{"title":"Tubercular spondylitis with prevertebral and epidural abscess masquerading as a mediastinal mass.","authors":"Nishtha Nagar, Parija Chauhan, Pradeep Kumar Gunasekaran, Sivanesan Sivagnanaganesan, Sreedhara Bettadahally Chaluvashetty, Sanjay Verma","doi":"10.1177/00494755251323333","DOIUrl":"10.1177/00494755251323333","url":null,"abstract":"<p><p>A 10-year old girl presenting with an insidious-onset low-grade fever for one month was found to have mediastinal widening with bilateral perihilar opacities. MRI scanning further revealed dorsal spondylitis with collapse of T2-4 vertebral bodies with prevertebral and epidural tubercular collections of 3 × 6.5 × 8 cm. This case emphasises the importance of considering TB among differential diagnoses of a mediastinal mass, especially among children from endemic countries.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"185-186"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505668","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":"COVID-19 vaccination and neurological complications: A cross-sectional observational study from a tertiary care centre of North India.","authors":"Vikas Lakhanpal, Bhawna Sharma, Priyank Upadhayay, Kamla Kant","doi":"10.1177/00494755241308003","DOIUrl":"10.1177/00494755241308003","url":null,"abstract":"<p><p>Vaccine hesitancy, anti-Vax campaigners and misinformation hound the administration of vaccines. Our study, conducted at Malwa region of the Punjab, India, was systematically carried out to look for adverse neurological effects after COVID-19 vaccination, given to 1000 people (>18 years and <60 years) who had received either single or multiple doses. No major neurological complications were found; the only side-effect was a transitory headache in 15% of the participants.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"100-103"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142898906","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 : 2025-01-01Epub Date: 2024-09-28DOI: 10.1177/00494755241286564
Lutfun Nahar Nizhu, Ahmad Mursel Anam, Shihan Mahmud Redwanul Huq, Raihan Rabbani, Asifa Jahan, Kalyanbroto Roy
{"title":"Therapeutic plasma exchange in expanded dengue patients having acute liver failure: A case series.","authors":"Lutfun Nahar Nizhu, Ahmad Mursel Anam, Shihan Mahmud Redwanul Huq, Raihan Rabbani, Asifa Jahan, Kalyanbroto Roy","doi":"10.1177/00494755241286564","DOIUrl":"10.1177/00494755241286564","url":null,"abstract":"<p><p>Expanded dengue syndrome is a severe form of dengue fever that can cause acute liver failure and patients with this condition have a high mortality rate. This is because it can cause a cytokine storm, Unfortunately, standard treatments are often ineffective. Therapeutic plasma exchange is a procedure that removes cytokines and improves the patient's condition. Our study involved 15 patients with expanded dengue syndrome having acute liver failure, who were not responding to standard therapies. We treated them with plasmapheresis, and 11 of the patients showed significant improvement in liver function and survived. Unfortunately, the remaining four patients died owing to other complications. Early treatment is crucial for the best possible outcome.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"51-53"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331007","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":"Scrub typhus masquerading as acute acalculous cholecystitis in a child - a case report.","authors":"Padma Chitra Balasubramanian, Lasya Guduru, Mounika Reddy, Raja Sundaramurthy, Abhishek J Arora","doi":"10.1177/00494755241296172","DOIUrl":"10.1177/00494755241296172","url":null,"abstract":"<p><p>We describe a case of scrub typhus in a 12-year old boy who presented with symptoms mimicking acute acalculous cholecystitis. He tested positive for anti-scrub typhus IgM antibodies. Treatment with oral azithromycin led to significant improvement and resolution of symptoms. Thus it is important to consider scrub typhus as a differential diagnosis for an acute abdomen in endemic areas. Timely diagnosis may avoid unnecessary suffering.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"78-79"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631403","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 : 2025-01-01Epub Date: 2024-10-14DOI: 10.1177/00494755241291085
Ashok Kumar Pannu
{"title":"'DO NOT MISS': A mnemonic to detect red flags in headache and back pain syndromes.","authors":"Ashok Kumar Pannu","doi":"10.1177/00494755241291085","DOIUrl":"10.1177/00494755241291085","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"80-81"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478967","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":"Complete renal response of IgA vasculitis with steroid and mycophenolate mofetil in an adult HIV patient.","authors":"Naman Mahesh Pathak, Kritika Pant, Jyoti Aggarwal, Joydeep Samanta, Satyaki Ganguly, Vinay Rathore","doi":"10.1177/00494755241282365","DOIUrl":"10.1177/00494755241282365","url":null,"abstract":"<p><p>IgA vasculitis in adult HIV patients is rare and not well understood. Data on treatment of IgA vasculitis associated with HIV is sparse and limited to case reports. Highly active antiretroviral therapy (HAART) is the mainstay therapy for inducing remission. We report a case of a 41-year old HIV patient who presented with palpable purpura, melaena and oedema and was diagnosed with IgA vasculitis with severe renal (crescentic glomerulonephritis), gastrointestinal and skin involvement. He was treated with immunosuppressive drugs and HAART which led to remission of disease. This case is unusual due to the presence of crescentic glomerulopathy and the requirement of immunosuppression for remission induction.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"60-61"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478966","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 : 2025-01-01Epub Date: 2024-09-09DOI: 10.1177/00494755241282715
Kuldeep Singh, Krittika Aggarwal
{"title":"Freestyle SGAP flaps for sacral ulcers.","authors":"Kuldeep Singh, Krittika Aggarwal","doi":"10.1177/00494755241282715","DOIUrl":"10.1177/00494755241282715","url":null,"abstract":"<p><p><b>Study Design:</b> Retrospective case study. <b>Objective:</b> To study the feasibility and ease of freestyle SGAP perforator flaps for sacral ulcers. <b>Setting:</b> This study was conducted in tertiary care hospital in India.Sacral ulcers are commonly encountered in long-term bedridden patients. Various options to cover these ulcers include the gluteus muscle flaps (v-y, rotation and advancement), fascio-cutaneous flaps, superior and inferior gluteal artery perforator flaps. The superior gluteal artery perforator (SGAP) flap is a reliable option for sacral sore management. Using this flap, only one out of ten patients had partial flap necrosis. None had wound dehiscence nor seroma formation. No recurrence was seen at three months follow-up. This flap can safely be used as a 'free style' flap.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"32-37"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156478","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 : 2025-01-01Epub Date: 2024-11-04DOI: 10.1177/00494755241295268
Ayush Agarwal, Sapna Mittal, Divyani Garg, Venugopalan Y Vishnu, Achal K Srivastava
{"title":"Acute hepatitis A and hepatitis C co-infection triggering Guillain-Barre syndrome.","authors":"Ayush Agarwal, Sapna Mittal, Divyani Garg, Venugopalan Y Vishnu, Achal K Srivastava","doi":"10.1177/00494755241295268","DOIUrl":"10.1177/00494755241295268","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"73-74"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570160","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 : 2025-01-01Epub Date: 2024-09-28DOI: 10.1177/00494755241284421
Vinita Sarbhai, Aafreen Naaz, Vikram Sarbhai
{"title":"Deciphering the diagnostic challenges of female genital tuberculosis: Insights from women pursuing conception at a tertiary care centre in northern India.","authors":"Vinita Sarbhai, Aafreen Naaz, Vikram Sarbhai","doi":"10.1177/00494755241284421","DOIUrl":"10.1177/00494755241284421","url":null,"abstract":"<p><p>Female genital tuberculosis (FGTB) is asymptomatic or may present with a few symptoms among which infertility is the most common. The diagnosis of FGTB is challenging, as there is no single diagnostic test available.We researched 50 infertile patients by various special investigations and found 50% had tuberculosis, by various means. Endometrial biopsy and Hystero-laparoscopy are complementary procedures, and Cartridge Based Nucleic Acid Amplification Test is a useful new addition to the diagnostic armamentarium for endometrial and peritoneal samples.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"27-31"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331004","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":"Spectrum of endoscopic findings in <i>Strongyloides stercoralis</i> infection with gastroduodenal involvement-A case series.","authors":"Suprabhat Giri, Sham Charan Kosuru, Akruti Mishra, Preetam Nath, Sarat Chandra Panigrahi, Anil Chandra Anand","doi":"10.1177/00494755241289455","DOIUrl":"10.1177/00494755241289455","url":null,"abstract":"<p><p><i>Strongyloides stercoralis</i> infects the duodenum and jejunum with rare involvement of the stomach. However, the clinical presentation and endoscopic findings are non-specific. There are limited data on upper gastrointestinal endoscopy findings in <i>S. stercoralis</i> with gastroduodenal involvement. In this case series of seven patients, we summarize such findings after diagnosis with tissue biopsy.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"42-44"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478969","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}