{"title":"Autochthonous cases of malaria in central Anatolia.","authors":"Zehra Beştepe Dursun, Hande Sağlam, Esma Eryilmaz Eren, Ayşin Kilinç Toker, Merve Elmaağaç, İlhami Çelik","doi":"10.1177/00494755251344650","DOIUrl":"https://doi.org/10.1177/00494755251344650","url":null,"abstract":"<p><p>Malaria incidence has significantly declined worldwide and Turkey has not been classified as an endemic region since 2016. By 2023, all cases reported in the country were linked to travels to an endemic region. In this report, four cases of malaria caused by <i>Plasmodium falciparum</i> are presented from the province of Kayseri but with no history of travel to any malaria-endemic region. Three cases were diagnosed by reverse transcription-polymerase chain reaction. The second case had mixed parasitemia of <i>P. falciparum</i> and <i>P. vivax</i>. Artemether (20 mg)-lumefantrin were given to all patients. After discharge, the first and fourth malaria cases were admitted with recurrent parasitaemia. They were re-treated and then recovered. The second case improved, but the third case developed organ failure and died. Malaria should be considered in the preliminary clinical diagnosis of patients even when no history of endemic region residence can be verified.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251344650"},"PeriodicalIF":0.5,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267748","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 : 2025-06-09DOI: 10.1177/00494755251349075
Omar Afroz
{"title":"Psychiatric manifestations of Chikungunya virus infection: An overlooked public health concern.","authors":"Omar Afroz","doi":"10.1177/00494755251349075","DOIUrl":"https://doi.org/10.1177/00494755251349075","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251349075"},"PeriodicalIF":0.5,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250540","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":"\"Assessment of serum homocysteine levels in congenital heart disease and with congenital rubella infection: A hospital-based case-control study in north Indian population\".","authors":"Sumedha Tripathi, Shally Awasthi, Shalini Tripathi, Amita Jain, Akhil Sharma","doi":"10.1177/00494755251348524","DOIUrl":"https://doi.org/10.1177/00494755251348524","url":null,"abstract":"<p><p>Ours study examined the association of serum homocysteine (Hcy) levels with congenital heart disease (CHD) and congenital rubella infection (CRI) suggesting a potential pathogenic interaction between metabolic dysregulation and viral teratogenicity.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251348524"},"PeriodicalIF":0.5,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250539","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 : 2025-06-04DOI: 10.1177/00494755251348071
Dhananjaya Sharma
{"title":"Resurrecting an idealist: How global surgery rekindled my purpose.","authors":"Dhananjaya Sharma","doi":"10.1177/00494755251348071","DOIUrl":"https://doi.org/10.1177/00494755251348071","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251348071"},"PeriodicalIF":0.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227375","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":"Secondary haemophagocytic lymphohistiocytosis associated with acute viral hepatitis A - A case series.","authors":"Suprabhat Giri, Chandramauli Mishra, Prasanna Gore, Dibya Lochan Praharaj, Ramesh Uddaraju, Girish Kumar Pati","doi":"10.1177/00494755251343390","DOIUrl":"https://doi.org/10.1177/00494755251343390","url":null,"abstract":"<p><p>Hepatitis A-associated haemophagocytic lymphohistiocytosis (HLH) is an uncommon but severe complication that arises from an exaggerated immune response triggered by multiple aetiology. HLH is characterised by excessive inflammation and tissue destruction due to abnormal immune activation, often leading to multi-organ failure and high mortality if not promptly diagnosed and treated. Although HLH is more commonly associated with other viral infections, its occurrence with hepatitis A virus (HAV) is rare and primarily documented through case reports. The present case series aims to report the clinical presentations, diagnostic challenges, treatment strategies and outcomes of five cases of HAV-associated HLH.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251343390"},"PeriodicalIF":0.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217372","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 : 2025-05-29DOI: 10.1177/00494755251345570
Dhananjaya Sharma, Michael Cotton
{"title":"Does English hegemony in dissemination of medical literature represent an unjust barrier to global knowledge equity?","authors":"Dhananjaya Sharma, Michael Cotton","doi":"10.1177/00494755251345570","DOIUrl":"https://doi.org/10.1177/00494755251345570","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251345570"},"PeriodicalIF":0.5,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175452","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":"Profile of cutaneous swellings diagnosed as fungal by fine needle aspiration cytology.","authors":"Apurva Ramteke, Shalaka Khade, Sachin Chaudhari, Rasika Gadkari","doi":"10.1177/00494755251341108","DOIUrl":"https://doi.org/10.1177/00494755251341108","url":null,"abstract":"<p><p>Subcutaneous swellings commonly seen in clinical practice range from benign to malignant. In long standing lesions, fungal abscesses are less commonly suspected. Fine needle aspiration is a first line rapid and reliable method for early diagnosis of fungal infections, allowing prompt and appropriate management.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251341108"},"PeriodicalIF":0.5,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103000","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 : 2025-05-15DOI: 10.1177/00494755251343379
Dhananjaya Sharma, Pawan Agarwal, Julio Mayol
{"title":"Stage 1 of construction of a ChatGPT-powered surgical assistant for LMICs: Pilot validation of a database of affordable surgical solutions.","authors":"Dhananjaya Sharma, Pawan Agarwal, Julio Mayol","doi":"10.1177/00494755251343379","DOIUrl":"10.1177/00494755251343379","url":null,"abstract":"<p><p>Surgeons in LMICs need to navigate resource constraints and require affordable, evidence-based solutions. ChatGPT, a generative AI, offers the potential for real-time, context-specific clinical support. Our study represents the first stage in constructing a ChatGPT-powered surgical assistant tailored for LMICs, focusing on validating an organized database of relevant affordable surgical solutions. A cross-sectional survey via Google Forms was sent to surgeons devoted to resource-limited surgical care. Some 25 previously published surgical solutions were assessed using a Likert scale for: (1) alignment with clinical practice, (2) recommendation for inclusion in guidelines, and (3) clarity of language. A total of 51 surgeons from 22 countries participated; most endorsed the solutions with 2/3 agreeing that they aligned with clinical practice and supported guideline inclusion, and >80% found their language clear. This endorsement supports the relevance and comprehensibility of the selected solutions and provides critical input for developing a ChatGPT-based surgical assistant, enabling tailored practical recommendations for LMIC surgeons.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251343379"},"PeriodicalIF":0.5,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081446","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}