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Case report: Perineal swelling: A rare case of scar endometriosis. 病例报告会阴肿胀：疤痕子宫内膜异位症的罕见病例。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-01 Epub Date: 2024-08-22 DOI: 10.1177/00494755241269192
Arun Sanap, Amruta Choudhary, Anita Yadav, Gauri Patokar
{"title":"Case report: Perineal swelling: A rare case of scar endometriosis.","authors":"Arun Sanap, Amruta Choudhary, Anita Yadav, Gauri Patokar","doi":"10.1177/00494755241269192","DOIUrl":"10.1177/00494755241269192","url":null,"abstract":"<p><p>We report a rare case of episiotomy site scar endometriosis manifested as painful perineal swelling near the anus for 2 years affecting daily routine activity, especially during menses. A 33-year-old female, para 2 with both vaginal deliveries with last child birth 8 years back. A 2.5 × 3 cm firm, tender nodule was present on the posterior vulva at the right mediolateral episiotomy site. Trans-perineal and trans-anal ultrasound scan was done, anal sphincter involvement was ruled out and the nodule was excised with free margins. histopathology confirmed the diagnosis of scar endometriosis. The key takeaway from this case is endometriosis can present after 8 years of vaginal delivery. The timely diagnosis and treatment is necessary as delay may cause anal sphincter involvement or malignant transformation.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019305","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 self-inflicted erosions and Cydnidae pigmentation - Unravelled by dermoscopy. 一例自伤性糜烂和 Cydnidae 色素沉着病例--皮肤镜揭秘。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-01 Epub Date: 2024-07-23 DOI: 10.1177/00494755241264044
M Vijaikumar, Mogalipuvvu Udaya Sri, S Monika
{"title":"A case of self-inflicted erosions and Cydnidae pigmentation - Unravelled by dermoscopy.","authors":"M Vijaikumar, Mogalipuvvu Udaya Sri, S Monika","doi":"10.1177/00494755241264044","DOIUrl":"10.1177/00494755241264044","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753150","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
Characteristics of patients admitted to the intensive care unit during the 2019 measles epidemic in Samoa: A retrospective clinical case series. 2019 年萨摩亚麻疹疫情期间重症监护室收治病人的特征：回顾性临床病例系列。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-01 Epub Date: 2024-07-23 DOI: 10.1177/00494755241266673
Cecilia S Vaai-Bartley, Elizabeth Bennett, Faamuamua Arasi, Annette Kaspar
{"title":"Characteristics of patients admitted to the intensive care unit during the 2019 measles epidemic in Samoa: A retrospective clinical case series.","authors":"Cecilia S Vaai-Bartley, Elizabeth Bennett, Faamuamua Arasi, Annette Kaspar","doi":"10.1177/00494755241266673","DOIUrl":"10.1177/00494755241266673","url":null,"abstract":"<p><p>Our report describes the characteristics of patients admitted to the intensive care unit of the National Hospital of Samoa during the 2019-2020 measles epidemic. The study design was a retrospective review of clinical records; the age range was 2 months to 51 years, with the majority of cases in the 2-23 month age group (71%). Vaccination status was unknown or unrecorded for 17 (24%). Of the 54 (75%) who were not fully vaccinated, 35 (65%) did not survive. Almost all (98%) presented with multiple complications on admission, mostly pneumonia (91%). The mortality rate was 61%, implying a low survival rate particularly among young infants and toddlers, even when optimal care was available and administered.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753153","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
Cytomorphological comparison of alcohol-formalin cell-block technique with conventional cytology in serous effusions in a low-resource setting. 酒精-福尔马林细胞阻断技术与传统细胞学在低资源环境下血清渗出液中的细胞形态学比较。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-01 Epub Date: 2024-07-23 DOI: 10.1177/00494755241260903
Neelam Kumari, Manupriya Sharma, Rashmi Kaul, Sujeet Raina
{"title":"Cytomorphological comparison of alcohol-formalin cell-block technique with conventional cytology in serous effusions in a low-resource setting.","authors":"Neelam Kumari, Manupriya Sharma, Rashmi Kaul, Sujeet Raina","doi":"10.1177/00494755241260903","DOIUrl":"10.1177/00494755241260903","url":null,"abstract":"<p><p>Our study compared the diagnostic accuracy of the 10% alcohol-formalin cell-block (CB) technique against traditional smears (CS) in serous effusions over 1 year. CB outperformed CS by detecting 7 missed cases and diagnosing 177 benign, 5 suspicious and 26 malignant cases compared to CS's 180 benign, 9 suspicious and 19 malignant cases. Using histopathology as a gold standard, CB showed a sensitivity of 96.4%, specificity of 98.3% and diagnostic accuracy of 98.1%, significantly higher than CS's 79.3% sensitivity, specificity of 97.7% and 95.2% accuracy. Using a 10% alcohol-formalin method, CB also excelled in cytomorphological characterization, especially in background elements, cellularity and cellular architecture. CB offered improved diagnostic accuracy and allowed extra sections for additional tests. In resource-constrained settings, combining CS and CB enhances cytological assessment.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753154","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 cautionary tale of pseudo-Cryptococcus infection in neonates. 新生儿假性链球菌感染的警示故事。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-01 Epub Date: 2024-07-26 DOI: 10.1177/00494755241264580
Varsha Gupta, Dipanshu Vasesi, Lipika Singhal, Amitoj Kaur, Suksham Jain, Parakriti Gupta
{"title":"A cautionary tale of pseudo-<i>Cryptococcus</i> infection in neonates.","authors":"Varsha Gupta, Dipanshu Vasesi, Lipika Singhal, Amitoj Kaur, Suksham Jain, Parakriti Gupta","doi":"10.1177/00494755241264580","DOIUrl":"10.1177/00494755241264580","url":null,"abstract":"<p><p>We report a tale of two cases of neonates, where India Ink preparation of cerebrospinal fluid (CSF) received in glass vials was suggestive of <i>Cryptococcus</i>; however, the absence of correlation and report of cases sequentially from the same unit raised alarm bells. Repeat smears using routine in-house and newly prepared stains were prepared and repeat sampling was collected in a strictly sterile specimen container, which resulted in negative microscopy for repeat samples (uncentrifuged and centrifuged). The source of contamination was found to be non-sterile glass vials used for CSF collection. This report underlines the requisite to maintain an aseptic chain from sample collection to processing, to prevent reporting of pseudo-infections that can upset diagnostic accuracy, especially when the aseptic chain has not been maintained.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762066","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
Evaluation of high-frequency ultrasonography for diagnosis of carpal tunnel syndrome. 高频超声波诊断腕管综合征的评估。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-01 Epub Date: 2024-05-20 DOI: 10.1177/00494755241253300
Ayush Dixit, Sonjjay Pande, Namrata Khandelwal, Pawan Agarwal, Dhananjaya Sharma, Jag Mohan Singh Dhakar
{"title":"Evaluation of high-frequency ultrasonography for diagnosis of carpal tunnel syndrome.","authors":"Ayush Dixit, Sonjjay Pande, Namrata Khandelwal, Pawan Agarwal, Dhananjaya Sharma, Jag Mohan Singh Dhakar","doi":"10.1177/00494755241253300","DOIUrl":"10.1177/00494755241253300","url":null,"abstract":"<p><p>The aim of this study was to assess the sensitivity and specificity of ultrasonography in the diagnosis of carpal tunnel syndrome. The cross-sectional area of the median nerve at the carpal tunnel for a positive diagnosis had a sensitivity of ∼ 98.6% but a specificity of 60%. The measure of the difference in cross-sectional area of the median nerve at the carpal tunnel and at the level of pronator quadratus had much better sensitivity and specificity of 97.1% and 80%, respectively. Signs of nerve flattening, palmar bowing and increased nerve vascularity were valuable in confirming the diagnosis. A positive predictive value of ultrasonography was found to be > 95% and a negative predictive value was ∼ 66% for a diagnosis of carpal tunnel syndrome. Ultrasonography is, therefore, an effective diagnostic tool in this regard.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141066376","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
From legs to abdomen: Navigating the uncharted territory of pigmented purpuric dermatosis in a middle-aged female. 从腿部到腹部探索中年女性色素性紫癜皮肤病的未知领域。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-01 Epub Date: 2024-09-17 DOI: 10.1177/00494755241269137
Anjana Rajenesh, Sharang Gupta, Simran, Dimple Chopra
{"title":"From legs to abdomen: Navigating the uncharted territory of pigmented purpuric dermatosis in a middle-aged female.","authors":"Anjana Rajenesh, Sharang Gupta, Simran, Dimple Chopra","doi":"10.1177/00494755241269137","DOIUrl":"10.1177/00494755241269137","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299471","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
Spinal subdural abscess following chronic meningitis - A rare manifestation of Mucormycosis. 慢性脑膜炎后的脊髓硬膜下脓肿--一种罕见的黏菌病表现。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-01 Epub Date: 2024-09-19 DOI: 10.1177/00494755241272932
Abdoul Hamide, Amrutha Varshani Krishnamurthy, Balamurugesan Kandan, Deepak Bharati, Praveen Ravichandran, Manoranjithakumari Mani
{"title":"Spinal subdural abscess following chronic meningitis - A rare manifestation of Mucormycosis.","authors":"Abdoul Hamide, Amrutha Varshani Krishnamurthy, Balamurugesan Kandan, Deepak Bharati, Praveen Ravichandran, Manoranjithakumari Mani","doi":"10.1177/00494755241272932","DOIUrl":"10.1177/00494755241272932","url":null,"abstract":"<p><p>A 57-year old man with uncontrolled diabetes presented with features suggestive of chronic meningitis. Cerebrospinal fluid (CSF) analysis revealed a polymorphonuclear pleocytosis with low glucose and high protein levels in the CSF. Bacterial and fungal cultures and tests for <i>M. tuberculosis</i> were negative. MRI spine showed leptomeningeal enhancement. On ruling out other causes, fungal meningitis was considered. The patient developed paraparesis in the hospital. MRI showed peripherally enhancing subdural lesion with dorsal cord involvement at the level of D4 and D5 vertebrae. On laminectomy and exploration, an intradural extramedullary abscess and a granuloma were noticed at T4--T5 spinal levels causing compression of the cord below. Histopathological examination of the lesions revealed acute on chronic inflammatory infiltrates interspersed by broad, aseptate, ribbon-like fungal elements highlighted by PAS stain, diagnostic of mucormycosis. Intravenous amphotericin B and oral posaconazole were administered for more than 8 weeks. On follow-up, he had complete neurological recovery without sequelae.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299472","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
Acute febrile illness in pregnancy: Spectrum of disease and impact on maternal and foetal outcome. 妊娠期急性发热性疾病：疾病谱及对母体和胎儿结局的影响。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-01 Epub Date: 2024-07-23 DOI: 10.1177/00494755241262544
Sheba Meriam Thomas, Elsy Thomas, Santhosh Benjamin, Reeta Vijayaselvi, Sowmya Satyendra, Sudha Jasmine Rajan
{"title":"Acute febrile illness in pregnancy: Spectrum of disease and impact on maternal and foetal outcome.","authors":"Sheba Meriam Thomas, Elsy Thomas, Santhosh Benjamin, Reeta Vijayaselvi, Sowmya Satyendra, Sudha Jasmine Rajan","doi":"10.1177/00494755241262544","DOIUrl":"10.1177/00494755241262544","url":null,"abstract":"<p><p>Acute febrile illness (AFI) in pregnancy is a neglected cause of maternal and foetal mortality and morbidity in low-and middle-income countries. This prospective cohort studied antenatal and postpartum women admitted with acute fever to a tertiary care university teaching hospital from July 2014 to March 2015 for aetiology, maternal and foetal complications, and the impact on maternal mortality ratio (MMR) and perinatal mortality rate. Among the 180 women admitted with AFI, urinary tract infection 54(30%) was the commonest cause, followed by airborne infections (67; 37.2%), peripartum or wound infections (25; 13.8%) and vector-borne diseases (21; 11.6%). Maternal deaths were 4 (2%) and foetal deaths 9 (5%). Post-operative gram-negative sepsis was the most common cause of maternal mortality. The MMR was ten times higher with AFI 2778 against 197 (<i>p</i> < 0.0001) among the other hospital deliveries during the same period. Screening for asymptomatic bacteriuria , maintaining aseptic precautions, and vaccination may impact maternal and foetal morbidity significantly.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753152","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
Cutaneous larva migrans, a neglected tropical disease of skin, with severe secondary eczematization at an unusual location. 皮肤蚴移行症是一种被忽视的热带皮肤病（NTD），在一个不寻常的部位伴有严重的继发性湿疹。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-01 Epub Date: 2024-09-24 DOI: 10.1177/00494755241274594
Shrinivas Patil, Anuj Bhatnagar, Debdeep Mitra
{"title":"Cutaneous larva migrans, a neglected tropical disease of skin, with severe secondary eczematization at an unusual location.","authors":"Shrinivas Patil, Anuj Bhatnagar, Debdeep Mitra","doi":"10.1177/00494755241274594","DOIUrl":"10.1177/00494755241274594","url":null,"abstract":"<p><p>Cutaneous larva migrans (CLM), commonly referred to as creeping eruption, is an infectious condition caused by various types of hookworms. It primarily affects the superficial layers of the skin owing to the absence of hyaluronidases and proteases. Typically, the distal lower extremities are the most commonly affected areas. The presence of distinctive lesions characterized by erythematous, winding, or serpentine tracks, slightly elevated from the skin surface, is indicative of the condition. Diagnosis primarily relies on clinical observation. Dermoscopy reveals multiple segmented yellowish-linear regions corresponding to pustules along the larval path. Treatment typically involves the use of topical and oral ivermectin, oral albendazole, and topical thiabendazole cream.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308909","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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