibacillary leprosy: Inflammatory polyarthritis with neuropathic ankle destruction in an endemic setting.","authors":"Siddharth Rai, Harleen Uppal, Rupali Awale, Mallikarjun Gunjiganvi, Suruchi","doi":"10.1177/00494755261449584","DOIUrl":"10.1177/00494755261449584","url":null,"abstract":"<p><p>A 51-year-old woman previously treated for multibacillary leprosy presented with polyarthritis of wrists, ankles and small joints of the hands, resembling rheumatoid arthritis. She had completed multidrug leprosy therapy in 2014 and had a previous history of erythema nodosum leprosum treated with corticosteroids. Slit-skin smear demonstrated acid-fast bacilli and skin biopsy confirmed granulomatous inflammation consistent with leprosy. She was treated with anti-inflammatory therapy and rehabilitation measures, resulting in gradual clinical improvement.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"790-792"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147870237","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 : 2026-10-01Epub Date: 2026-05-21DOI: 10.1177/00494755261453715
Shiva Shiva, Shubhajeet Roy
{"title":"Informed consent or institutional ritual? Ethical challenges in overburdened public hospitals.","authors":"Shiva Shiva, Shubhajeet Roy","doi":"10.1177/00494755261453715","DOIUrl":"10.1177/00494755261453715","url":null,"abstract":"<p><p>Informed consent is a foundational doctrine in contemporary bioethics, rooted in respect for patient autonomy, bodily integrity, and the moral legitimacy of clinical intervention. Its modern articulation derives from a series of legal and ethical milestones, including the Nuremberg Code and subsequent frameworks such as the Declaration of Helsinki, which collectively emphasize voluntary participation, comprehension, and the right to refuse treatment. However, the actual operation of these principles in overburdened public hospitals in India reveals a persistent divergence between normative ideals and clinical practice.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"812-814"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989795","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}