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A case of self-inflicted erosions and Cydnidae pigmentation - Unravelled by dermoscopy. 一例自伤性糜烂和 Cydnidae 色素沉着病例--皮肤镜揭秘。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-01 Epub Date: 2024-07-23 DOI: 10.1177/00494755241264044
M Vijaikumar, Mogalipuvvu Udaya Sri, S Monika
{"title":"A case of self-inflicted erosions and Cydnidae pigmentation - Unravelled by dermoscopy.","authors":"M Vijaikumar, Mogalipuvvu Udaya Sri, S Monika","doi":"10.1177/00494755241264044","DOIUrl":"10.1177/00494755241264044","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"374-376"},"PeriodicalIF":0.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753150","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
Characteristics of patients admitted to the intensive care unit during the 2019 measles epidemic in Samoa: A retrospective clinical case series. 2019 年萨摩亚麻疹疫情期间重症监护室收治病人的特征：回顾性临床病例系列。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-01 Epub Date: 2024-07-23 DOI: 10.1177/00494755241266673
Cecilia S Vaai-Bartley, Elizabeth Bennett, Faamuamua Arasi, Annette Kaspar
{"title":"Characteristics of patients admitted to the intensive care unit during the 2019 measles epidemic in Samoa: A retrospective clinical case series.","authors":"Cecilia S Vaai-Bartley, Elizabeth Bennett, Faamuamua Arasi, Annette Kaspar","doi":"10.1177/00494755241266673","DOIUrl":"10.1177/00494755241266673","url":null,"abstract":"<p><p>Our report describes the characteristics of patients admitted to the intensive care unit of the National Hospital of Samoa during the 2019-2020 measles epidemic. The study design was a retrospective review of clinical records; the age range was 2 months to 51 years, with the majority of cases in the 2-23 month age group (71%). Vaccination status was unknown or unrecorded for 17 (24%). Of the 54 (75%) who were not fully vaccinated, 35 (65%) did not survive. Almost all (98%) presented with multiple complications on admission, mostly pneumonia (91%). The mortality rate was 61%, implying a low survival rate particularly among young infants and toddlers, even when optimal care was available and administered.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"327-330"},"PeriodicalIF":0.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753153","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
Cytomorphological comparison of alcohol-formalin cell-block technique with conventional cytology in serous effusions in a low-resource setting. 酒精-福尔马林细胞阻断技术与传统细胞学在低资源环境下血清渗出液中的细胞形态学比较。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-01 Epub Date: 2024-07-23 DOI: 10.1177/00494755241260903
Neelam Kumari, Manupriya Sharma, Rashmi Kaul, Sujeet Raina
{"title":"Cytomorphological comparison of alcohol-formalin cell-block technique with conventional cytology in serous effusions in a low-resource setting.","authors":"Neelam Kumari, Manupriya Sharma, Rashmi Kaul, Sujeet Raina","doi":"10.1177/00494755241260903","DOIUrl":"10.1177/00494755241260903","url":null,"abstract":"<p><p>Our study compared the diagnostic accuracy of the 10% alcohol-formalin cell-block (CB) technique against traditional smears (CS) in serous effusions over 1 year. CB outperformed CS by detecting 7 missed cases and diagnosing 177 benign, 5 suspicious and 26 malignant cases compared to CS's 180 benign, 9 suspicious and 19 malignant cases. Using histopathology as a gold standard, CB showed a sensitivity of 96.4%, specificity of 98.3% and diagnostic accuracy of 98.1%, significantly higher than CS's 79.3% sensitivity, specificity of 97.7% and 95.2% accuracy. Using a 10% alcohol-formalin method, CB also excelled in cytomorphological characterization, especially in background elements, cellularity and cellular architecture. CB offered improved diagnostic accuracy and allowed extra sections for additional tests. In resource-constrained settings, combining CS and CB enhances cytological assessment.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"346-351"},"PeriodicalIF":0.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753154","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
Evaluation of high-frequency ultrasonography for diagnosis of carpal tunnel syndrome. 高频超声波诊断腕管综合征的评估。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-01 Epub Date: 2024-05-20 DOI: 10.1177/00494755241253300
Ayush Dixit, Sonjjay Pande, Namrata Khandelwal, Pawan Agarwal, Dhananjaya Sharma, Jag Mohan Singh Dhakar
{"title":"Evaluation of high-frequency ultrasonography for diagnosis of carpal tunnel syndrome.","authors":"Ayush Dixit, Sonjjay Pande, Namrata Khandelwal, Pawan Agarwal, Dhananjaya Sharma, Jag Mohan Singh Dhakar","doi":"10.1177/00494755241253300","DOIUrl":"10.1177/00494755241253300","url":null,"abstract":"<p><p>The aim of this study was to assess the sensitivity and specificity of ultrasonography in the diagnosis of carpal tunnel syndrome. The cross-sectional area of the median nerve at the carpal tunnel for a positive diagnosis had a sensitivity of ∼ 98.6% but a specificity of 60%. The measure of the difference in cross-sectional area of the median nerve at the carpal tunnel and at the level of pronator quadratus had much better sensitivity and specificity of 97.1% and 80%, respectively. Signs of nerve flattening, palmar bowing and increased nerve vascularity were valuable in confirming the diagnosis. A positive predictive value of ultrasonography was found to be > 95% and a negative predictive value was ∼ 66% for a diagnosis of carpal tunnel syndrome. Ultrasonography is, therefore, an effective diagnostic tool in this regard.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"331-334"},"PeriodicalIF":0.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141066376","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
Spinal subdural abscess following chronic meningitis - A rare manifestation of Mucormycosis. 慢性脑膜炎后的脊髓硬膜下脓肿--一种罕见的黏菌病表现。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-01 Epub Date: 2024-09-19 DOI: 10.1177/00494755241272932
Abdoul Hamide, Amrutha Varshani Krishnamurthy, Balamurugesan Kandan, Deepak Bharati, Praveen Ravichandran, Manoranjithakumari Mani
{"title":"Spinal subdural abscess following chronic meningitis - A rare manifestation of Mucormycosis.","authors":"Abdoul Hamide, Amrutha Varshani Krishnamurthy, Balamurugesan Kandan, Deepak Bharati, Praveen Ravichandran, Manoranjithakumari Mani","doi":"10.1177/00494755241272932","DOIUrl":"10.1177/00494755241272932","url":null,"abstract":"<p><p>A 57-year old man with uncontrolled diabetes presented with features suggestive of chronic meningitis. Cerebrospinal fluid (CSF) analysis revealed a polymorphonuclear pleocytosis with low glucose and high protein levels in the CSF. Bacterial and fungal cultures and tests for <i>M. tuberculosis</i> were negative. MRI spine showed leptomeningeal enhancement. On ruling out other causes, fungal meningitis was considered. The patient developed paraparesis in the hospital. MRI showed peripherally enhancing subdural lesion with dorsal cord involvement at the level of D4 and D5 vertebrae. On laminectomy and exploration, an intradural extramedullary abscess and a granuloma were noticed at T4--T5 spinal levels causing compression of the cord below. Histopathological examination of the lesions revealed acute on chronic inflammatory infiltrates interspersed by broad, aseptate, ribbon-like fungal elements highlighted by PAS stain, diagnostic of mucormycosis. Intravenous amphotericin B and oral posaconazole were administered for more than 8 weeks. On follow-up, he had complete neurological recovery without sequelae.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"389-391"},"PeriodicalIF":0.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299472","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
From legs to abdomen: Navigating the uncharted territory of pigmented purpuric dermatosis in a middle-aged female. 从腿部到腹部探索中年女性色素性紫癜皮肤病的未知领域。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-01 Epub Date: 2024-09-17 DOI: 10.1177/00494755241269137
Anjana Rajenesh, Sharang Gupta, Simran, Dimple Chopra
{"title":"From legs to abdomen: Navigating the uncharted territory of pigmented purpuric dermatosis in a middle-aged female.","authors":"Anjana Rajenesh, Sharang Gupta, Simran, Dimple Chopra","doi":"10.1177/00494755241269137","DOIUrl":"10.1177/00494755241269137","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"383-385"},"PeriodicalIF":0.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299471","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
Persistent unmet need for surgical care in Western Uganda. 乌干达西部的外科护理需求长期得不到满足。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-01 Epub Date: 2024-06-18 DOI: 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":" ","pages":"324-326"},"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}
引用次数: 0
Interpretation of acute phase reactants (C-reactive protein and procalcitonin) in children with pneumonia. 解读肺炎患儿的急性期反应物（C 反应蛋白和降钙素原）。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-01 Epub Date: 2024-05-31 DOI: 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":" ","pages":"394-395"},"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}
引用次数: 0
Acute febrile illness in pregnancy: Spectrum of disease and impact on maternal and foetal outcome. 妊娠期急性发热性疾病：疾病谱及对母体和胎儿结局的影响。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-01 Epub Date: 2024-07-23 DOI: 10.1177/00494755241262544
Sheba Meriam Thomas, Elsy Thomas, Santhosh Benjamin, Reeta Vijayaselvi, Sowmya Satyendra, Sudha Jasmine Rajan
{"title":"Acute febrile illness in pregnancy: Spectrum of disease and impact on maternal and foetal outcome.","authors":"Sheba Meriam Thomas, Elsy Thomas, Santhosh Benjamin, Reeta Vijayaselvi, Sowmya Satyendra, Sudha Jasmine Rajan","doi":"10.1177/00494755241262544","DOIUrl":"10.1177/00494755241262544","url":null,"abstract":"<p><p>Acute febrile illness (AFI) in pregnancy is a neglected cause of maternal and foetal mortality and morbidity in low-and middle-income countries. This prospective cohort studied antenatal and postpartum women admitted with acute fever to a tertiary care university teaching hospital from July 2014 to March 2015 for aetiology, maternal and foetal complications, and the impact on maternal mortality ratio (MMR) and perinatal mortality rate. Among the 180 women admitted with AFI, urinary tract infection 54(30%) was the commonest cause, followed by airborne infections (67; 37.2%), peripartum or wound infections (25; 13.8%) and vector-borne diseases (21; 11.6%). Maternal deaths were 4 (2%) and foetal deaths 9 (5%). Post-operative gram-negative sepsis was the most common cause of maternal mortality. The MMR was ten times higher with AFI 2778 against 197 (<i>p</i> < 0.0001) among the other hospital deliveries during the same period. Screening for asymptomatic bacteriuria , maintaining aseptic precautions, and vaccination may impact maternal and foetal morbidity significantly.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"317-323"},"PeriodicalIF":0.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753152","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
Sentinel lymph node biopsy in early breast carcinoma using fluorescein sodium and methylene blue dye: A validation study. 使用荧光素钠和亚甲蓝染料对早期乳腺癌进行前哨淋巴结活检：验证研究。
IF 0.5 4区 医学
Tropical Doctor Pub Date : 2024-10-01 Epub Date: 2024-07-23 DOI: 10.1177/00494755241264043
Chandan Kumar Jha, Upasna Sinha, Prashant Kumar Singh, Kunal Parasar, Manoj Kumar
{"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":" ","pages":"340-345"},"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}
引用次数: 0
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