Tropical medicine & surgery最新文献

{"title":"Dengue Infection Causing Acute Kidney Injury","authors":"R. Naqvi","doi":"10.4172/2329-9088.1000211","DOIUrl":"https://doi.org/10.4172/2329-9088.1000211","url":null,"abstract":"Objective: We aim to report patients coming to this tertiary care center, developing acute kidney injury (AKI) after Dengue infection. \u0000Methods: An observational study of patients identified as having AKI after Dengue infection. AKI was defined according to RIFLE criteria with sudden rise in creatinine or decline in urine output or both. All patients had normal size non obstructed kidneys on ultrasonography, with no previous co morbid. Dengue was diagnosed on detection of dengue-specific IgM capture antibody or a four-fold or greater increase of dengue-specific IgG capture antibody by ELISA. \u0000Results: From January 2000 – December 2014, total 3525 patients with AKI registered at this institution, of these 43 (1.21%) developed AKI in association with dengue infection. Average age of patients was 34.65 ± 14.50 (range 16-90 years) with 31 male and 12 female. Jaundice and oligo-anuria were most common associated symptoms with fever. Renal replacement therapy required in 31 (72.09%) patients. Complete recovery was seen in 37 (86%), while 6 (14%) died during acute phase of illness. Age, jaundice, thrombocytopenia and shock were the factors significantly associated with high mortality. \u0000Conclusion: AKI though less reported, remains dreaded complication of dengue virus infection. With involvement of liver, circulatory system and prolonged thrombocytopenia mortality is high.","PeriodicalId":90756,"journal":{"name":"Tropical medicine & surgery","volume":"4 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2016-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-9088.1000211","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70278852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a Simple Proof of Concept Clinical Decision-Making Tool for Predicting Surgical Outcomes after Obstetric Fistula Repair in a Developing Country","authors":"B. T. Sambo, C. Missikpode, K. Salifou, A. Hodonou, E. Mensah, Alex, re Allodé, Christian Johnson, A. Saftlas, Robert B. Wallace","doi":"10.4172/2329-9088.1000209","DOIUrl":"https://doi.org/10.4172/2329-9088.1000209","url":null,"abstract":"Introduction: Obstetric fistula is a serious injury resulting from obstructed labor causing significant maternal morbidity in women in developing countries. In order to maximize probability of successful surgical repair, it is important to identify women at-risk for poor surgical outcomes so that they can be given appropriate care. The goal of this study is to explore additional factors associated with fistula repair outcomes, as well as determine whether statistical modeling can be used to create a clinical decision-making tool for predicting a successful repair. \u0000Methods: Medical records for 82 patients surgically treated for obstetric fistula in Benin were retrospectively reviewed to collect demographic and clinical information related to their condition and procedure. Individuals were grouped into 3 main outcomes: successful closure with continence, successful closure with residual incontinence, and failed repair. A backwards stepwise selection methodology and logistic regression were used to select factors and examine their associations with the surgical outcomes. Structural equation modelling was used to develop a prediction tool for successful repair. \u0000Results: Location of fistula (vesicovaginal, vesicouterine, ureteroalvaginal, ureterouterine, and rectovaginal) (OR=7.6 (2.39, 24.36)), being married (OR=3.45 (1.09, 10.90)), parity of 1 to 3 (OR=2.99 (0.94, 9.49)), duration of fistula less than 10 years (OR=2.07 (0.88, 8.25)), and no previous repair attempt (OR=2.40 (0.79, 7.25)) were found to favor a successful closure with continence. We developed a prediction tool to sort women with obstetric fistula into 5 different categories based on probability of success. Our model suggests that marital status affects successful repair through a mediating factor not yet identified. \u0000Conclusion: This study classified fistulous women into clinically relevant categories based on the probability of a successful repair. The results from the present study may inspire further research on identifying fistulas with poor prospect of success, which might benefit from more specialized care.","PeriodicalId":90756,"journal":{"name":"Tropical medicine & surgery","volume":"4 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2016-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70278786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Morbidity Profile, Healthcare Utilization and Associated out of Pocket Expenditure on Health among Elderly Population of Lucknow District, Northern India","authors":"S. Singh, P. Pavan, Ey","doi":"10.4172/2329-9088.1000210","DOIUrl":"https://doi.org/10.4172/2329-9088.1000210","url":null,"abstract":"Objective: To study and assess the morbidities occurring in an elderly person, the pattern of their healthcare utilization and the expenditure they incur during the process of receiving treatment. \u0000Methods: A cross-sectional study was carried out involving 404 elderly participants from both the urban and rural parts of Lucknow. The elderly participants were interviewed with the help of a pretested questionnaire.The data was collected on morbidity profile, healthcare utilization and associated expenditure by elderly. \u0000Results: Most common single chronic disease entity was hypertension (20.5%), and the most common group of morbidities were dental (18.8%), orthopedics (17.3%) and cardiovascular (11.8%) in that order. The proportion of those utilizing Inpatient care, out-patient care, Outpatient dental care, AYUSH care and self-medication was 32.9%, 62.9%, 20.7%, 36.4% and 35.6% respectively. Total mean out of pocket expenditure on health among participants from the urban and rural area was INR 7842.25 (SD 9067.97) and INR 6034.82 (SD 9566.45) respectively. \u0000Conclusion: The out of pocket expenditure among the elderly was much higher than per capita health expenditure of the country.","PeriodicalId":90756,"journal":{"name":"Tropical medicine & surgery","volume":"12 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2016-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70278842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Genitourinary Hydatid Disease: A Review","authors":"S. Siddappa, V. Karthikeyan","doi":"10.4172/2329-9088.1000208","DOIUrl":"https://doi.org/10.4172/2329-9088.1000208","url":null,"abstract":"Parasitism means a temporary or permanent reciprocal association between two species, where one species depends upon another for its existence. The most important parasitic diseases involving the genitourinary system in humans are helminthic, where schistosomiasis is the commonest followed by hydatid disease (HD) and filariasis [1]. HD is a parasitic infestation, caused by tape worms of the genus Echinococcus, that usually involves the liver and lungs, although no organ is spared [2,3]. The varied presentations and complications of HD present routine surgical problems in endemic areas, although HD of the urinary tract is uncommon, comprising 2–4% of all cases [3]. This article reviews the epidemiology, etiopathogenesis, clinical features and presentations, medical and surgical treatment of genitourinary and pelvic echinococcosis with special reference to individual organs. In addition our own experience at our hospital in the last 4 years that we treated 4 cases of hydatid cysts of which 3 were renal HD and one was primary pelvic HD.","PeriodicalId":90756,"journal":{"name":"Tropical medicine & surgery","volume":"4 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2016-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70278775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Traumatic Splenic Rupture: Dreaded Complication of Splenomegaly","authors":"J. Shiber, E. Fontane, David Prisk","doi":"10.4172/2329-9088.1000162","DOIUrl":"https://doi.org/10.4172/2329-9088.1000162","url":null,"abstract":"We discuss the causes of splenomegaly and the underlying abnormalities leading to the most feared complication of a traumatic splenic rupture. A case discussion is included.","PeriodicalId":90756,"journal":{"name":"Tropical medicine & surgery","volume":"2 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70277959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bilateral Anterior Shoulder Dislocations due to Seizure","authors":"J. Shiber, Jesus A Diaz, Kamal I. Bohsali","doi":"10.4172/2329-9088.1000160","DOIUrl":"https://doi.org/10.4172/2329-9088.1000160","url":null,"abstract":"Volume 2 • Issue 1 • 1000160 Trop Med Surg ISSN: 2329-9088 TPMS, an open access journal A 33 year-old man presented to the emergency department (ED) after intentional overdose of prescription drugs with concomitant cocaine and alcohol abuse. During assessment, he had a witnessed generalized tonic-clonic seizure that terminated after intravenous lorazepam administration. He was admitted to the Intermediate Care Unit for ongoing close monitoring due to persistently altered mental status. When more alert the following day he complained of bilateral shoulder pain with markedly restricted range of movement. An initial screening chest radiograph demonstrated bilateral anterior shoulder dislocations with an associated fracture of the left greater tuberosity (Figure 1). On further discussion a history of multiple bilateral shoulder dislocations with minimal force was elicited. He was reviewed by the orthopedic service that elected to perform closed reduction under general anesthesia and he was placed in bilateral shoulder immobilizers for 2 weeks. Operative repair was recommended.","PeriodicalId":90756,"journal":{"name":"Tropical medicine & surgery","volume":"2 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70277868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lingual Angioedema due to ACE-Inhibitor","authors":"J. Shiber","doi":"10.4172/2329-9088.1000161","DOIUrl":"https://doi.org/10.4172/2329-9088.1000161","url":null,"abstract":"","PeriodicalId":90756,"journal":{"name":"Tropical medicine & surgery","volume":"2 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70277943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supra-Infected Hepatic and Renal Amebic Abscesses-A Case Report","authors":"Manizate Fotini, C. Martin, Hameer Muneer, C. Roger","doi":"10.4172/2329-9088.1000158","DOIUrl":"https://doi.org/10.4172/2329-9088.1000158","url":null,"abstract":"We describe the case of a 69-year-old man referred from a nursing home facility for acute severe anemia. On presentation, the patient complained of fever, chills, and abdominal pain. Physical exam was significant for a fever of 103.8 F, pale conjunctivae, rales over the right lung base and direct tenderness to palpation overlying the right upper quadrant. Laboratory analysis revealed a normocytic normochromic anemia of 6.7 g/dL, leukocytosis of 17.2 K/μL, elevated creatinine and hepatic function panel with a urinalysis remarkable for turbid cloudy appearing urine, positive for leucocyte esterase and white blood cells. Abdominal Ultrasonography (US) and computed tomography (CT) of the abdomen and pelvis with contrast revealed a 9.2 cm in maximal diameter low-density collection in the posterior aspect of the right lobe of the liver contiguous with a 7.2 cm maximal diameter multi-loculated collection of the superior pole of the right kidney. CT guided drainage of the liver revealed anchovy paste like material and positive cultures for proteus mirabilis species were obtained from both the hepatic and renal foci. Serum entamoeba antibody testing for IgG was positive and intravenous metronidazole with oral iodoquinol was started. Ultimately the patient’s clinical status improved and he was subsequently discharged","PeriodicalId":90756,"journal":{"name":"Tropical medicine & surgery","volume":"12 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70277788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Thyroxine on Mosquito Larvae during Winter Months in Dengue Prone Regions of India","authors":"S. Kannan","doi":"10.4172/2329-9088.1000159","DOIUrl":"https://doi.org/10.4172/2329-9088.1000159","url":null,"abstract":"","PeriodicalId":90756,"journal":{"name":"Tropical medicine & surgery","volume":"2 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70277800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison between Post-tonsillectomy Bleeding of Three Different Techniques in Children","authors":"Abdullah Alzuwayed, M. Qattan","doi":"10.4172/2329-9088.1000202","DOIUrl":"https://doi.org/10.4172/2329-9088.1000202","url":null,"abstract":"Introduction: Post-tonsillectomy bleeding remains the most serious complication of tonsillectomy. The rate of post tonsillectomy bleeding varies with different technique. The common used techniques are the bipolar, monopolar and cold. \u0000Methods: This was a retrospective case series study based on chart review of children under 14 years who underwent tonsillectomy during the period between January 2010 to December 2011 at King Abdulaziz Medical City (KAMC), Riyadh, Saudi Arabia – ENT department. The charts of all the patients were reviewed by the student and the data form filled for included patients for the age, gender, indications for tonsillectomy, previous surgery, medications, admission type, technique used which are the bipolar, monopolar and cold technique and complications. \u0000Results: Out of 60 patients reviewed, post tonsillectomy bleeding was reported in 16 (27%). Indications for tonsillectomy were six indications and most common one was recurrent adenotonsillitis in 27 (46%). Intraoprative bleeding was 8 cases (13%) which was the most common type of bleeding and there was no significant difference in post tonsillectomy bleeding between the three techniques (p=0.62). \u0000Conclusion: The result showed that there was no significant difference in post tonsillectomy bleeding between the three techniques.","PeriodicalId":90756,"journal":{"name":"Tropical medicine & surgery","volume":"4 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2015-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70278393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}