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Jejuno-jejunal intussusception in an adult due to inflammatory fibroid polyp: Tale of two unusual cases. 炎性肌瘤息肉引起的成人空肠-空肠肠套叠：两个不寻常病例的故事。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-07-01 DOI: 10.1177/00494755251355360
Manish Sidharth, Lovenish Bains, Palak Bhatnagar, Varuna Mallya
{"title":"Jejuno-jejunal intussusception in an adult due to inflammatory fibroid polyp: Tale of two unusual cases.","authors":"Manish Sidharth, Lovenish Bains, Palak Bhatnagar, Varuna Mallya","doi":"10.1177/00494755251355360","DOIUrl":"https://doi.org/10.1177/00494755251355360","url":null,"abstract":"<p><p>Intussusception in adults is rare, accounting for 1-2% of intestinal obstruction, often caused by neoplasia. Jejuno-jejunal intussusception is especially uncommon and usually linked to benign lesions. Symptoms are vague, including colicky abdominal pain, vomiting and gastrointestinal bleeding, often delaying diagnosis until exploratory laparotomy. We present two cases of adult jejuno-jejunal intussusception caused by inflammatory fibroid polyps (IFPs), rare benign submucosal tumours mostly found in the stomach and rarely (4.3%) in the jejunum. The first case involved a 17-year old male with abdominal pain, melaena, anaemia and renal dysfunction; surgery revealed a jejunal mass, confirmed as IFP. The second case was a 34-year old female with bowel obstruction from a jejunal mass also identified as IFP. Imaging may mimic malignancy such as gastro-intestinal stromal tumor (GIST) or lymphoma, but histopathology confirms diagnosis. Surgical resection is curative with excellent prognosis.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251355360"},"PeriodicalIF":0.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530714","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
Improvising in adversity: Adapting a bicycle LED light as a light source for microscopic surgery in a surgical camp. 逆境中的即兴发挥：将自行车LED灯作为外科营地显微手术的光源。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-07-01 DOI: 10.1177/00494755251355096
Leison Maharjan
{"title":"Improvising in adversity: Adapting a bicycle LED light as a light source for microscopic surgery in a surgical camp.","authors":"Leison Maharjan","doi":"10.1177/00494755251355096","DOIUrl":"https://doi.org/10.1177/00494755251355096","url":null,"abstract":"<p><p>Surgical care in rural, resource-limited settings often faces challenges such as poor infrastructure and power instability. During a surgical camp in Purkot Daha, Nepal, a microscope bulb failed during myringoplasty due to voltage fluctuations. A bicycle LED light was improvised via a fibre-optic cable to complete the procedure. This case illustrates both the creativity of surgical teams and the risks of such adaptations, highlighting the need for better preparation, backup systems, and long-term investment in sustainable, low-cost innovations.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251355096"},"PeriodicalIF":0.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530695","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
Expanded dengue syndrome complicated by fulminant liver failure and prolonged intrahepatic cholestasis. 扩展型登革综合征并发暴发性肝衰竭和肝内胆汁淤积。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-06-26 DOI: 10.1177/00494755251349897
Pothumarthy Swathi Kiran, Praveen Kumar Tirlangi, Kavitha Saravu
{"title":"Expanded dengue syndrome complicated by fulminant liver failure and prolonged intrahepatic cholestasis.","authors":"Pothumarthy Swathi Kiran, Praveen Kumar Tirlangi, Kavitha Saravu","doi":"10.1177/00494755251349897","DOIUrl":"https://doi.org/10.1177/00494755251349897","url":null,"abstract":"<p><p>We report a case of expanded dengue syndrome in a 38-year old man who developed fulminant liver failure and prolonged intrahepatic cholestasis. Initially presenting with fever, weakness, and jaundice, he was diagnosed with dengue by positive NS1 antigen, polymerase chain reaction, and Immunoglobulin M tests. Despite supportive care, the patient progressed to severe hepatic encephalopathy and coagulopathy ensued. Management included N-acetylcysteine infusion, thromboelastography-guided transfusions and sedation with propofol. Persistent cholestatic jaundice was managed with ursodeoxycholic acid. The patient's condition gradually improved, highlighting the importance of tailored interventions for severe dengue liver complications.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251349897"},"PeriodicalIF":0.5,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498988","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
Envenomation by Brown recluse spider bite - a case series of cutaneous loxocelism. 褐隐蜘蛛咬伤致中毒——皮肤loxelism系列病例。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-06-23 DOI: 10.1177/00494755251351079
V Vijay, Yogindher Singh, Ayanchetty Haripraba, Oviya Selvam, Aravind Prasanna, Manobalan Karunanandhan
{"title":"Envenomation by Brown recluse spider bite - a case series of cutaneous loxocelism.","authors":"V Vijay, Yogindher Singh, Ayanchetty Haripraba, Oviya Selvam, Aravind Prasanna, Manobalan Karunanandhan","doi":"10.1177/00494755251351079","DOIUrl":"https://doi.org/10.1177/00494755251351079","url":null,"abstract":"<p><p>Brown recluse spiders, scientifically known as <i>Loxosceles reclusa</i>, are predominantly found in the United States of America. These spiders generally tend to stay in places away from human habitation. The bite of the spider can result in cutaneous loxoscelism or systemic loxoscelism, which manifests as haemolysis and renal abnormalities. Here, we report a case series of cutaneous loxoscelism.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251351079"},"PeriodicalIF":0.5,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477611","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 0.5 4区 医学
Tropical Doctor Pub 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":"https://doi.org/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":"494755251348062"},"PeriodicalIF":0.5,"publicationDate":"2025-06-23","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
Changing malaria epidemiology in a small island developing state and the implications for global health. 一个小岛屿发展中国家不断变化的疟疾流行病学及其对全球健康的影响。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-06-23 DOI: 10.1177/00494755251351503
Shalini Pooransingh, Nyeil Ali, Naresh Nandram, David Ibeleme, Roshan Parasram, Isaac Dialsingh
{"title":"Changing malaria epidemiology in a small island developing state and the implications for global health.","authors":"Shalini Pooransingh, Nyeil Ali, Naresh Nandram, David Ibeleme, Roshan Parasram, Isaac Dialsingh","doi":"10.1177/00494755251351503","DOIUrl":"https://doi.org/10.1177/00494755251351503","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251351503"},"PeriodicalIF":0.5,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477610","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
Severe adenovirus type 7 infection in children: Case series from a paediatric intensive care unit in South India. 儿童严重腺病毒7型感染：来自南印度儿科重症监护病房的病例系列
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-06-20 DOI: 10.1177/00494755251351520
Machinary Puthenpurayil Jayakrishnan, Madona Devassikutty Fiji, Thekkile Gangadharan Sindhu, Vellani Thamunni Ajithkumar, George Kalpana, Balakrishnan Ajitha
{"title":"Severe adenovirus type 7 infection in children: Case series from a paediatric intensive care unit in South India.","authors":"Machinary Puthenpurayil Jayakrishnan, Madona Devassikutty Fiji, Thekkile Gangadharan Sindhu, Vellani Thamunni Ajithkumar, George Kalpana, Balakrishnan Ajitha","doi":"10.1177/00494755251351520","DOIUrl":"10.1177/00494755251351520","url":null,"abstract":"<p><p>Human adenovirus type 7 (HAdV-7) can cause severe, multisystem disease in children. Between November 2019 and February 2020, 28 children with confirmed HAdV-7 infection were admitted to our paediatric intensive care unit in South India. Most were under 5 years, and 86% required mechanical ventilation. Multisystem involvement included myocarditis (61%), CNS disease (32%), and haemophagocytosis (32%), with a high mortality rate (57%). Follow-up showed recurrent wheeze (33%) and bronchiectasis (16%) in survivors. This case series highlights the clinical characteristics, management strategies and outcome of a large HAdV-7 outbreak in a paediatric intensive care unit. Surveillance is essential to detect and prevent future adenovirus outbreaks in vulnerable paediatric populations.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251351520"},"PeriodicalIF":0.5,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334279","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
Comment on "stage 1 of construction of a ChatGPT-powered surgical assistant for LMICs: Pilot validation of a database of affordable surgical solutions". 评论“为低收入国家构建chatgpt驱动的手术助手的第一阶段：可负担的手术解决方案数据库的试点验证”。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-06-16 DOI: 10.1177/00494755251349566
Hinpetch Daungsupawong, Viroj Wiwanitkit
{"title":"Comment on \"stage 1 of construction of a ChatGPT-powered surgical assistant for LMICs: Pilot validation of a database of affordable surgical solutions\".","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1177/00494755251349566","DOIUrl":"https://doi.org/10.1177/00494755251349566","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251349566"},"PeriodicalIF":0.5,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303372","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
Health-related quality of life of children with intestinal stomas, a cross-sectional study at Mulago Hospital, Uganda. 乌干达穆拉戈医院的一项横断面研究：肠造口患儿的健康相关生活质量
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-06-13 DOI: 10.1177/00494755251348820
Gamukama Tuhaise, Hans John Lokale, Timothy Kabanda Makumbi, Miriam Nalule
{"title":"Health-related quality of life of children with intestinal stomas, a cross-sectional study at Mulago Hospital, Uganda.","authors":"Gamukama Tuhaise, Hans John Lokale, Timothy Kabanda Makumbi, Miriam Nalule","doi":"10.1177/00494755251348820","DOIUrl":"https://doi.org/10.1177/00494755251348820","url":null,"abstract":"<p><p>Child intestinal stomas are relatively common in Uganda, but the impact on children's health-related quality of life (HRQoL) is not well known. We assessed children aged 1-12 years with intestinal stomas at least one month after surgery at Mulago Hospital in Kampala, Uganda. In our cross-sectional study, 109 children were enrolled and over 90% had good HRQoL scores. With multivariate analysis, it was apparent that children with divorced caregivers were over three times more likely to have poor scores. Thus enhanced pre-operative counselling, tailored stoma care education, and ongoing psychosocial support are essential for these children.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251348820"},"PeriodicalIF":0.5,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286936","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
Utility of peripheral blood oxygen saturation (SpO2)/fraction of inspired oxygen (FiO2) ratio and arterial partial oxygen pressure (PaO2)/FiO2 ratio in the diagnosis of acute respiratory distress syndrome: A comparative study. 外周血氧饱和度(SpO2)/吸入氧分数（FiO2）比值与动脉血氧分压(PaO2)/FiO2比值诊断急性呼吸窘迫综合征的比较研究
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-06-11 DOI: 10.1177/00494755251349071
Srishti Rathi, Rajesh Kakkar, Shubhanshu Chawla, Sushant Khanduri, Rajeev Mohan Kaushik, Reshma Kaushik
{"title":"Utility of peripheral blood oxygen saturation (SpO<sub>2</sub>)/fraction of inspired oxygen (FiO<sub>2</sub>) ratio and arterial partial oxygen pressure (PaO<sub>2</sub>)/FiO<sub>2</sub> ratio in the diagnosis of acute respiratory distress syndrome: A comparative study.","authors":"Srishti Rathi, Rajesh Kakkar, Shubhanshu Chawla, Sushant Khanduri, Rajeev Mohan Kaushik, Reshma Kaushik","doi":"10.1177/00494755251349071","DOIUrl":"10.1177/00494755251349071","url":null,"abstract":"<p><p>Our study determined the reliability of using the ratio of peripheral blood oxygen saturation (SpO<sub>2</sub>) and the fraction of inspired oxygen (FiO<sub>2</sub>) rather than the ratio of arterial partial oxygen pressure (PaO<sub>2</sub>) and FiO<sub>2</sub> for diagnosing acute respiratory distress syndrome (ARDS). Pulse oximetry and arterial blood gas analysis were performed to obtain both ratios, respectively, in 70 patients who fulfilled the Berlin definition criteria of ARDS. A detailed history, clinical examination, and relevant evaluation were done. There was a significant correlation between the two ratios. The former had a lower sensitivity and specificity than the latter. Thus, the SpO<sub>2</sub>/FiO<sub>2</sub> ratio is a reliable, straightforward, non-invasive, and readily available marker for diagnosing the presence and severity of ARDS, and may be used as an alternative to the PaO<sub>2</sub>/FiO<sub>2</sub> ratio in resource-limited settings.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251349071"},"PeriodicalIF":0.5,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267749","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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