{"title":"Ileal bezoar secondary to ileal duplication - a case report.","authors":"Sandip Kumar Rahul, Rupesh Keshri, Digamber Chaubey","doi":"10.1177/00494755251319146","DOIUrl":"10.1177/00494755251319146","url":null,"abstract":"<p><p>Ileal bezoars usually occur secondary to gastric bezoars, gastric or bowel surgery, or lumen-narrowing lesions of the ileum. Primary ileal bezoars, being rare, are diagnosed only after excluding secondary causes. Ileal duplication associated with bezoar has seldom been reported.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"179-181"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450767","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":"Incidence and impact of peristomal candidiasis on outcomes after intestinal stoma closure: A prospective study.","authors":"Animesh Jose, Reena Kothari, Deepti Bala Sharma, Dhananjaya Sharma","doi":"10.1177/00494755251329636","DOIUrl":"10.1177/00494755251329636","url":null,"abstract":"<p><p>An intestinal stoma is often created to protect a distal anastomosis. Factors affecting morbidity and mortality of stoma closure have been well studied; however, the role of fungal infection in peristomal skin has not. This prospective, observational study was conducted between August 2022 and July 2024 to determine the incidence of fungal infection in peristomal skin, in patients undergoing stoma closure, and its association with postoperative complications such as surgical site infection (SSI), anastomotic-leak, bowel obstruction/ileus and mortality. The incidence of paralytic ileus, bowel obstruction, anastomotic leaks, and mortality were insignificant, but peristomal <i>Candida</i> infection is a significant risk factor for postoperative SSI.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"121-123"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701936","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 : 2025-04-01Epub Date: 2025-01-13DOI: 10.1177/00494755241312463
Sharang Gupta, Shreya Malhan, Dimple Chopra
{"title":"Paediatric Herpes Zoster: A report of seventeen cases from a tertiary care hospital of North India.","authors":"Sharang Gupta, Shreya Malhan, Dimple Chopra","doi":"10.1177/00494755241312463","DOIUrl":"10.1177/00494755241312463","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"198-199"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972948","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":"Faeco-vaginal fistulae: An algorithm for management.","authors":"Deepti Bala Sharma, Fanindra Solanki, Ravi Kant Mahant, Chandan Tiwari, Pawan Agarwal, Dhananjaya Sharma","doi":"10.1177/00494755241306172","DOIUrl":"10.1177/00494755241306172","url":null,"abstract":"<p><p>Faeco-vaginal fistulae are not uncommon. We suggest a simple management algorithm to provide tailored approach for every patient.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"104-107"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802954","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 : 2025-04-01Epub Date: 2025-01-13DOI: 10.1177/00494755241299836
Anju K Nair, Pallavi Chandra Ravula, Hari Kishan Boorugu, Krushna Chandra Misra
{"title":"Haemophagocytic lymphohistiocytosis in pregnancy.","authors":"Anju K Nair, Pallavi Chandra Ravula, Hari Kishan Boorugu, Krushna Chandra Misra","doi":"10.1177/00494755241299836","DOIUrl":"10.1177/00494755241299836","url":null,"abstract":"<p><p>Dengue infection is emerging as one of the most common tropical diseases globally. It manifests in varying severity from asymptomatic to the most severe forms of the disease, characterized by coagulopathy, increased vascular fragility, and permeability (dengue haemorrhagic fever) that may progress to hypovolaemic shock (dengue shock syndrome). For atypical manifestations, a new terminology known as expanded dengue syndrome (EDS) was introduced. Haemophagocytic lymphohistiocytosis (HLH), is considered a spectrum of EDS, which is a rare, potentially fatal hyperinflammatory condition. A case of a pregnant woman with dengue fever diagnosed as secondary HLH is reported here. It was successfully managed with intravenous dexamethasone and supportive care. A high index of suspicion is paramount in diagnosing HLH when a patient deteriorates even after giving appropriate care for dengue infection. Early recognition and prompt treatment with immuno-suppressive therapy can bring a successful response.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"143-145"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972946","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 : 2025-04-01Epub Date: 2025-03-26DOI: 10.1177/00494755251329075
Kunal Kumar, Deepak Kumar, Chetan Khare
{"title":"Ocular examination for non-malarial febrile illness in tropical children.","authors":"Kunal Kumar, Deepak Kumar, Chetan Khare","doi":"10.1177/00494755251329075","DOIUrl":"10.1177/00494755251329075","url":null,"abstract":"<p><p>We encountered a febrile child with constitutional symptoms in north India. The child was hospitalised, and a routine testing for febrile conditions was negative. A bedside ocular examination raised suspicion of granulomatous uveitis. This led us to seek a diagnostic test, which led us to confirm an infectious etiology.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"161-162"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732543","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 : 2025-04-01Epub Date: 2025-02-04DOI: 10.1177/00494755251317834
Amna Zaheer, Jamuna Shrestha, Anum Akbar
{"title":"A rising threat: The outbreak of group a Streptococcus in Japan.","authors":"Amna Zaheer, Jamuna Shrestha, Anum Akbar","doi":"10.1177/00494755251317834","DOIUrl":"10.1177/00494755251317834","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"200-201"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190482","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 : 2025-04-01Epub Date: 2025-03-11DOI: 10.1177/00494755251323330
Feradica D Laloo, Rupak Chatterjee, Soumya Biswas, Atanu Chandra
{"title":"Malaria and filaria co-infection in a febrile patient.","authors":"Feradica D Laloo, Rupak Chatterjee, Soumya Biswas, Atanu Chandra","doi":"10.1177/00494755251323330","DOIUrl":"10.1177/00494755251323330","url":null,"abstract":"<p><p>Malaria and filariasis are mosquito-borne diseases caused by protozoal and nematode parasites, respectively. Despite different vectors, they can occur together under suitable conditions in endemic regions. In our case, microfilariae were incidentally discovered during a blood film examination for malaria. Accurate detection of microfilariae, especially in cases of low parasitemia, requires multiple blood smears and consideration of <i>Wuchereria bancrofti</i>'s nocturnal periodicity, with blood collection ideally performed at night when parasitemia levels are highest. The presence of eosinophilia in our patient suggested a non-malarial parasitic infection, as eosinophilia is relatively uncommon in acute malaria. Our case highlights the need for a broad differential diagnosis, particularly in regions where both diseases are endemic and emphasise the value of detailed peripheral smear examinations to detect parasitic co-infections. Proper identification is essential for guiding tailored treatments in such complex cases.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"182-184"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606883","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 : 2025-04-01Epub Date: 2024-12-20DOI: 10.1177/00494755241308002
Mousmi Agrawal, Shubham Kumar Indurkar, Kamalkant Sahu, Amit Kumar Chowhan
{"title":"Histopathological changes in various organs in electrocution deaths.","authors":"Mousmi Agrawal, Shubham Kumar Indurkar, Kamalkant Sahu, Amit Kumar Chowhan","doi":"10.1177/00494755241308002","DOIUrl":"10.1177/00494755241308002","url":null,"abstract":"<p><p>Death due to electrical injuries are a major health concern and has a high rate of morbidity and mortality. Electrocution death is defined as that occurring due to passage of electric current inside the body and is obviously a form of unnatural death.<sup>1</sup> The cause includes ventricular fibrillation, paralysis of respiratory muscles and the central respiratory centre.<sup>4</sup> The amount of current that passes through the body<sup>2</sup> and the point of contact are the main factors that determine the extent of injury.<sup>3</sup> The morphological changes observed in electrocution deaths are still not clear and this often leads to a 'negative' autopsy, especially when there is lack of circumstantial evidence. We discuss two cases of electrocution death and various histopathological changes observed in visceral organs including heart and skin. A brief literature review is added.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"191-195"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866072","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 : 2025-04-01Epub Date: 2025-02-09DOI: 10.1177/00494755251318077
Peter Finch, Maclean Ndovie, Michael Rashid, David McCarty
{"title":"Low-cost paperless electrocardiograph for low-income countries, with derived V leads and a QRS detection algorithm.","authors":"Peter Finch, Maclean Ndovie, Michael Rashid, David McCarty","doi":"10.1177/00494755251318077","DOIUrl":"10.1177/00494755251318077","url":null,"abstract":"<p><p>A low-cost device capable of recording a full 12-lead electrocardiogram (ECG) is described using a commercially available analogue front end (ADS1293) and a microprocessor (ESP32) transmitting a signal by Bluetooth to a smartphone. Comparison of the measured V leads and V leads derived by vector analysis using a transverse plane 0° reference vector (lead I) showed significant cross-correlation both for traces acquired from 120 Blantyre patients (0.43) and from the historical PhysioNet ECG database (0.85) and also when a + 30° transverse plane vector (-aVR) was used (0.50 Blantyre, 0.83 PhysioNet). Good correlation was also found between the mean transverse axis vector for the synchronous PhysioNet data (<i>r</i> = 0.91) but not for the asynchronous Blantyre data (<i>r</i> = 0.13) perhaps as a result of the QRS detection algorithm employed.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"89-93"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383902","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}