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Acute hepatitis A and hepatitis C co-infection triggering Guillain-Barre syndrome. 急性甲型肝炎和丙型肝炎合并感染引发格林-巴利综合征。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-11-04 DOI: 10.1177/00494755241295268
Ayush Agarwal, Sapna Mittal, Divyani Garg, Venugopalan Y Vishnu, Achal K Srivastava
{"title":"Acute hepatitis A and hepatitis C co-infection triggering Guillain-Barre syndrome.","authors":"Ayush Agarwal, Sapna Mittal, Divyani Garg, Venugopalan Y Vishnu, Achal K Srivastava","doi":"10.1177/00494755241295268","DOIUrl":"https://doi.org/10.1177/00494755241295268","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755241295268"},"PeriodicalIF":0.5,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570160","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
Reactive arthritis in connective tissue diseases; one should be vigilant for joint tuberculosis. 结缔组织病中的反应性关节炎；应警惕关节结核。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-29 DOI: 10.1177/00494755241293186
Leng Qian-Ying, Chen Yao
{"title":"Reactive arthritis in connective tissue diseases; one should be vigilant for joint tuberculosis.","authors":"Leng Qian-Ying, Chen Yao","doi":"10.1177/00494755241293186","DOIUrl":"https://doi.org/10.1177/00494755241293186","url":null,"abstract":"<p><p>The incidence of tuberculosis (TB) is increasing worldwide. Bone and joint TB are the most common types of extra-pulmonary TB, but can easily be misdiagnosed, since articular TB commonly mimics other joint diseases, including reactive and degenerative arthritis, and articular manifestations associated with systemic autoimmune diseases. Furthermore, patients with systemic auto-immune diseases are often more prone to mycobacterial infection. The diagnosis of joint TB can be made using a combination of the following methods: clinical evaluation, imaging, tuberculin skin test, interferon-gamma release assays, nucleic acid amplification tests, and Gene X-pert MTB/rifampicin assay.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755241293186"},"PeriodicalIF":0.5,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523465","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
Scrub typhus eschar: Clinical and 365 nm fluorescence dermoscopic correlation and follow-up till cure. 恙虫病焦痂：临床与 365 纳米荧光皮肤镜的相关性以及治愈前的随访。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-25 DOI: 10.1177/00494755241293182
Shrinivas Patil, Debdeep Mitra
{"title":"Scrub typhus eschar: Clinical and 365 nm fluorescence dermoscopic correlation and follow-up till cure.","authors":"Shrinivas Patil, Debdeep Mitra","doi":"10.1177/00494755241293182","DOIUrl":"https://doi.org/10.1177/00494755241293182","url":null,"abstract":"<p><p>This case report presents an instance of scrub typhus, distinguished by a solitary eschar on the thigh, and explores the application of dermoscopy with 365 nm ultraviolet illumination for real-time monitoring during treatment. Scrub typhus, caused by Orientia tsutsugamushi, typically manifests with eschars that can be easily overlooked due to their painless nature. This case highlights the utility of dermoscopy in improving eschar detection and therapeutic monitoring, offering a novel approach to managing this potentially severe disease.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755241293182"},"PeriodicalIF":0.5,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511615","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
Hyoscyamus niger poisoning in Sudan: A case report. 苏丹的黑百部中毒：病例报告。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-18 DOI: 10.1177/00494755241289456
Ibrahim Nagmeldin Hassan
{"title":"<i>Hyoscyamus niger</i> poisoning in Sudan: A case report.","authors":"Ibrahim Nagmeldin Hassan","doi":"10.1177/00494755241289456","DOIUrl":"https://doi.org/10.1177/00494755241289456","url":null,"abstract":"<p><p>Hyoscyamus niger, commonly known as henbane, contains potent alkaloids that can cause anticholinergic toxicity when ingested. This case report describes a 35-year-old male gardener who presented with confusion, hallucinations, dry mouth, and dilated pupils after consuming parts of the plant. The patient was treated with rehydration, activated charcoal, and physostigmine, leading to rapid clinical improvement. This case highlights the importance of recognizing plant-based poisonings and the efficacy of physostigmine in managing anticholinergic syndrome. Public awareness and education on the dangers of unfamiliar plants are essential to prevent accidental ingestions.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755241289456"},"PeriodicalIF":0.5,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478965","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
Spectrum of endoscopic findings in Strongyloides stercoralis infection with gastroduodenal involvement-A case series. 盘尾丝虫感染累及胃十二指肠的内镜检查结果谱系--病例系列。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-16 DOI: 10.1177/00494755241289455
Suprabhat Giri, Sham Charan Kosuru, Akruti Mishra, Preetam Nath, Sarat Chandra Panigrahi, Anil Chandra Anand
{"title":"Spectrum of endoscopic findings in <i>Strongyloides stercoralis</i> infection with gastroduodenal involvement-A case series.","authors":"Suprabhat Giri, Sham Charan Kosuru, Akruti Mishra, Preetam Nath, Sarat Chandra Panigrahi, Anil Chandra Anand","doi":"10.1177/00494755241289455","DOIUrl":"https://doi.org/10.1177/00494755241289455","url":null,"abstract":"<p><p><i>Strongyloides stercoralis</i> infects the duodenum and jejunum with rare involvement of the stomach. However, the clinical presentation and endoscopic findings are non-specific. There are limited data on upper gastrointestinal endoscopy findings in <i>S. stercoralis</i> with gastroduodenal involvement. In this case series of seven patients, we summarize such findings after diagnosis with tissue biopsy.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755241289455"},"PeriodicalIF":0.5,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478969","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
'DO NOT MISS': A mnemonic to detect red flags in headache and back pain syndromes. 切勿错过"：检测头痛和背痛综合征信号的记忆法。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-14 DOI: 10.1177/00494755241291085
Ashok Kumar Pannu
{"title":"'DO NOT MISS': A mnemonic to detect red flags in headache and back pain syndromes.","authors":"Ashok Kumar Pannu","doi":"10.1177/00494755241291085","DOIUrl":"https://doi.org/10.1177/00494755241291085","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755241291085"},"PeriodicalIF":0.5,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478967","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
Less invasive surfactant administration with specially designed semirigid catheter: Experience from a tertiary level neonatal unit of a lower middle-income country. 使用特殊设计的半硬质导管进行微创表面活性物质给药：一个中低收入国家三级新生儿科的经验。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-14 DOI: 10.1177/00494755241288931
Sourabh Kumar, Pankaj Chaudhary, Mayank Priyadarshi, Suman Chaurasia, Poonam Singh, Sriparna Basu
{"title":"Less invasive surfactant administration with specially designed semirigid catheter: Experience from a tertiary level neonatal unit of a lower middle-income country.","authors":"Sourabh Kumar, Pankaj Chaudhary, Mayank Priyadarshi, Suman Chaurasia, Poonam Singh, Sriparna Basu","doi":"10.1177/00494755241288931","DOIUrl":"https://doi.org/10.1177/00494755241288931","url":null,"abstract":"<p><p>Clinical outcomes of 74 preterm neonates, who received surfactant replacement therapy (SRT), were collected retrospectively, to compare the following modes of administration: (1) less invasive surfactant administration (LISA) via a specially designed semirigid catheter (<i>Surfcath</i>), (2) INtubate-SURfactant-Extubate (INSURE) and (3) through endotracheal tube (ETT), in neonates requiring mechanical ventilation. The primary composite outcome of mortality or bronchopulmonary dysplasia (BPD) at 36 weeks' post-menstrual age was 41% in LISA, 38% in INSURE and 77% in ETT groups (<i>p</i> < 0.01), the difference being mainly due to the high incidence of mortality in the latter. LISA, via a specially designed semirigid catheter, was safe and feasible in preterm neonates.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755241288931"},"PeriodicalIF":0.5,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478968","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
Chromobacterium violaceum: An incidental finding in a neonate. 粗大色杆菌：新生儿的偶然发现
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-14 DOI: 10.1177/00494755241287605
Amit Rai, Krati Agarwal, Parul Singh, Atul R Rukadikar
{"title":"<i>Chromobacterium violaceum</i>: An incidental finding in a neonate.","authors":"Amit Rai, Krati Agarwal, Parul Singh, Atul R Rukadikar","doi":"10.1177/00494755241287605","DOIUrl":"https://doi.org/10.1177/00494755241287605","url":null,"abstract":"<p><p><i>Chromobacterium violaceum</i> is a gram-negative saprophytic bacterium causing human infection in tropical and subtropical countries. Such infections are uncommon but cause high mortality when the bacterium enters the bloodstream through an open wound. We present a case of <i>C. violaceum</i> infection isolated from a blood culture sample in a neonate identified at a tertiary care teaching hospital in North East Uttar Pradesh. Timely diagnosis by microbiological methods and antimicrobial treatment led to a successful cure for this life-threatening infection. Thus, such bacteria should be included in the routine spectrum for differential diagnosis of sepsis, to provide a chance of cure.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755241287605"},"PeriodicalIF":0.5,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478964","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
Complete renal response of IgA vasculitis with steroid and mycophenolate mofetil in an adult HIV patient. 一名成年艾滋病患者在使用类固醇和霉酚酸酯治疗 IgA 血管炎后，肾脏出现完全反应。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-13 DOI: 10.1177/00494755241282365
Naman Mahesh Pathak, Kritika Pant, Jyoti Aggarwal, Joydeep Samanta, Satyaki Ganguly, Vinay Rathore
{"title":"Complete renal response of IgA vasculitis with steroid and mycophenolate mofetil in an adult HIV patient.","authors":"Naman Mahesh Pathak, Kritika Pant, Jyoti Aggarwal, Joydeep Samanta, Satyaki Ganguly, Vinay Rathore","doi":"10.1177/00494755241282365","DOIUrl":"https://doi.org/10.1177/00494755241282365","url":null,"abstract":"<p><p>IgA vasculitis in adult HIV patients is rare and not well understood. Data on treatment of IgA vasculitis associated with HIV is sparse and limited to case reports. Highly active antiretroviral therapy (HAART) is the mainstay therapy for inducing remission. We report a case of a 41-year old HIV patient who presented with palpable purpura, melaena and oedema and was diagnosed with IgA vasculitis with severe renal (crescentic glomerulonephritis), gastrointestinal and skin involvement. He was treated with immunosuppressive drugs and HAART which led to remission of disease. This case is unusual due to the presence of crescentic glomerulopathy and the requirement of immunosuppression for remission induction.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755241282365"},"PeriodicalIF":0.5,"publicationDate":"2024-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478966","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
Clinical predictors of warfarin-associated bleeding: A case-control study. 华法林相关出血的临床预测因素：病例对照研究
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-10 DOI: 10.1177/00494755241287952
Shahanaze Javath Hussain, Surendran Deepanjali, Hemachandren Munuswamy
{"title":"Clinical predictors of warfarin-associated bleeding: A case-control study.","authors":"Shahanaze Javath Hussain, Surendran Deepanjali, Hemachandren Munuswamy","doi":"10.1177/00494755241287952","DOIUrl":"https://doi.org/10.1177/00494755241287952","url":null,"abstract":"<p><p>Despite the advent of directly acting oral anticoagulants, warfarin is still widely used in resource-poor settings. Bleeding as a result of warfarin overdosage is common and risk factors seem to vary between patient populations. Predictors of bleeding in patients using warfarin were studied using a case-control design. We calculated the Hypertension, Abnormal Renal/Liver Function, Stroke, Bleeding History or Predisposition, Labile INR, Elderly, Drugs/Alcohol (HAS-BLED) score (a bleeding risk prediction tool). Cases chosen were adults prescribed warfarin presenting with bleeding and controls were likewise taking warfarin but had no bleeding in the previous six months. The most common indication for warfarin use was venous thromboembolism. Recent decrease in food intake was strongly associated with bleeding. Older age, higher warfarin doses, recent illness in the past fortnight and prior bleeding were also independent predictors. A higher HAS-BLED score was not predictive independently. Closer monitoring of international normalised ratio is therefore advisable during acute illnesses and in those with decreased food intake.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755241287952"},"PeriodicalIF":0.5,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394686","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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