Tropical DoctorPub Date : 2026-04-01Epub Date: 2025-11-19DOI: 10.1177/00494755251397175
Ashok Kumar Pannu
{"title":"The SpO<sub>2</sub>/FiO<sub>2</sub> ratio for diagnosis and management of acute respiratory distress syndrome.","authors":"Ashok Kumar Pannu","doi":"10.1177/00494755251397175","DOIUrl":"10.1177/00494755251397175","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"243-244"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558230","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":"The enduring value of bone marrow morphology in kala-azar amid molecular distractions.","authors":"Narender Kumar, Avinash Kumar Singh, Prashant Sharma","doi":"10.1177/00494755251398133","DOIUrl":"10.1177/00494755251398133","url":null,"abstract":"<p><p>We report a case of a 35-year old woman with prolonged fever, cytopenia and massive splenomegaly, initially misdiagnosed as steroid-refractory auto-immune haemolytic anaemia with thrombocytopenia. Whole-exome sequencing revealed pathogenic variants in three genes, none of which explained the clinical picture. A subsequent bone marrow examination identified Leishman-Donovan bodies, confirming visceral leishmaniasis (VL). This case illustrates the pitfalls of over-reliance on next-generation sequencing and immunologic tests in the absence of a clear clinical hypothesis. In cost-conscious healthcare settings such as India, simpler and less expensive diagnostic modalities, such as bone marrow microscopy, remain crucial, especially for endemic infections such as VL. High-end molecular diagnostics should be interpreted with caution, with clinical correlation and an awareness of the limitations and incidental findings common to such testing.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"445-447"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607004","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 : 2026-04-01Epub Date: 2025-12-15DOI: 10.1177/00494755251406695
Dang Duc Nguyen, Nguyen Hong Anh Lam
{"title":"Severe coagulopathy from a pet <i>Calloselasma rhodostoma</i> bite in Hanoi, Vietnam: A case report.","authors":"Dang Duc Nguyen, Nguyen Hong Anh Lam","doi":"10.1177/00494755251406695","DOIUrl":"10.1177/00494755251406695","url":null,"abstract":"<p><p>We report a case of <i>Calloselasma rhodostoma</i> bite in a 22-year old male who kept the snake as a household pet, which resulted in a severe coagulopathy with markedly reduced fibrinogen levels. Antivenom (Queen Saovabha Memorial Institute, Thailand) was administered at 33 h post-bite, after which coagulation recovered completely. This report highlights the risks of private venomous snake ownership and demonstrates that delayed antivenom can still effectively reverse coagulopathy when supported by close monitoring<b>.</b></p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"368-371"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764445","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 : 2026-04-01DOI: 10.1177/00494755261437456
Shaveta Kataria, Ashina Singla, Ved Prakash Mamoria, Ishan Sharma
{"title":"The burden of cyclosporiasis in immuno-compromised patients: A growing public health issue lessons from case studies.","authors":"Shaveta Kataria, Ashina Singla, Ved Prakash Mamoria, Ishan Sharma","doi":"10.1177/00494755261437456","DOIUrl":"https://doi.org/10.1177/00494755261437456","url":null,"abstract":"<p><p><i>Cyclospora cayetanensis</i> is an emerging notifiable food-and-water-borne coccidian parasite causing gastro-intestinal-disease in humans. Detailed information about its biology-associated risk-factors and routes of transmission remain poorly understood; the lack-of-comprehensive epidemiological data underlines a critical need for targeted research into effective prevention and control. Acid variable (pink to brilliant red colour) oocysts of <i>Cyclospora</i> spp. were observed in 16/162 samples, predominantly in 51-60 years males in October. Most cases were among transplant recipients presenting with diarrhoea, therapeutic options among whom remains limited.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755261437456"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595587","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":"Dual infection of Hepatitis A and Hepatitis E in type 1 diabetes leading to severe hepatitis and delayed recovery - A case report.","authors":"Niharika Varshney, Sheikh Yasir Islam, Priya Bansal, Anupam Prakash","doi":"10.1177/00494755251403293","DOIUrl":"10.1177/00494755251403293","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"343-345"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670883","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":"Beyond malignancy: Unravelling the Enigma of Meigs syndrome in ovarian fibroma.","authors":"Arun Sudhakar Sanap, Medha Davile, Shuchita Mundle, Minal Pradip Dhanvij","doi":"10.1177/00494755251414934","DOIUrl":"10.1177/00494755251414934","url":null,"abstract":"<p><p>Meigs syndrome is characterised by the triad of ovarian fibroma associated with ascites and pleural effusion, the latter of which resolves after removal of the fibroma. This uncommon but important clinical entity mimics malignancy in postmenopausal females. We present two such cases.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"346-347"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145985777","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":"Gartner duct cyst: A rare differential of pelvic organ prolapses.","authors":"Arun Sanap, Sameer Sable, Prerna Ajwani, Renuka Gite","doi":"10.1177/00494755251415244","DOIUrl":"10.1177/00494755251415244","url":null,"abstract":"<p><p>Gartner's duct cyst is a congenital, benign, usually small-sized and asymptomatic cyst arising from the remnants of the Wolffian duct. Larger cysts can cause dyspareunia, pelvic swelling and urinary symptoms.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"392-394"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020428","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}