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Internal jugular vein aneurysm following needle aspiration of a thyroid nodule: A case report. 针吸甲状腺结节后颈内静脉动脉瘤1例。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-04-01 Epub Date: 2025-01-15 DOI: 10.1177/00494755251313580
Sanjib Rawat, Abhilash Goyal, Bheemas Atlapure, Vineet Mahajan
{"title":"Internal jugular vein aneurysm following needle aspiration of a thyroid nodule: A case report.","authors":"Sanjib Rawat, Abhilash Goyal, Bheemas Atlapure, Vineet Mahajan","doi":"10.1177/00494755251313580","DOIUrl":"10.1177/00494755251313580","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"174-178"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014923","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
Source identification and clinical outcomes of Ralstonia outbreaks in a neonatal intensive care unit: A case series from a tertiary care centre. 新生儿重症监护室中拉尔斯顿菌暴发的来源鉴定和临床结果：三级保健中心的病例系列。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-04-01 Epub Date: 2025-03-11 DOI: 10.1177/00494755251323683
Vineetha Prasad Nannapaneni, Monisha Rameshbabu, Subha Sundaramoorthy, Giridhar Sethuraman
{"title":"Source identification and clinical outcomes of <i>Ralstonia</i> outbreaks in a neonatal intensive care unit: A case series from a tertiary care centre.","authors":"Vineetha Prasad Nannapaneni, Monisha Rameshbabu, Subha Sundaramoorthy, Giridhar Sethuraman","doi":"10.1177/00494755251323683","DOIUrl":"10.1177/00494755251323683","url":null,"abstract":"<p><p>Background<i>Ralstonia</i> species are emerging nosocomial pathogens linked to significant clinical disease in high-risk populations, particularly preterm neonates.ObjectiveTo study the clinical and epidemiological characteristics including source identification of <i>Ralstonia</i> outbreak in NICU.MethodsThis study was conducted in a tertiary care NICU in South India, identifying 14 cases of <i>Ralstonia</i> infection over two epochs: May to August 2021 and December 2022 to February 2023. We reviewed patient characteristics, clinical manifestations, antimicrobial profiles, and outcomes, alongside an epidemiological investigation for source identification.ResultsAmong the 14 cases, 13 were <i>R. mannitolilytica</i> and 1 was <i>R. pickettii</i>. No source was identified in the first epoch; however, contaminated sterile water ampoules used for IV preparations were implicated in the second. The mean gestation was 28 weeks (± 3), and the mean birth weight was 1192 g (± 539). Most neonates exhibited nonspecific symptoms. All isolates were sensitive to ciprofloxacin and trimethoprim-sulfamethoxazole, with all cases recovering fully.Teaching implications<i>Ralstonia</i> species are capable of causing outbreaks and should prompt epidemiological surveillance for source identification. Clinical infection is usually mild with full recovery. Key interventions to prevent outbreaks include rigorous surveillance, infection control, and prompt antibiotic treatment.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"113-120"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606889","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
Fishbone penetration leading to pyogenic liver abscess: A case report. 鱼骨穿透导致化脓性肝脓肿：病例报告
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-04-01 Epub Date: 2024-11-08 DOI: 10.1177/00494755241297208
Yaobing Zong, Yinggang Zhang, Huaibo Zhang
{"title":"Fishbone penetration leading to pyogenic liver abscess: A case report.","authors":"Yaobing Zong, Yinggang Zhang, Huaibo Zhang","doi":"10.1177/00494755241297208","DOIUrl":"10.1177/00494755241297208","url":null,"abstract":"<p><p>The incidence of pyogenic liver abscesses (PLAs) resulting from foreign body ingestion is relatively rare; however, it poses significant risks, necessitating timely diagnosis and intervention. This report presents an unusual case involving a 77-year-old female who developed a PLA following the ingestion of a fishbone. The patient was accurately diagnosed using high-resolution computed tomography-based three-dimensional reconstruction and subsequently underwent successful treatment through laparoscopic incision, drainage, and simultaneous removal of the fishbone.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"163-165"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607243","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
'Unveiling the hidden threat: Delayed presentation of congenital syphilis'. “揭露隐藏的威胁：先天性梅毒的延迟出现”。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-04-01 Epub Date: 2025-03-04 DOI: 10.1177/00494755251325318
Namita Mishra, Amit Shukla, Anamika Gupta
{"title":"'Unveiling the hidden threat: Delayed presentation of congenital syphilis'.","authors":"Namita Mishra, Amit Shukla, Anamika Gupta","doi":"10.1177/00494755251325318","DOIUrl":"10.1177/00494755251325318","url":null,"abstract":"<p><p>Maternal and congenital syphilis are a major public health problem worldwide. The World Health Organization and Centre for Disease Control both recommend routine screening of pregnant females for syphilis. Despite guidelines in place, maternal syphilis often remains undiagnosed and untreated and there is currently a surge in cases of congenital syphilis. We present a case of a 3-month-old male illustrating a delayed diagnosis of congenital syphilis despite characteristic skin lesions, hepatosplenomegaly, haemolytic anaemia, failure to thrive and history of untreated syphilis in the mother. This case highlights the need to strengthen existing guidelines for intensive screening and early treatment for maternal syphilis. It also underscores the importance of increased awareness amongst paediatricians and dermatologists regarding overlapping clinical features of congenital syphilis.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"150-151"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544075","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
Dengue hypokalaemia causing paralysis. 登革热低血钾导致瘫痪。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-04-01 Epub Date: 2024-12-19 DOI: 10.1177/00494755241305819
Muhammad Yasir, Laiba Amini, Fivzia Farooq Herekar, Muzeer Ahmed
{"title":"Dengue hypokalaemia causing paralysis.","authors":"Muhammad Yasir, Laiba Amini, Fivzia Farooq Herekar, Muzeer Ahmed","doi":"10.1177/00494755241305819","DOIUrl":"10.1177/00494755241305819","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"187-190"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856433","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
Necrotizing enterocolitis in a moderately preterm neonate in the first week of life: A case report. 中度早产儿第一周坏死性小肠结肠炎1例报告。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-04-01 Epub Date: 2025-03-12 DOI: 10.1177/00494755251326324
Chaitra Angadi, Poonam Singh, Suman Chaurasia, Mayank Priyadarshi, Sriparna Basu
{"title":"Necrotizing enterocolitis in a moderately preterm neonate in the first week of life: A case report.","authors":"Chaitra Angadi, Poonam Singh, Suman Chaurasia, Mayank Priyadarshi, Sriparna Basu","doi":"10.1177/00494755251326324","DOIUrl":"10.1177/00494755251326324","url":null,"abstract":"<p><p>Necrotizing enterocolitis, a life-threatening surgical condition, is uncommon in the first week of life in preterm neonates. However, the certainty of the risk factors contributing to NEC in preterm neonates during the first week of life remains ambiguous. Our case was amoderately preterm, small for gestation at birth, and delivered by emergency Caesarean section for maternal respiratory distress. In the background of growth restriction and perinatal asphyxia, this neonate deteriorated at 90 h of life and developed feed intolerance, abdominal distension, and haemodynamic compromise. Abdominal radiography demonstrated pneumatosis intestinalis suggestive of necrotizing enterocolitis. The child subsequently succumbed at 110 h of life, possibly to catecholamine-resistant septic shock secondary to multidrug-resistant Klebsiella pneumonia. In the background of conditions causing gut ischaemia, bacterial sepsis may have set off an inflammatory cascade that led to necrotizing enterocolitis at a younger age than usual described in the literature.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"152-154"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606887","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
The resurgence of chikungunya virus: Why South Asia is ground zero for global spread. 基孔肯雅病毒的死灰复燃：为什么南亚是全球传播的起点。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-04-01 Epub Date: 2025-02-21 DOI: 10.1177/00494755251320165
Moiz A Khan, Saad Ahmed, Syeda A N Zaidi
{"title":"The resurgence of chikungunya virus: Why South Asia is ground zero for global spread.","authors":"Moiz A Khan, Saad Ahmed, Syeda A N Zaidi","doi":"10.1177/00494755251320165","DOIUrl":"10.1177/00494755251320165","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"202-203"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469729","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
The importance of emergency medicine in Bangladesh and the need for a residency programme. 孟加拉国急诊医学的重要性和住院医师方案的必要性。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-04-01 Epub Date: 2024-12-19 DOI: 10.1177/00494755241309136
Raiiq Ridwan
{"title":"The importance of emergency medicine in Bangladesh and the need for a residency programme.","authors":"Raiiq Ridwan","doi":"10.1177/00494755241309136","DOIUrl":"10.1177/00494755241309136","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"94-95"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856462","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
Shrill cry, opisthotonus, and sun setting sign in a yellow neonate. 黄色新生儿出现尖锐哭声、瞳孔缩小和日落征兆。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-04-01 Epub Date: 2024-12-09 DOI: 10.1177/00494755241303809
Poonam Singh, Mayank Priyadarshi, Suman Chaurasia, Sriparna Basu
{"title":"Shrill cry, opisthotonus, and sun setting sign in a yellow neonate.","authors":"Poonam Singh, Mayank Priyadarshi, Suman Chaurasia, Sriparna Basu","doi":"10.1177/00494755241303809","DOIUrl":"10.1177/00494755241303809","url":null,"abstract":"<p><p>We report a case of severe neonatal hyperbilirubinaemia (NNH) in a term neonate due to rhesus isoimmunisation resulting in classical clinical features of acute bilirubin encephalopathy and its sequel, kernicterus. Though NNH is common, its complications are less often encountered today with the widespread availability of effective phototherapy. It is important not to miss the clinical signs of this preventable cause of neuro-disability.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"148-149"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796475","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
Approach to dengue-associated hypokalaemia and neuromuscular weakness. 登革热相关的低钾血症和神经肌肉无力的治疗方法。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2025-04-01 Epub Date: 2025-01-31 DOI: 10.1177/00494755251315551
Isaac Ks Ng
{"title":"Approach to dengue-associated hypokalaemia and neuromuscular weakness.","authors":"Isaac Ks Ng","doi":"10.1177/00494755251315551","DOIUrl":"10.1177/00494755251315551","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"196-197"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069099","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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