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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
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
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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