Tropical DoctorPub Date : 2024-10-01Epub Date: 2024-05-31DOI: 10.1177/00494755241256679
Isaac Ks Ng, Wilson Gw Goh
{"title":"Interpretation of acute phase reactants (C-reactive protein and procalcitonin) in children with pneumonia.","authors":"Isaac Ks Ng, Wilson Gw Goh","doi":"10.1177/00494755241256679","DOIUrl":"10.1177/00494755241256679","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":"141180486","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 : 2024-10-01Epub Date: 2024-06-18DOI: 10.1177/00494755241261734
Mugarura Robert, Nek Arthur Jonathan, Nakitto Irene Kisakye, Katushabe Mary, Elichum Mutakoha
{"title":"Persistent unmet need for surgical care in Western Uganda.","authors":"Mugarura Robert, Nek Arthur Jonathan, Nakitto Irene Kisakye, Katushabe Mary, Elichum Mutakoha","doi":"10.1177/00494755241261734","DOIUrl":"10.1177/00494755241261734","url":null,"abstract":"<p><p>Treatable surgical diseases account for a significant proportion of the global burden of disease, particularly in low- and middle-income communities. The number of deaths owing to poor surgical care or its non-availability has been reported to exceed those from HIV/AIDS, tuberculosis and malaria combined. The Ugandan government and its development partners aim to put in place measures to achieve universal health coverage for all communities. These include construction and equipping health facilities, training of health workers, opening up road networks, and poverty alleviation programmes. However, these efforts have, as yet, fallen short as evidenced by external hernias remaining the leading cause of intestinal obstruction for more than 40 years. We recommend establishment of global surgery collaborations with rural-based medical training schools and other health facilities, essential surgical skills training for medical students, task shifting in surgical care and integration of regular surgical camps in the Uganda's healthcare delivery model.</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":"141421601","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":"Sentinel lymph node biopsy in early breast carcinoma using fluorescein sodium and methylene blue dye: A validation study.","authors":"Chandan Kumar Jha, Upasna Sinha, Prashant Kumar Singh, Kunal Parasar, Manoj Kumar","doi":"10.1177/00494755241264043","DOIUrl":"10.1177/00494755241264043","url":null,"abstract":"<p><p>The availability of radioisotopes for sentinel lymph node biopsy (SLNB) in breast carcinoma is limited in low- and middle-income countries and thus the need for other reliable tracers exists. We aimed to validate the effectiveness of fluorescein sodium (FS) together with methylene blue dye (MBD) for patients with node-negative early breast carcinoma in a prospective cross-sectional study. Patients underwent SLNB using FS and MBD followed by axillary dissection to validate results. Sentinel lymph node (SLN) identification rate and false negative rate were assessed for all three tracers/combinations (MBD, FS, and MBD + FS). We concluded that SLNB using a combination of FS and MBD has an acceptable rate of SLN identification but the addition of FS provided no additional benefit.</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":"141753157","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 : 2024-10-01Epub Date: 2024-05-08DOI: 10.1177/00494755241253884
Isaac Ks Ng, Christopher Thong
{"title":"Implications of imposing an e-cigarette ban amidst the global vaping epidemic.","authors":"Isaac Ks Ng, Christopher Thong","doi":"10.1177/00494755241253884","DOIUrl":"10.1177/00494755241253884","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":"140891203","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 : 2024-10-01Epub Date: 2024-07-23DOI: 10.1177/00494755241263615
Chetanna Chioma Anaje, Chibuzo Ifeanyi Okpala, Nkechi Anne Enechukwu, Felix Emeka Menkiti, Ifeoma Florence Ezejiofor, Chukwudi Christian Umenzekwe
{"title":"A case report of de novo histoid leprosy in a Nigerian male: A diagnostic dilemma.","authors":"Chetanna Chioma Anaje, Chibuzo Ifeanyi Okpala, Nkechi Anne Enechukwu, Felix Emeka Menkiti, Ifeoma Florence Ezejiofor, Chukwudi Christian Umenzekwe","doi":"10.1177/00494755241263615","DOIUrl":"10.1177/00494755241263615","url":null,"abstract":"<p><p>Histoid leprosy is an uncommon variant of lepromatous leprosy. It poses a diagnostic challenge because of its distinctive clinical and histopathological features. It presents as smooth papules and nodules that rarely ulcerate. We present the case of a 22-year-old Nigerian man with a 2-year history of multiple, dome-shaped papules and nodules on the skin with necrotic centres. General examination showed right axillary lymphadenopathy, non-pitting oedema, foot ulcer, and glove and stocking sensation loss. Despite previous misdiagnoses, histopathological examination showed dermal expansion by histiocytes arranged in a storiform pattern. Slit skin smear yielded abundant bacilli. The patient was started on WHO multidrug treatment, resulting in the improvement of his lesions. This case emphasises the importance of increased awareness of this rare presentation of leprosy.</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":"141753151","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 : 2024-10-01Epub Date: 2024-06-06DOI: 10.1177/00494755241256407
Nathiel de Sousa Silva, Carlos Henrique Alencar, Jorg Heukelbach
{"title":"Human scabies and sarcoptic mange in northeast Brazil: Results from a rapid assessment method covering an entire state.","authors":"Nathiel de Sousa Silva, Carlos Henrique Alencar, Jorg Heukelbach","doi":"10.1177/00494755241256407","DOIUrl":"10.1177/00494755241256407","url":null,"abstract":"<p><p>Scabies is a neglected tropical disease and has been highlighted as a target for control. Sarcoptic mange affects animals, but mange is also considered a zoonosis. We present rapid assessment data on scabies and sarcoptic mange collected from key informants via a web-based questionnaire in Ceará State (1265 data entries). A total of 181/184 (98.3%) municipalities reported the occurrence of human scabies; 149 (80.9%) current occurrence; 168 (91.3%) severe cases; and 113 (61.4%) severe cases currently. Sarcoptic mange was reported from 149/184 (80.9%) municipalities, and severe mange from 128 (69.9%), most commonly in dogs (117 municipalities), cats (79), pigs (17), cattle (15), horses (15), and goats (2). Respondents from 171 (92.9%) municipalities observed seasonality of occurrence. Scabies and sarcoptic mange are important public health issues in a northeast Brazilian state. The wide distribution of severe cases requires an integrated One Health approach effectively and sustainably to reduce the disease burden.</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":"141263351","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":"Post-dengue mucormycosis- a novel entity or COVID-19 associated in disguise?","authors":"Harsha Popli, Ambika Gupta, Virendra Singh, Harneet Singh","doi":"10.1177/00494755241269196","DOIUrl":"10.1177/00494755241269196","url":null,"abstract":"<p><p>Dengue is a disease endemic to tropical countries such as India. In the past two years, cases of COVID-19 associated Mucormycosis have become a commonly encountered phenomenon. However, cases of dengue associated Mucormycosis have not found a significant mention in the literature yet. We, therefore, report two such cases in which Mucormycosis developed after recovery from Dengue fever and try to dig into the possible mechanism behind such an occurrence.</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":"141972182","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":"Naproxen-induced liver injury in a case of adult-onset Still's disease.","authors":"Suresh Selvam, Ankita Bansal, Harpreet Singh, Deba Prasad Dhibhar, Vikas Suri, Ashish Bhalla","doi":"10.1177/00494755241287261","DOIUrl":"https://doi.org/10.1177/00494755241287261","url":null,"abstract":"<p><p>We present the case of a young female with fever, rash, and joint pain without any other history of connective tissue disorder, who was found on evaluation to have neutrophilic leucocytosis, elevated inflammatory markers and lymphadenopathy with hepatosplenomegaly. After extensive workup, the possibility of adult onset Still's disease was suggested by Yamaguchi criteria. She was started on naproxen, but later on developed drug-induced liver injury. She already had central serous retinopathy due to steroid use, and it was difficult to treat the adult-onset Stills disease due to the liver injury in view of contraindication to use of anti-inflammatory drugs but her illness was monocyclic and did not require further immunosuppression.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331006","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 : 2024-09-28DOI: 10.1177/00494755241286564
Lutfun Nahar Nizhu, Ahmad Mursel Anam, Shihan Mahmud Redwanul Huq, Raihan Rabbani, Asifa Jahan, Kalyanbroto Roy
{"title":"Therapeutic plasma exchange in expanded dengue patients having acute liver failure: A case series.","authors":"Lutfun Nahar Nizhu, Ahmad Mursel Anam, Shihan Mahmud Redwanul Huq, Raihan Rabbani, Asifa Jahan, Kalyanbroto Roy","doi":"10.1177/00494755241286564","DOIUrl":"https://doi.org/10.1177/00494755241286564","url":null,"abstract":"<p><p>Expanded dengue syndrome is a severe form of dengue fever that can cause acute liver failure and patients with this condition have a high mortality rate. This is because it can cause a cytokine storm, Unfortunately, standard treatments are often ineffective. Therapeutic plasma exchange is a procedure that removes cytokines and improves the patient's condition. Our study involved 15 patients with expanded dengue syndrome having acute liver failure, who were not responding to standard therapies. We treated them with plasmapheresis, and 11 of the patients showed significant improvement in liver function and survived. Unfortunately, the remaining four patients died owing to other complications. Early treatment is crucial for the best possible outcome.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331007","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}