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Beyond the stoma: Exteriorized ileal loop without ostomy as a simple, feasible alternative to defunctioning loop ileostomy. 在造口之外：不造口的外化回肠袢是一种简单可行的替代功能性回肠袢造口术的方法。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-04-21 DOI: 10.1177/00494755261443667
Thangavel Prabhakar, Vineet Dwivedi, Yogendra Singh Wadiwa, Pawan Agarwal, Dhananjaya Sharma
{"title":"Beyond the stoma: Exteriorized ileal loop without ostomy as a simple, feasible alternative to defunctioning loop ileostomy.","authors":"Thangavel Prabhakar, Vineet Dwivedi, Yogendra Singh Wadiwa, Pawan Agarwal, Dhananjaya Sharma","doi":"10.1177/00494755261443667","DOIUrl":"https://doi.org/10.1177/00494755261443667","url":null,"abstract":"<p><p>A defunctioning loop ileostomy is widely used to protect distal bowel repair and anastomoses, but is associated with significant stoma-related morbidity and the obvious need for a second procedure for closure. We therefore evaluated the creation of an unopened exteriorized (covering) ileal loop without ostomy as a simple, feasible alternative. In our prospective interventional study, 26 patients undergoing emergency surgery for ileal perforation or distal intestinal obstruction underwent this procedure, with an option for bedside conversion to ileostomy if required. Stoma conversion was required in only four patients, while the remainder avoided ileostomy and underwent loop repositioning without complication. This technique appears simple and safe, avoids stoma-related morbidity, and eliminates the need for a second surgery in the majority of patients.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755261443667"},"PeriodicalIF":0.6,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787343","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
Ultrasound-based scoring to predict long-term healing in anal fistula: A practical alternative or complementary to the MRI-based Garg scoring system? 基于超声评分预测肛瘘的长期愈合：一种实用的替代或补充基于mri的Garg评分系统？
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-04-20 DOI: 10.1177/00494755261442629
Pankaj Garg, Kaushik Bhattacharya, Vipul Yagnik
{"title":"Ultrasound-based scoring to predict long-term healing in anal fistula: A practical alternative or complementary to the MRI-based Garg scoring system?","authors":"Pankaj Garg, Kaushik Bhattacharya, Vipul Yagnik","doi":"10.1177/00494755261442629","DOIUrl":"https://doi.org/10.1177/00494755261442629","url":null,"abstract":"<p><p>The published study highlights an important gap in current practice. While MRI remains the gold standard for postoperative evaluation due to its high sensitivity and specificity, its cost and limited availability in some regions may limit routine use. In this context, the development of a Jabalpur Transperineal Ultrasonography-Based Scoring System (J-TPUSS) represents a pragmatic attempt to bridge this disparity. However, several methodological and interpretative concerns merit consideration, which we have discussed in the letter.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755261442629"},"PeriodicalIF":0.6,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730538","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
A case of melioidosis in Mexico: An unknown disease. 墨西哥类鼻疽一例：一种未知疾病。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-04-07 DOI: 10.1177/00494755261439430
Iván Sandoval-Guzmán, Valeria Martínez-Trinidad, David Guzmán-Sánchez, Raquel Ivette Pozos-Cuevas, Israel Alejandro Hernández-Rivera, José Manuel Reyes-Ruiz
{"title":"A case of melioidosis in Mexico: An unknown disease.","authors":"Iván Sandoval-Guzmán, Valeria Martínez-Trinidad, David Guzmán-Sánchez, Raquel Ivette Pozos-Cuevas, Israel Alejandro Hernández-Rivera, José Manuel Reyes-Ruiz","doi":"10.1177/00494755261439430","DOIUrl":"https://doi.org/10.1177/00494755261439430","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755261439430"},"PeriodicalIF":0.6,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628940","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
Abdominal wall pain syndromes: Alas! The lost art of clinical diagnosis. 腹壁疼痛综合征：唉！失传的临床诊断艺术。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-04-06 DOI: 10.1177/00494755261438884
Naveen Cherian Thomas, Amith Viswanath, Anitha Sivalingam, Judy Ann John, Ebby George Simon
{"title":"Abdominal wall pain syndromes: Alas! The lost art of clinical diagnosis.","authors":"Naveen Cherian Thomas, Amith Viswanath, Anitha Sivalingam, Judy Ann John, Ebby George Simon","doi":"10.1177/00494755261438884","DOIUrl":"https://doi.org/10.1177/00494755261438884","url":null,"abstract":"<p><p>Abdominal wall pain syndromes, including anterior cutaneous nerve entrapment syndrome (ACNES), myofascial pain, and muscle strain, account for up to 30% of chronic abdominal pain cases, yet remain under-recognised, resulting in diagnostic delays and unnecessary investigations. We report a case series of five such patients. Management incorporated core strengthening, progressive muscle relaxation, ergonomic modification, neuropathic agents, and ultrasound-guided nerve blocks where indicated; visual analogue scale scores remained <4 at follow-up. A structured diagnostic algorithm is proposed to facilitate early recognition and appropriate referral by gastroenterologists.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755261438884"},"PeriodicalIF":0.6,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624345","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
Vitreous haemorrhage revealing lupus with antiphospholipid antibody syndrome after delayed diagnosis: A case report. 延迟诊断后玻璃体出血显示狼疮伴抗磷脂抗体综合征1例。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-04-02 DOI: 10.1177/00494755261439182
Thotanolla Surya Prakash, Divya Shenoy, Namesh Kamat, Jeeja Jaya Janardhanan
{"title":"Vitreous haemorrhage revealing lupus with antiphospholipid antibody syndrome after delayed diagnosis: A case report.","authors":"Thotanolla Surya Prakash, Divya Shenoy, Namesh Kamat, Jeeja Jaya Janardhanan","doi":"10.1177/00494755261439182","DOIUrl":"https://doi.org/10.1177/00494755261439182","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755261439182"},"PeriodicalIF":0.6,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595758","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
Artificial intelligence in manuscript peer review: Opportunities, risks, and the continuing role of human judgement. 手稿同行评审中的人工智能：机会、风险和人类判断的持续作用。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-04-02 DOI: 10.1177/00494755261437565
Kaushik Bhattacharya, Surajit Bhattacharya, Dhananjaya Sharma, Michael Cotton
{"title":"Artificial intelligence in manuscript peer review: Opportunities, risks, and the continuing role of human judgement.","authors":"Kaushik Bhattacharya, Surajit Bhattacharya, Dhananjaya Sharma, Michael Cotton","doi":"10.1177/00494755261437565","DOIUrl":"https://doi.org/10.1177/00494755261437565","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755261437565"},"PeriodicalIF":0.6,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595402","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
Crusted scabies: Re-emphasising its importance and clinical features. 结痂性疥疮：再次强调其重要性和临床特征。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-04-01 Epub Date: 2025-11-21 DOI: 10.1177/00494755251397193
Aditi Jha, Divya Seshadri, Parul Verma, Swastika Suvirya, Priyanka Verma, Prashant Gupta
{"title":"Crusted scabies: Re-emphasising its importance and clinical features.","authors":"Aditi Jha, Divya Seshadri, Parul Verma, Swastika Suvirya, Priyanka Verma, Prashant Gupta","doi":"10.1177/00494755251397193","DOIUrl":"10.1177/00494755251397193","url":null,"abstract":"<p><p>Scabies is a neglected tropical disease and its florid form, crusted scabies, although rare, may have life-threatening complications. It is described in both immuno-competent and immuno-compromised individuals. When an individual harbours millions of mites, it manifests as crusted scabies, which mimics various dermatologic disorders and can potentially cause community outbreaks. This report describes two cases of crusted scabies and differentiates it from common dermatologic mimics.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"322-326"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145574787","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
Prevalence and determinants of late-stage presentation of chronic kidney disease to nephrologists: A cross-sectional study from a tertiary care centre in Andhra Pradesh, India. 慢性肾病晚期呈现给肾病学家的患病率和决定因素：来自印度安得拉邦三级保健中心的横断面研究。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-04-01 Epub Date: 2025-12-04 DOI: 10.1177/00494755251401779
Thamerci Pujitha, Vishnu Rajan, Bharathnag Nagappa, Uttara Das, Yamini Marimuthu, Bobbadi Gajendra Sivakrishna Pavankumar
{"title":"Prevalence and determinants of late-stage presentation of chronic kidney disease to nephrologists: A cross-sectional study from a tertiary care centre in Andhra Pradesh, India.","authors":"Thamerci Pujitha, Vishnu Rajan, Bharathnag Nagappa, Uttara Das, Yamini Marimuthu, Bobbadi Gajendra Sivakrishna Pavankumar","doi":"10.1177/00494755251401779","DOIUrl":"10.1177/00494755251401779","url":null,"abstract":"<p><p>Chronic kidney disease (CKD) is a growing public health concern, frequently diagnosed at advanced stages owing to delayed presentation, particularly in low- and middle-income countries. Our cross-sectional study was conducted at a tertiary care centre in Andhra Pradesh, India, to estimate the prevalence and identify factors associated with late-stage presentation of CKD to nephrologists. Among 200 newly diagnosed CKD patients, 116 (58%) presented in stage IV or V, indicating late referral. A high proportion of these (60.3%) were males and from urban areas (62.1%). They also had significantly lower mean haemoglobin levels. There is need for early screening, improved referral pathways, and targeted interventions to reduce the burden of late-stage CKD.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"258-262"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670809","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
Seroprevalence of chikungunya virus infection in East Delhi over a decade: A retrospective study. 十年来东德里基孔肯雅病毒感染的血清流行率：一项回顾性研究。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-04-01 Epub Date: 2026-01-08 DOI: 10.1177/00494755251411028
Swati Sinha, Anshdha Shah, Charu Jain, Sumana Bera, Narendra Singh Mogha, Shukla Das
{"title":"Seroprevalence of chikungunya virus infection in East Delhi over a decade: A retrospective study.","authors":"Swati Sinha, Anshdha Shah, Charu Jain, Sumana Bera, Narendra Singh Mogha, Shukla Das","doi":"10.1177/00494755251411028","DOIUrl":"10.1177/00494755251411028","url":null,"abstract":"<p><p>Chikungunya fever is an arboviral disease and remains a major public health concern in India ever since its first emergence in 1963 in Kolkata. Delhi has witnessed several outbreaks over the years. This retrospective study was performed to examine the epidemiological dynamics on all clinically suspected Chikungunya cases tested by ELISA for anti-CHIK virus IgM antibodies from 2010 to 2020 at a tertiary care hospital in Delhi. Archived data of suspected patients screened for CHIKV IgM by ELISA were retrieved for the period 2010-2020. Epidemiological data was used in the study. GIS mapping was done for the positive cases. Among the 445 samples tested, 57.3% were positive with the greatest number of cases (76.5%) in 2016 and significantly higher number of cases in monsoon & post-monsoon periods (<i>p</i> < 0.005). Seropositivity was highest in patients aged 45-54 years (69.6%); however, the disease did not show predilection for a specific gender. GIS mapping showed the burden of Chikungunya infection was concentrated in a 5-10 km radius from the study site with significant presence of cross-border cases. Our study indicates a geographically concentrated burden of Chikungunya in East and South East Delhi with ebbs and flow over time in the past decade. In view of non-availability of any licensed vaccine for this disease, surveillance of active cases, vector management and mapping of disease may help in prevention strategies.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"263-269"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935888","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
Pneumonia or something more? Eisenmenger syndrome in a resource-limited setting. 肺炎还是别的什么？艾森曼格综合症在资源有限的环境下。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-04-01 Epub Date: 2026-02-03 DOI: 10.1177/00494755261417061
James Powell
{"title":"Pneumonia or something more? Eisenmenger syndrome in a resource-limited setting.","authors":"James Powell","doi":"10.1177/00494755261417061","DOIUrl":"10.1177/00494755261417061","url":null,"abstract":"<p><p>A seemingly straight-forward case of community-acquired pneumonia revealed underlying Eisenmenger syndrome. This case highlights the relevance of this condition to tropical practice as well as some useful diagnostic and therapeutic considerations.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"348-349"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114467","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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