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Leptospirosis presenting with colonic growth. 钩端螺旋体病表现为结肠生长。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-09-12 DOI: 10.1177/00494755251378579
Abirami Kailasam, Amruta Varshini V Ramakrishnan, Narayanan D Cunnigaiper
{"title":"Leptospirosis presenting with colonic growth.","authors":"Abirami Kailasam, Amruta Varshini V Ramakrishnan, Narayanan D Cunnigaiper","doi":"10.1177/00494755251378579","DOIUrl":"https://doi.org/10.1177/00494755251378579","url":null,"abstract":"<p><p>Leptospirosis is a common zoonotic disease with a 10-fold higher incidence in tropical regions compared to temperate zones. The disease is endemic to the Indian subcontinent, particularly prevalent in the southern states. It has a wide spectrum of presentations, most commonly high-grade fever, myalgia, conjunctivitis, haematuria, jaundice, abdominal pain, and vomiting. Severe infection manifests as multisystemic vasculitis and Weil's disease. Here we describe an atypical presentation which posed a diagnostic dilemma. Considering the age of the patient and the presenting symptoms, colonic malignancy with hepatic metastasis was suspected, and further investigations were conducted, which indeed revealed a colonic growth in the descending colon, consistent with the clinical suspicion. However, the colonic growth was found to be an inflammatory mass caused by leptospiral infection, confirmed by various investigation modalities and response to antibiotic therapy. Few publications have reported cases of leptospirosis presenting with episodes of bleeding per rectum with colonic growth.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251378579"},"PeriodicalIF":0.6,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056075","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
Breast lump: A rare presentation of filariasis. 乳房肿块：丝虫病的罕见表现。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-09-12 DOI: 10.1177/00494755251374482
Subodh Kumar Mahto, Arjun Mallasandra Balakrishna, Ankita Sheoran, Pulin Kumar Gupta
{"title":"Breast lump: A rare presentation of filariasis.","authors":"Subodh Kumar Mahto, Arjun Mallasandra Balakrishna, Ankita Sheoran, Pulin Kumar Gupta","doi":"10.1177/00494755251374482","DOIUrl":"https://doi.org/10.1177/00494755251374482","url":null,"abstract":"<p><p>Filariasis is an endemic infection caused by nematodes Wuchereria bancrofti and Brugya malayi, highly prevalent in Bihar, Kerala and Tamil Nadu. The disease mainly affects the lymphatics, both channels and nodes. Breast filariasis is rather uncommon, and might mimic a neoplastic breast lump.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251374482"},"PeriodicalIF":0.6,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056066","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 associated risk factors of generalised anxiety disorders in children with seizure disorders in the rural population of northern India - an observational study. 印度北部农村人口癫痫性儿童广泛性焦虑症患病率及相关危险因素——一项观察性研究
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-09-12 DOI: 10.1177/00494755251376420
Dinesh Kumar, Durgesh Kumar, Nishant Sharma, Rakesh Kumar, Dushyant Rastogi, Muniba Alim
{"title":"Prevalence and associated risk factors of generalised anxiety disorders in children with seizure disorders in the rural population of northern India - an observational study.","authors":"Dinesh Kumar, Durgesh Kumar, Nishant Sharma, Rakesh Kumar, Dushyant Rastogi, Muniba Alim","doi":"10.1177/00494755251376420","DOIUrl":"https://doi.org/10.1177/00494755251376420","url":null,"abstract":"<p><p>Our study investigated the prevalence and risk factors for generalised anxiety disorder (GAD) in children with epilepsy. A clinically significant level of anxiety was observed in 8% of children with epilepsy, especially those who are older, have frequent seizures, or have been on antiepileptic drugs for extended periods.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251376420"},"PeriodicalIF":0.6,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056110","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
Unilateral white lung in a term neonate: An unusual cause. 足月新生儿单侧白肺：罕见病因。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-09-10 DOI: 10.1177/00494755251377566
Deeksha Gupta, Bhagyashree Pr, Poonam Singh, Mayank Priyadarshi, Suman Chaurasia, Sriparna Basu
{"title":"Unilateral white lung in a term neonate: An unusual cause.","authors":"Deeksha Gupta, Bhagyashree Pr, Poonam Singh, Mayank Priyadarshi, Suman Chaurasia, Sriparna Basu","doi":"10.1177/00494755251377566","DOIUrl":"https://doi.org/10.1177/00494755251377566","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251377566"},"PeriodicalIF":0.6,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030732","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
Intensive care management and outcomes of severe paediatric tetanus in a tertiary care hospital. 三级医院重症小儿破伤风的重症监护管理和结局。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-09-09 DOI: 10.1177/00494755251375218
Bhanuja Bhagwat, Bhakti U Sarangi, Ajay Walimbe, Raghupathi Ramtenki
{"title":"Intensive care management and outcomes of severe paediatric tetanus in a tertiary care hospital.","authors":"Bhanuja Bhagwat, Bhakti U Sarangi, Ajay Walimbe, Raghupathi Ramtenki","doi":"10.1177/00494755251375218","DOIUrl":"https://doi.org/10.1177/00494755251375218","url":null,"abstract":"<p><p>Tetanus is a rapidly progressive, life-threatening illness with the clinical hallmark of muscle spasms associated with respiratory and neurological sequelae, especially in the unimmunised population. Non-neonatal tetanus continues to be a rare diagnosis. We hereby report six cases admitted to our intensive care unit, highlighting the varied clinical features, management strategies and outcomes. Early initiation of ventilatory support, aggressive spasm control, consideration of early tracheostomy and prevention of nosocomial infections are vital for positive outcomes. Additionally, consistent supportive care by doctors and nursing staff is crucial in managing severe paediatric tetanus.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251375218"},"PeriodicalIF":0.6,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030719","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
Melioidosis: An uncommon cause of neck abscess. 类鼻疽：颈部脓肿的罕见病因。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-09-09 DOI: 10.1177/00494755251376744
Drishya Jayakumar, Meera Nandakumar, Vadisha Bhat
{"title":"Melioidosis: An uncommon cause of neck abscess.","authors":"Drishya Jayakumar, Meera Nandakumar, Vadisha Bhat","doi":"10.1177/00494755251376744","DOIUrl":"https://doi.org/10.1177/00494755251376744","url":null,"abstract":"<p><p>Infection with the bacterium <i>Burkholderia pseudomallei</i> can cause melioidosis, a potentially life-threatening disease. As a facultative intracellular pathogen, it poses challenges for treatment and demands long-term follow-up. Neck abscesses caused by Burkholderia are rare, but it is essential to consider their possibility, as prompt diagnosis and treatment are crucial for improving outcomes and preventing complications. We report three cases of neck abscesses that were treated.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251376744"},"PeriodicalIF":0.6,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030765","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
An unusually large liver abscess: A rare presentation of fascioliasis. 异常大的肝脓肿：罕见的片形吸虫病表现。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-09-08 DOI: 10.1177/00494755251374464
Mohammed Shakeel Sillat, S Govarthanan
{"title":"An unusually large liver abscess: A rare presentation of fascioliasis.","authors":"Mohammed Shakeel Sillat, S Govarthanan","doi":"10.1177/00494755251374464","DOIUrl":"https://doi.org/10.1177/00494755251374464","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251374464"},"PeriodicalIF":0.6,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016602","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
Maternal and foetal outcomes of scrub typhus in pregnancy: A retrospective study. 妊娠期恙虫病的母婴结局：回顾性研究。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-09-08 DOI: 10.1177/00494755251376113
Nilofer A Rajasab, Syed Ahmed Zaki
{"title":"Maternal and foetal outcomes of scrub typhus in pregnancy: A retrospective study.","authors":"Nilofer A Rajasab, Syed Ahmed Zaki","doi":"10.1177/00494755251376113","DOIUrl":"https://doi.org/10.1177/00494755251376113","url":null,"abstract":"<p><p>Scrub typhus, caused by <i>Orientia tsutsugamushi</i>, is a zoonotic infection endemic to the Asia-Pacific region. Its severity ranges from mild illness to life-threatening complications and case fatality rate upto 30%, highlighting the importance of early diagnosis. This study analyzed the clinical profile and pregnancy outcomes of 34 pregnant women diagnosed with scrub typhus at a tertiary care and referral centre. Poor foetal outcomes were observed in 18 (53%) pregnancies with intra-uterine deaths and spontaneous abortion occurring in 12 cases, while six had preterm births between 32 and 35 weeks of gestation. There was no maternal mortality. In endemic regions, scrub typhus should be considered in all pregnant women presenting with unexplained fever. Early diagnosis and prompt treatment are crucial to improving maternal and foetal outcomes.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251376113"},"PeriodicalIF":0.6,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024702","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
Chikungunya infection complicated by encephalitis and rhabdomyolysis. 基孔肯雅热感染并发脑炎和横纹肌溶解。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-09-08 DOI: 10.1177/00494755251375216
Pratiksha Jayanat Pai, Rahul Dey, Deepankshi Aggarwal, Manjinder Kaur, Vikas Bhatia, Ashok Kumar Pannu
{"title":"Chikungunya infection complicated by encephalitis and rhabdomyolysis.","authors":"Pratiksha Jayanat Pai, Rahul Dey, Deepankshi Aggarwal, Manjinder Kaur, Vikas Bhatia, Ashok Kumar Pannu","doi":"10.1177/00494755251375216","DOIUrl":"https://doi.org/10.1177/00494755251375216","url":null,"abstract":"<p><p>Chikungunya virus (CHIKV) typically causes febrile illness and arthralgia. However, severe complications such as encephalitis, rhabdomyolysis, and multiorgan dysfunction are increasingly recognised, particularly during epidemics in endemic regions. We report a case of a 61-year old male presenting with progressive flaccid paraparesis and respiratory failure following febrile illness. Magnetic resonance imaging (MRI) revealed white matter hyperintense foci with restricted diffusion in the periventricular, deep white matter, cerebellum, and middle cerebellar peduncles, consistent with encephalitis. Laboratory findings indicated rhabdomyolysis and acute kidney injury. Serological confirmation of CHIKV highlighted the diagnosis of CHIKV encephalitis complicated by rhabdomyolysis. Despite intensive care, the patient succumbed to refractory shock and hyperkalaemia. This case underscores the importance of early recognition of atypical manifestations of CHIKV, particularly MRI findings, to facilitate timely diagnosis and multidisciplinary management in severe cases.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251375216"},"PeriodicalIF":0.6,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016589","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 comparative evaluation of ultrasound and frozen section analysis in predicting margin status after breast conservation surgery in patients with ultrasound-detectable breast cancer. 超声和冷冻切片分析对超声可检出乳腺癌保乳手术后边缘状态预测的比较评价。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2025-09-05 DOI: 10.1177/00494755251374479
Jijo Anto, Shiv Shankar Paswan, Chandan Kumar Jha, Upasna Sinha, Shreekant Bharti, Punam Prasad Bhadani
{"title":"A comparative evaluation of ultrasound and frozen section analysis in predicting margin status after breast conservation surgery in patients with ultrasound-detectable breast cancer.","authors":"Jijo Anto, Shiv Shankar Paswan, Chandan Kumar Jha, Upasna Sinha, Shreekant Bharti, Punam Prasad Bhadani","doi":"10.1177/00494755251374479","DOIUrl":"https://doi.org/10.1177/00494755251374479","url":null,"abstract":"<p><p>The primary goal of breast conservation surgery (BCS) is to achieve tumour-free margins. However, it is known that in 20% patients, a tumour-free margin may not be obtained. Positive margins frequently lead to re-operation and are the strongest predictors of local recurrence. We therefore evaluated the performance of ultrasound (US) and frozen section (FS) in predicting the margin status of lumpectomy specimens of ultrasound-detectable breast carcinoma patients undergoing BCS. In our prospective study on 54 patients who underwent lumpectomy, the margins were analyzed by ultrasound and frozen section. Patient-wise and margin-wise diagnostic parameters were calculated for both modalities.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251374479"},"PeriodicalIF":0.6,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001742","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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