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A novel, ward-assembled tracheostomy speaking valve: Innovation in a resource-deficient environment. 一种新型的病房式气管造口说话阀：资源匮乏环境下的创新。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-04-24 DOI: 10.1177/00494755261445185
Rickhi Ramoutar, Brandon Arjoon, Solaiman Juman, Jerome Philip
{"title":"A novel, ward-assembled tracheostomy speaking valve: Innovation in a resource-deficient environment.","authors":"Rickhi Ramoutar, Brandon Arjoon, Solaiman Juman, Jerome Philip","doi":"10.1177/00494755261445185","DOIUrl":"10.1177/00494755261445185","url":null,"abstract":"<p><p>Tracheostomy speaking valves play a crucial role in facilitating effective communication in post-operative head and neck cases. Other benefits are improved respiratory and swallowing functions in individuals with tracheostomies. It serves as an intermediary step in the decannulation process, ensuring there is a patent airway prior to decannulation. In island and resource-deficient countries, access to manufactured speaking valves may be difficult due to supply chain issues or simply unaffordable to people. Alternative, cheaper and/or innovative methods of providing a speaking-type prosthesis are needed. This paper presents the design, construction, and evaluation of a novel tracheostomy speaking valve aimed at improving speech intelligibility and respiratory efficiency and facilitating better swallowing, while ensuring patient comfort and safety.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"704-706"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787313","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
Guillain-Barre syndrome should not be considered to be caused by an acute Zika infections unless PCR test for viral RNA is positive. 除非病毒RNA PCR检测呈阳性，否则不应认为格林-巴利综合征是由急性寨卡病毒感染引起的。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-05-07 DOI: 10.1177/00494755261449574
Carla A Scorza, Fulvio A Scorza, Josef Finsterer
{"title":"Guillain-Barre syndrome should not be considered to be caused by an acute Zika infections unless PCR test for viral RNA is positive.","authors":"Carla A Scorza, Fulvio A Scorza, Josef Finsterer","doi":"10.1177/00494755261449574","DOIUrl":"10.1177/00494755261449574","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"821-822"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845093","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
Disseminated methicillin-resistant Staphylococcus aureus pyomyositis in an immunocompetent young adult: A case report. 播散性耐甲氧西林金黄色葡萄球菌化脓性炎在免疫能力的年轻人：一个病例报告。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-04-30 DOI: 10.1177/00494755261446112
Ayesha Khan, Maria Rasheed, Syeda Wareesha Fareeduddin Shah, S M Aleem Hussain, Hussain Haider Shah, Anum Tahir Hashmi, Ahmed Ali
{"title":"Disseminated methicillin-resistant Staphylococcus aureus pyomyositis in an immunocompetent young adult: A case report.","authors":"Ayesha Khan, Maria Rasheed, Syeda Wareesha Fareeduddin Shah, S M Aleem Hussain, Hussain Haider Shah, Anum Tahir Hashmi, Ahmed Ali","doi":"10.1177/00494755261446112","DOIUrl":"10.1177/00494755261446112","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"765-767"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822857","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
Coccidian co-infections in immuno-compromised patients: Prevalence, clinical impact, and insights from a tertiary care centre. 免疫功能低下患者的球虫合并感染：患病率、临床影响和来自三级保健中心的见解。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-04-30 DOI: 10.1177/00494755261446083
Shaveta Kataria, Ashina Singla, Ved Prakash Mamoria, Rachna Priyadarshini
{"title":"Coccidian co-infections in immuno-compromised patients: Prevalence, clinical impact, and insights from a tertiary care centre.","authors":"Shaveta Kataria, Ashina Singla, Ved Prakash Mamoria, Rachna Priyadarshini","doi":"10.1177/00494755261446083","DOIUrl":"10.1177/00494755261446083","url":null,"abstract":"<p><p>Coccidian parasites are significant emerging contributors to the changing aetiological landscape of diarrhoeal diseases, primarily affecting individuals from lower socio-economic backgrounds. They pose a great threat to the immuno-compromised in whom co-infections may lead to considerable morbidity and mortality. Timely detection is essential for improving clinical outcomes; however, comprehensive data on associated risk factors, transmission routes, and socio-demographic patterns remain limited. Modified Ziehl-Neelsen staining confirmed the presence of co-infection of <i>Cryptosporidium</i> and <i>Cyclospora</i> species in our series of 14/185 patients.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"644-648"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787285","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
Helminth seropositivity in allergic bronchopulmonary aspergillosis: Co-exposure, misdiagnosis, or cross-reactivity? 过敏性支气管肺曲霉病的寄生虫血清阳性：共暴露、误诊还是交叉反应？
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-06-03 DOI: 10.1177/00494755261456517
Abhishek Mewara, Sahajal Dhooria, Nikita Sharma, Valliappan Muthu, Ritesh Agarwal
{"title":"Helminth seropositivity in allergic bronchopulmonary aspergillosis: Co-exposure, misdiagnosis, or cross-reactivity?","authors":"Abhishek Mewara, Sahajal Dhooria, Nikita Sharma, Valliappan Muthu, Ritesh Agarwal","doi":"10.1177/00494755261456517","DOIUrl":"10.1177/00494755261456517","url":null,"abstract":"<p><p>Allergic broncho-pulmonary aspergillosis (ABPA) shares clinical and immunologic features with helminth infections. We investigated helminth seropositivity among ABPA patients in a retrospective cross-sectional study. Our findings highlight the need for parasitic evaluation in ABPA patients in helminth-endemic regions, particularly with incomplete treatment response or atypical features.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"698-700"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151208","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
Campylobacter beyond the gut: A case series of Campylobacter jejuni bacteraemia with atypical presentations. 肠外弯曲杆菌：一例非典型表现的空肠弯曲杆菌菌血症。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-07-06 DOI: 10.1177/00494755261466366
Anna Rajan Thomas, Kavya Samhitha, Nivedha Srinivasan, Anurag Shetty, Shivraj Padiyar U, Sathish B Rao
{"title":"Campylobacter beyond the gut: A case series of <i>Campylobacter jejuni</i> bacteraemia with atypical presentations.","authors":"Anna Rajan Thomas, Kavya Samhitha, Nivedha Srinivasan, Anurag Shetty, Shivraj Padiyar U, Sathish B Rao","doi":"10.1177/00494755261466366","DOIUrl":"10.1177/00494755261466366","url":null,"abstract":"<p><p><i>Campylobacter jejuni</i> is a common cause of gastro-enteritis, whereas bacteraemia is an infrequent and under-recognized manifestation. Initial standard culture conditions failed to yield growth, indicating possible diagnostic delays. Identification was achieved by incubating the culture plates in microaerophilic conditions and rapid identification by MALDI-TOF MS (Matrix-Assisted Laser Desorption/Ionization Time-of-Flight Mass Spectrometry).</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"733-735"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13586475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fascioliasis presenting as non-resolving liver abscess: Case series from eastern India. 片形吸虫病表现为无法解决的肝脓肿：来自印度东部的病例系列。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-05-30 DOI: 10.1177/00494755261456527
Ayan Basu, Dipankar Paul, Yogiraj Ray, Sk Mahiuddin Ahammed, Pranav Dinesh Kamat, Christy Varghese John, Nazneen Nahar Begam
{"title":"Fascioliasis presenting as non-resolving liver abscess: Case series from eastern India.","authors":"Ayan Basu, Dipankar Paul, Yogiraj Ray, Sk Mahiuddin Ahammed, Pranav Dinesh Kamat, Christy Varghese John, Nazneen Nahar Begam","doi":"10.1177/00494755261456527","DOIUrl":"10.1177/00494755261456527","url":null,"abstract":"<p><p>Fascioliasis is a foodborne trematode infection caused by <i>Fasciola hepatica</i> and <i>Fasciola gigantica</i>. It is caused by ingestion of undercooked aquatic vegetation containing infective stage metacercariae. Symptoms in the acute stage include fever, abdominal pain and eosinophilia and in the chronic stage symptoms of biliary obstruction or cholangitis. Very few fascioliasis cases have been reported from India. In the last 1 year, we diagnosed six cases of fascioliasis who presented with acute stage symptoms. They were diagnosed by characteristic dietary history, liver abscess on imaging and eggs of <i>Fasciola</i> in stool. They were successfully treated with Triclabendazole or Nitazoxanide.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"745-748"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148101963","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
Myocarditis and septic shock as early manifestation of leptospirosis: Case report. 心肌炎和感染性休克是钩端螺旋体病的早期表现：1例报告。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-05-26 DOI: 10.1177/00494755261454742
Eunike Vania Christabel, Fahmi Adnan Musthofa, Reza Ferizal, Astari Ridhanya, Kristo Benny P Siahaan, Adeline Intan Pasaribu
{"title":"Myocarditis and septic shock as early manifestation of leptospirosis: Case report.","authors":"Eunike Vania Christabel, Fahmi Adnan Musthofa, Reza Ferizal, Astari Ridhanya, Kristo Benny P Siahaan, Adeline Intan Pasaribu","doi":"10.1177/00494755261454742","DOIUrl":"10.1177/00494755261454742","url":null,"abstract":"<p><p>Leptospirosis is a zoonotic infection predominantly affecting marginalized populations in tropical regions, often resulting from exposure to contaminated water or contact with animal reservoirs, especially rodents. The disease typically manifests in a biphasic nature; beginning with an incubation period ranging from several days to a few weeks, followed by a septicaemic phase, an interphase where symptoms resolve temporarily, and finally an immune phase. While most infections are mild, approximately 10% progress to severe disease involving multi-organ complications, typically manifesting during the immune phase. We report a case of myocarditis and septic shock during the acute phase of leptospirosis.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"770-772"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148037164","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
Microplastics in drinking water: A neglected public health risk in tropical settings. 饮用水中的微塑料：热带环境中被忽视的公共卫生风险。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-05-07 DOI: 10.1177/00494755261448960
Gunvanti Rathod, Pragnesh Parmar
{"title":"Microplastics in drinking water: A neglected public health risk in tropical settings.","authors":"Gunvanti Rathod, Pragnesh Parmar","doi":"10.1177/00494755261448960","DOIUrl":"10.1177/00494755261448960","url":null,"abstract":"<p><p>The presence of microplastics in drinking water has gained recognition as an overlooked environmental and public health issue, especially in tropical regions characterized by rapid urbanization, improper waste management practices, and lack of adequate water treatment facilities. Microplastics refer to plastic fragments <5 mm in size and have been found in bottled water, tap water, and even groundwater. While the adverse health impacts of microplastics are yet to be fully established, scientific literature indicates potential links to oxidative stress, inflammation, hormonal imbalance, and gastrointestinal dysfunction. Tropical nations may also experience additional risks due to insufficient waste management and increased usage of plastics. This article discusses the possible health consequences related to microplastics in drinking water and underscores the importance of efficient waste disposal, appropriate water purification technologies, enhanced public education, and future research on this issue.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"616-617"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845200","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
Diphtheritic polyneuropathy: Not so uncommon. 白喉性多神经病变：并不罕见。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-05-27 DOI: 10.1177/00494755261454023
Paul Ehiabhi Ikhurionan, Sunday Adanas, Osahon Osaghae, Ayebo Evawere Sadoh
{"title":"Diphtheritic polyneuropathy: Not so uncommon.","authors":"Paul Ehiabhi Ikhurionan, Sunday Adanas, Osahon Osaghae, Ayebo Evawere Sadoh","doi":"10.1177/00494755261454023","DOIUrl":"10.1177/00494755261454023","url":null,"abstract":"<p><p>Diphtheria is a potentially fatal infection owing to its life-threatening complications of respiratory obstruction and myocarditis. Less often reported is diphtheritic polyneuropathy (DP), which refers to signs and symptoms of various cranial nerve involvement and/or limb neuropathy within six weeks of a compatible clinical illness suggestive of diphtheria. We report four cases of DP occurring in a limited outbreak of 19 cases and review the literature. The most common cranial nerves affected were VII, IX and X. Importantly, all four cases had received their infant vaccinations. Diphtheria antitoxin and prednisolone were the mainstay of management in addition to physiotherapy support. All were discharged home and have made a good recovery. We conclude that DP is not so uncommon and its occurrence among children who had been vaccinated requires a review of the vaccination programme and schedules.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"723-726"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044263","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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