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Gut mayhem at sea: Acute mesenteric ischaemia in a sailor unmasking polyarteritis nodosa. 海上肠道混乱：一名水手的急性肠系膜缺血暴露出结节性多动脉炎。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-05-26 DOI: 10.1177/00494755261454456
Isaac Ks Ng, Mark Il Lum, Wilson Gw Goh, An Jian Leung, Lynette Teo, Manjari Lahiri, Charlotte Sl Tan
{"title":"Gut mayhem at sea: Acute mesenteric ischaemia in a sailor unmasking polyarteritis nodosa.","authors":"Isaac Ks Ng, Mark Il Lum, Wilson Gw Goh, An Jian Leung, Lynette Teo, Manjari Lahiri, Charlotte Sl Tan","doi":"10.1177/00494755261454456","DOIUrl":"10.1177/00494755261454456","url":null,"abstract":"<p><p>Acute mesenteric ischaemia is a life-threatening cause of abdominal pain caused by sudden intestinal hypoperfusion. While most cases are related to cardio-embolic events or thrombosis of a pre-existing atherosclerosed vessel in patients with significant cardiovascular risk factors, rarely, it may be the initial manifestation unmasking an underlying systemic vasculitis. We describe a case of polyarteritis nodosa causing mesenteric ischaemia, based on the presence of an inflammatory state and characteristic radiological findings of medium-vessel vasculitis. After treatment with high-dose intravenous corticosteroids and induction of cyclophosphamide therapy, the patient's symptoms resolved, inflammatory markers normalised, and he had stable radiological findings prior to discharge.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"787-789"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148037083","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
Methodological considerations in interpreting postoperative antibiotic prophylaxis after clean thyroid and breast surgery. 清洁甲状腺和乳房手术后抗生素预防的方法学考虑。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-06-18 DOI: 10.1177/00494755261461358
Mayur Hemchandra Ingale, Archana Dhyani, Rajnish Kumar, Heena Arora
{"title":"Methodological considerations in interpreting postoperative antibiotic prophylaxis after clean thyroid and breast surgery.","authors":"Mayur Hemchandra Ingale, Archana Dhyani, Rajnish Kumar, Heena Arora","doi":"10.1177/00494755261461358","DOIUrl":"10.1177/00494755261461358","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"815-816"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273584","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
An unusual presentation of scrub typhus as tetany: A case report. 恙虫病不寻常表现为手足搐搦症：一例报告。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-07-07 DOI: 10.1177/00494755261467172
Padma Chitra Balasubramanian, Kolluri Priyanka, Syed Ahmed Zaki, Gadhiraju Manisha Varma, Sibabratta Patnaik
{"title":"An unusual presentation of scrub typhus as tetany: A case report.","authors":"Padma Chitra Balasubramanian, Kolluri Priyanka, Syed Ahmed Zaki, Gadhiraju Manisha Varma, Sibabratta Patnaik","doi":"10.1177/00494755261467172","DOIUrl":"10.1177/00494755261467172","url":null,"abstract":"<p><p>Scrub typhus is a mite-borne rickettsial infection caused by <i>Orientia tsutsugamushi</i> and is transmitted through the bite of larval trombiculid mites. It is an important cause of acute febrile illness in endemic regions. Although the disease typically presents with fever, rash, lymphadenopathy, and eschar, its clinical manifestations are highly variable and may include severe systemic complications. We report a case of scrub typhus presenting with symptomatic hypocalcaemia and hypophosphataemia probably the result of renal tubular electrolyte loss, highlighting a potentially under-recognized metabolic manifestation.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"776-777"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148399835","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
Infection-associated haemophagocytic lymphohistiocytosis in scrub typhus: A diagnostic enigma - A paediatric case series. 恙虫病感染相关的噬血细胞淋巴组织细胞增多症：一个诊断谜-一个儿科病例系列。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-05-15 DOI: 10.1177/00494755261449086
Shambhavi, Anand Kumar Manjhi, Md Rizwan Farooquee
{"title":"Infection-associated haemophagocytic lymphohistiocytosis in scrub typhus: A diagnostic enigma - A paediatric case series.","authors":"Shambhavi, Anand Kumar Manjhi, Md Rizwan Farooquee","doi":"10.1177/00494755261449086","DOIUrl":"10.1177/00494755261449086","url":null,"abstract":"<p><p>Scrub typhus, though common, gives rise rarely to severe complications such as infection-associated haemophagocytic lymphohistiocytosis (HLH) in children.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"736-737"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147950141","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
Bilateral necrotising retinitis caused by cytomegalovirus in an immunocompetent host: A case report. 免疫正常宿主巨细胞病毒引起的双侧坏死性视网膜炎1例。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-05-04 DOI: 10.1177/00494755261445972
Sivaraman Bala Murugan, Yuvraj Madhav, Prithiviraj Nagarajan
{"title":"Bilateral necrotising retinitis caused by cytomegalovirus in an immunocompetent host: A case report.","authors":"Sivaraman Bala Murugan, Yuvraj Madhav, Prithiviraj Nagarajan","doi":"10.1177/00494755261445972","DOIUrl":"10.1177/00494755261445972","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"800-803"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822736","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
From chronic abscess to acute respiratory distress syndrome (ARDS): A case of recurrent melioidosis in Sri Lanka. 从慢性脓肿到急性呼吸窘迫综合征（ARDS）：斯里兰卡复发性类鼻疽1例。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-05-19 DOI: 10.1177/00494755261448959
Thulani Pattiyakumbura, Thisara Shadwarna Perera, Suranga Manilgama, Damayanthi Idampitiya, Malika Karunaratne, Niroshan Lokunarangoda
{"title":"From chronic abscess to acute respiratory distress syndrome (ARDS): A case of recurrent melioidosis in Sri Lanka.","authors":"Thulani Pattiyakumbura, Thisara Shadwarna Perera, Suranga Manilgama, Damayanthi Idampitiya, Malika Karunaratne, Niroshan Lokunarangoda","doi":"10.1177/00494755261448959","DOIUrl":"10.1177/00494755261448959","url":null,"abstract":"<p><p>Melioidosis is caused by the environmental bacterium <i>Burkholderia pseudomallei</i> and may recur months after apparent cure with fatal consequences. We report a previously healthy 31-year-old man with incompletely treated bacteraemic melioidosis who presented eight months later with recurrent chest wall abscess and fulminant pneumonia progressing to ARDS and death despite aggressive treatment.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"768-769"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976792","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
Diaphyseal forearm fractures without fluoroscopy: Titanium elastic nailing system (TENS): A paediatric case series from Nepal. 前臂骨干骨折无透视：钛弹性钉系统（TENS）：来自尼泊尔的儿科病例系列。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-06-10 DOI: 10.1177/00494755261457477
Ravi Kiran Pathak
{"title":"Diaphyseal forearm fractures without fluoroscopy: Titanium elastic nailing system (TENS): A paediatric case series from Nepal.","authors":"Ravi Kiran Pathak","doi":"10.1177/00494755261457477","DOIUrl":"10.1177/00494755261457477","url":null,"abstract":"<p><p>In resource-limited settings such as rural Nepal, the lack of intra-operative fluoroscopy often forces clinicians to choose between suboptimal conservative management or referral to distant centres. Our case series presents the feasibility of the titanium elastic nailing system for displaced childhood both-bone forearm fractures using tactile feedback and portable radiography instead of a C-arm. While the rate of open reduction was higher than in a fluoroscopy-guided series (2/9 for radius, 4/9 for ulna), all cases achieved stable intramedullary placement and clinical union. This approach offers a viable alternative for maintaining surgical standards in so-called 'blind' settings.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"749-751"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148213108","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
Evaluation of sepsis screening and matrix-assisted laser desorption ionisation-time of flight mass spectrometry for the diagnosis of neonatal candidaemia in a Sub-Himalayan tertiary centre in India. 评价败血症筛查和基质辅助激光解吸电离飞行时间质谱法诊断新生儿念珠菌血症在印度喜马拉雅次三级中心。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-07-08 DOI: 10.1177/00494755261467569
Arushi Gupta, Balram Ji Omar, Mohit Bhatia, Yogendra Pratap Mathuria, Sriparna Basu
{"title":"Evaluation of sepsis screening and matrix-assisted laser desorption ionisation-time of flight mass spectrometry for the diagnosis of neonatal candidaemia in a Sub-Himalayan tertiary centre in India.","authors":"Arushi Gupta, Balram Ji Omar, Mohit Bhatia, Yogendra Pratap Mathuria, Sriparna Basu","doi":"10.1177/00494755261467569","DOIUrl":"10.1177/00494755261467569","url":null,"abstract":"<p><p>Neonatal candidaemia is a significant cause of morbidity and mortality in neonatal intensive care settings, particularly in low- and middle-income countries where diagnostic delays remain a challenge.The diagnostic utility of a five-parameter sepsis screen and the comparison of matrix-assisted laser desorption ionisation-time of flight mass spectrometry (MALDI-TOF MS) with VITEK-2 for identification of <i>Candida</i> species in neonates were evaluated at a tertiary care institute in the sub-Himalayan region of India from November 2022 to March 2024. <i>Non-albicans Candida</i> species accounted for 75% of isolates. Significant discordance was observed between MALDI-TOF MS and VITEK-2, particularly for cryptic species. The sepsis screen demonstrated a sensitivity of 77.8% but lacked specificity because it included only culture-positive fungal cases. The mortality rate was 30%. Thus, we conclude that a sepsis screen serves as a useful early screening tool but is non-specific. MALDI-TOF MS provides more accurate and faster species identification than biochemical methods. A combined diagnostic approach may help reduce delays in targeted therapy in neonatal candidemia.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"632-636"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406628","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
Levodopa-responsive parkinsonism resulting from osmotic demyelination syndrome. 渗透性脱髓鞘综合征引起的左旋多巴反应性帕金森病。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-05-08 DOI: 10.1177/00494755261449085
Niraj Kumar, Ishita Desai, Sweety Kumari
{"title":"Levodopa-responsive parkinsonism resulting from osmotic demyelination syndrome.","authors":"Niraj Kumar, Ishita Desai, Sweety Kumari","doi":"10.1177/00494755261449085","DOIUrl":"10.1177/00494755261449085","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"819-820"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845163","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
Prompt recognition of aneurysmal compression in isolated oculomotor nerve palsy: A case of favourable visual and clinical outcomes. 及时识别孤立性动眼神经麻痹的动脉瘤压迫：一例良好的视觉和临床结果。
IF 0.6 4区 医学
Tropical Doctor Pub Date : 2026-10-01 Epub Date: 2026-04-25 DOI: 10.1177/00494755261445184
Rongkai Tan, Chui Yain Chen, Chenshen Lam, Yi Wen Lim
{"title":"Prompt recognition of aneurysmal compression in isolated oculomotor nerve palsy: A case of favourable visual and clinical outcomes.","authors":"Rongkai Tan, Chui Yain Chen, Chenshen Lam, Yi Wen Lim","doi":"10.1177/00494755261445184","DOIUrl":"10.1177/00494755261445184","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"762-764"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787348","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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