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Methanol concentration predicts severe outcomes in acute methanol poisoning: A Vietnamese cohort. 甲醇浓度预测急性甲醇中毒的严重后果：一项越南队列研究。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-05-30 DOI: 10.1177/00494755261456537
Nguyen Dang Duc, Nguyen Trung Nguyen, Lam Nguyen Hong Anh, Lam Nguyen Hong Khanh, Nguyen Dang Bach
{"title":"Methanol concentration predicts severe outcomes in acute methanol poisoning: A Vietnamese cohort.","authors":"Nguyen Dang Duc, Nguyen Trung Nguyen, Lam Nguyen Hong Anh, Lam Nguyen Hong Khanh, Nguyen Dang Bach","doi":"10.1177/00494755261456537","DOIUrl":"10.1177/00494755261456537","url":null,"abstract":"<p><p>Methanol poisoning is a life-threatening condition frequently associated with severe metabolic acidosis, organ failure, and death, particularly in low- and middle-income countries. Early identification of patients at high risk of deterioration is essential for timely intensive management. Unfortunately, patients typically present late after ingestion. Most required intensive care support.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"681-683"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057876","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
Methotrexate-related pancytopenia-factors that contribute to its development and outcomes. 甲氨蝶呤相关全血细胞减少-促进其发展和结果的因素。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-06-02 DOI: 10.1177/00494755261456497
Sowmya Gopalan, Datla Pravarshini, Preetam Arthur
{"title":"Methotrexate-related pancytopenia-factors that contribute to its development and outcomes.","authors":"Sowmya Gopalan, Datla Pravarshini, Preetam Arthur","doi":"10.1177/00494755261456497","DOIUrl":"10.1177/00494755261456497","url":null,"abstract":"<p><p>Methotrexate, a commonly used disease-modifying anti-rheumatoid drug, rarely causes bone marrow suppression and pancytopenia. Consequently, we made a retrospective analysis of all patients who were admitted with pancytopenia following low-dose methotrexate intake between 2019 and 2025. Factors that were associated with the development of toxicity, clinical features and outcomes were evaluated. Among those who developed early toxicity, the majority had inadvertently taken daily instead of weekly doses. Renal failure, elderly age and hypoalbuminaemia contributed to delayed toxicity. All were given Folinic acid rescue therapy and 20% needed transfusion support. Two succumbed due to severe neutropenia-related sepsis. Simple patient education on once a week use, dose adjustment and frequent monitoring in the elderly and those with renal failure may help to reduce toxicity.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"701-703"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145253","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
Suspected iatrogenic oesophageal perforation presenting as right-sided pneumothorax in a preterm neonate: Diagnostic challenges and management. 疑似医源性食管穿孔，表现为早产新生儿右侧气胸：诊断挑战和处理。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-06-30 DOI: 10.1177/00494755261463599
Anjali Joshi, Jeetinder Joshi, Shivani Jain, Sriram Pothapregada
{"title":"Suspected iatrogenic oesophageal perforation presenting as right-sided pneumothorax in a preterm neonate: Diagnostic challenges and management.","authors":"Anjali Joshi, Jeetinder Joshi, Shivani Jain, Sriram Pothapregada","doi":"10.1177/00494755261463599","DOIUrl":"10.1177/00494755261463599","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"759-761"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148363289","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
Fatal haemophagocytic lymphohistiocytosis in a two-month-old infant: An autopsy-based report. 一个两个月大婴儿的致命性噬血细胞淋巴组织细胞增多症：一份基于尸检的报告。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-06-11 DOI: 10.1177/00494755261459740
Md Ali Osama, Sanjana Goyal, Nikita Jakhar, Rachna Seth, Asit Ranjan Mridha
{"title":"Fatal haemophagocytic lymphohistiocytosis in a two-month-old infant: An autopsy-based report.","authors":"Md Ali Osama, Sanjana Goyal, Nikita Jakhar, Rachna Seth, Asit Ranjan Mridha","doi":"10.1177/00494755261459740","DOIUrl":"10.1177/00494755261459740","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"782-786"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220332","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
A rapid turn for the worse: Steroid-responsive pulmonary haemorrhage in leptospirosis. 迅速恶化：类固醇反应性肺出血钩端螺旋体病。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-07-07 DOI: 10.1177/00494755261467825
Kuljeet Singh, Vinay Venugopal, Kumar Puskar, Bhoomika Kaushik, Praveen Kumar Dubey
{"title":"A rapid turn for the worse: Steroid-responsive pulmonary haemorrhage in leptospirosis.","authors":"Kuljeet Singh, Vinay Venugopal, Kumar Puskar, Bhoomika Kaushik, Praveen Kumar Dubey","doi":"10.1177/00494755261467825","DOIUrl":"10.1177/00494755261467825","url":null,"abstract":"<p><p>A 43-year old man presented with fever and cough and was initially treated for community-acquired pneumonia. Within 24 h, he deteriorated and was admitted with type 1 respiratory failure. A recent history of exposure to waterlogged fields, along with progressive decline in haemoglobin, platelet counts and deranged liver function tests, raised suspicion for leptospirosis, later confirmed by positive IgM serology. With progressive clinical and radiological worsening, severe pulmonary haemorrhagic syndrome was considered. He was managed with oxygen, noninvasive ventilation (NIV), ceftriaxone, doxycycline, cotrimoxazole, and pulse methylprednisolone. He showed significant improvement and was successfully weaned off NIV and oxygen. This case highlights the importance of early recognition and timely initiation of steroid therapy in severe leptospiral pulmonary involvement.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"773-775"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148399886","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
Ultrasound-based scoring to predict long-term healing in anal fistula: A practical alternative or complementary to the MRI-based Garg scoring system? 基于超声评分预测肛瘘的长期愈合：一种实用的替代或补充基于mri的Garg评分系统？
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-04-20 DOI: 10.1177/00494755261442629
Pankaj Garg, Kaushik Bhattacharya, Vipul Yagnik
{"title":"Ultrasound-based scoring to predict long-term healing in anal fistula: A practical alternative or complementary to the MRI-based Garg scoring system?","authors":"Pankaj Garg, Kaushik Bhattacharya, Vipul Yagnik","doi":"10.1177/00494755261442629","DOIUrl":"10.1177/00494755261442629","url":null,"abstract":"<p><p>The published study highlights an important gap in current practice. While MRI remains the gold standard for postoperative evaluation due to its high sensitivity and specificity, its cost and limited availability in some regions may limit routine use. In this context, the development of a Jabalpur Transperineal Ultrasonography-Based Scoring System (J-TPUSS) represents a pragmatic attempt to bridge this disparity. However, several methodological and interpretative concerns merit consideration, which we have discussed in the letter.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"824-825"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730538","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
Rheumatoid-type hand deformities in psoriatic arthritis: An illustrative case. 银屑病关节炎的类风湿型手部畸形：一个说明性病例。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-04-30 DOI: 10.1177/00494755261445180
Ram Arvind Viswanathan
{"title":"Rheumatoid-type hand deformities in psoriatic arthritis: An illustrative case.","authors":"Ram Arvind Viswanathan","doi":"10.1177/00494755261445180","DOIUrl":"10.1177/00494755261445180","url":null,"abstract":"<p><p>Psoriatic arthritis (PsA) is a heterogeneous inflammatory arthritis that may mimic rheumatoid arthritis with classical deformities. We report a 65-year old female with established psoriasis presenting with inflammatory hand pain, swan neck and Boutonniere deformities, distal interphalangeal joint tenderness, and hallux varum, along with active psoriatic plaques over the interphalangeal joints. This case underscores the importance of recognising psoriatic arthritis manifesting as classical rheumatoid arthritis hand deformities, given its distinctive treatment implications.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"809-811"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822850","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 paradox of surgical progress: Super-specialisation amidst scarcity. 外科进步的悖论：稀缺中的超级专业化。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-05-06 DOI: 10.1177/00494755261448340
Dhananjaya Sharma, Michael Cotton
{"title":"The paradox of surgical progress: Super-specialisation amidst scarcity.","authors":"Dhananjaya Sharma, Michael Cotton","doi":"10.1177/00494755261448340","DOIUrl":"10.1177/00494755261448340","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"609-610"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845238","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
Antimicrobial stewardship in NICUs of low- and lower-middle-income countries - A narrative review. 低收入和中低收入国家新生儿重症监护病房的抗微生物药物管理——述评
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-05-30 DOI: 10.1177/00494755261455632
Aditya Hemendra Bhatt
{"title":"Antimicrobial stewardship in NICUs of low- and lower-middle-income countries - A narrative review.","authors":"Aditya Hemendra Bhatt","doi":"10.1177/00494755261455632","DOIUrl":"10.1177/00494755261455632","url":null,"abstract":"<p><p>High neonatal sepsis burden and limited diagnostics in low- and lower-middle-income countries (LMICs) drive empiric antibiotic use in neonatal intensive care units (NICUs), increasing antimicrobial resistance. This review examines 19 reports on efforts to kerb this trend. Importantly, reduced use was not associated with increased mortality, sepsis recurrence, necrotising enterocolitis or re-admissions.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"623-625"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057874","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
Differentiating leptospirosis from Rickettsial diseases and Q fever: A syndrome-based study in Southern Taiwan. 台湾南部地区钩端螺旋体病与立克次体病及Q热之鉴别研究。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-05-24 DOI: 10.1177/00494755261454021
Shih-Hao Lo, Chung-Hao Huang, Tun-Chieh Chen, Chun-Yu Lin, Po-Liang Lu, Ko Chang
{"title":"Differentiating leptospirosis from Rickettsial diseases and Q fever: A syndrome-based study in Southern Taiwan.","authors":"Shih-Hao Lo, Chung-Hao Huang, Tun-Chieh Chen, Chun-Yu Lin, Po-Liang Lu, Ko Chang","doi":"10.1177/00494755261454021","DOIUrl":"10.1177/00494755261454021","url":null,"abstract":"<p><p>Leptospirosis, Q fever, scrub typhus, and murine typhus are endemic zoonotic diseases in southern Taiwan that often present as acute undifferentiated febrile illness. We retrospectively compared epidemiological, clinical, laboratory, and outcome characteristics of leptospirosis (n = 41) and rickettsial infections, including Q fever, scrub typhus, and murine typhus (QSM; n = 103), in Kaohsiung City from 2013 to 2024. Leptospirosis occurred mainly during rainy and typhoon seasons and was associated with myalgia, gastrointestinal symptoms, jaundice, conjunctival suffusion, hepatic and renal dysfunction, leukocytosis, elevated C-reactive protein, and higher rates of acute kidney injury and shock. QSM occurred year-round, with eschar characteristic of scrub typhus, while prolonged activated partial thromboplastin time and relative bradycardia were more common in QSM. QSM generally showed a milder clinical course, particularly Q fever. Distinct clinical and seasonal patterns may facilitate early differentiation and risk stratification in endemic areas.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"675-680"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018494","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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