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Tropical Doctor

Elie Nkwabong, Ingrid Laure Bessi Badjan, Zacharie Sando
This cross-sectional descriptive study, aimed at accessing the accuracy of Pap smear in diagnosing cervical precancerous lesions, was carried out between 3 January and 30 April 2017. All women screened for cervical dysplasia by means of Pap smear with biopsy done for confirmation were subsequently recruited. Data were analysed using SPSS 20.0. A total of 231 women were screened for cervical dysplasia using Pap smear with 75 biopsies performed. Cervical dysplasia was noticed in 54 cases. The sensitivity, specificity, positive predictive and negative predictive values of Pap smear were 55...
September 15, 2018: Tropical Doctor
Mohamed S Muneer, Ahmed E Elhassan, Ahmed M Osman, Abdelmohaymin A Abdalla, Mohamed A Abdelrahim, Suad M Ali, Ihab B Abdalrahman
Breaking bad news is a global challenge for all types of health providers. Our study assessed the attitude and practice from the doctors' perspective in a patriarchal society. A descriptive cross-sectional hospital-based study was conducted, involving doctors from both medical and surgical departments. Almost half of the respondents believed that Sudanese patients do not like to know their diagnosis, and a slightly higher proportion had no previous training on how to break bad news. Some 20% indicated that they would conceal the diagnosis from a patient if his or her relatives so requested...
August 28, 2018: Tropical Doctor
Daniel Yeomans, Simon M Graham, Nyengo C Mkandawire, William J Harrison, Daniel C Perry
In low-income countries, where surgical expertise and resources are limited, displaced supracondylar fractures of the distal humerus are routinely managed with traction or closed reduction and casting. This is in contrast to high-income nations, where percutaneous K-wire fixation forms the mainstay of treatment. The aim of our study is to present the published evidence regarding the outcome of conservatively managed displaced supracondylar fractures in children. A systematic review of the literature was performed identifying 46 studies evaluating the outcome of displaced supracondylar fractures managed non-operatively...
August 28, 2018: Tropical Doctor
Ashish Jain, Sanchit Jain, Neha Singh, Sushant Kumar Meinia, Nilotpal Chowdhury
There is scant documentation of the stability of common haematological parameters on storage of blood samples under tropical conditions. K2 EDTA samples in multiple vials were taken from 20 healthy blood donors, baseline readings taken, and stored at 33℃ and 37℃. Readings from the stored vials were taken after 1, 3 and 6 h. The percent change against the baseline readings at each time point for each storage temperature was calculated. Platelet counts showed an unacceptable shift within 1 h at 37℃ and 3 h at 33℃; red cell volume related parameters showed an unacceptable shift within 3 h at 37℃ and 6 h at 33℃...
August 28, 2018: Tropical Doctor
Sudipta Patra, Vandana Ke, Chaitanya Tellapragada, Chiranjay Mukhopadhyay
The aim of our study was to examine and compare the clinical presentations, complications, laboratory findings, treatment and outcome of patients with acute, subacute and chronic forms of brucellosis in a tertiary care setting. This hospital-based observational study was undertaken between April 2015 and March 2017. Patients diagnosed with brucellosis, either by blood culture or serology or both, were recruited. A total of 94 cases of brucellosis of acute, subacute and chronic forms were observed in 78.7%, 15...
August 27, 2018: Tropical Doctor
Mads Sundet, Joanna Grudziak, Anthony Charles, Leonard Banza, Carlos Varela, Sven Young
This was a retrospective review of all children aged ≤16 who were treated in the casualty department at the central hospital in Lilongwe, Malawi, between 1 January 2009 and 31 December 2015. A total of 4776 children were treated for road traffic injuries (RTIs) in the study period. There was an increase in incidence from 428 RTIs in 2009 to a maximum of 834 in 2014. Child pedestrians represented 53.8% of the injuries, but 78% of deaths and 71% of those with moderate to severe head injuries. Pedestrians were mostly injured by cars (36%) and by large trucks, buses and lorries (36%)...
August 23, 2018: Tropical Doctor
Peter Cv Dincy, Pulimood A Susanne, George Leni, Sohanlal T, Thomas Meera, Prakash John Aj
In a prospective study conducted between November 2006 and April 2008 of 35 patients (male:female ratio 2:1) with proven rickettsial spotted fever, a generalised rash with involvement of palms and soles were seen in 80% of patients. Vasculitis on histopathology of rash was seen in 54%.
August 23, 2018: Tropical Doctor
Mary McCauley, Yohannes Amado, Nynke van den Broek
Many skilled medical professionals from high-income countries volunteer to work in poor-resource settings. There is, however, little research to assess the views and experiences of such healthcare providers. Our study sought to explore this among Voluntary Service Overseas volunteers working in Ethiopia for one year. An online survey was distributed to all returned international medical volunteers one year after their return to their base country. Most felt that they had impacted the local community in which they worked and reported a positive experience, recommending this to friends or family, but there was a small subgroup whose experience was otherwise...
August 20, 2018: Tropical Doctor
Mekkattukunnel A Andrews, Abraham M Ittyachen
Acute febrile illness with varied aetiology but similar symptoms is common in tropical countries. This prospective, multicentre study was conducted in selected centres in the province of Kerala in India principally to analyse the aetiology of acute febrile illnesses in adult patients over the course of one year. Overall, 1324 patients were included in the study. The most common cause was dengue in 576 patients (43.5%). In 396 (29.9%), the exact aetiology could not be identified. Other causes, in order, were leptospirosis, enteric fever, malaria, respiratory tract infection, urinary tract infection and typhus...
August 20, 2018: Tropical Doctor
Pavit Tevatia, Sohaib Ahmad, Neeti Gupta, Nadia Shirazi
We report Lyme disease in a young man from north India who presented with progressive diminution of vision, severe headache, quadriparesis, seizures, dermatological and pulmonary lesions, lymphadenopathy and a hypocellular bone marrow. This is the first case report of Lyme disease with multi-system involvement from India, confirmed twice by positive serology.
August 19, 2018: Tropical Doctor
Keerthivasan Gurumurthy, Harish Belgode Narasimha, Mukta Wyawahare, Niranjan Biswal
Leptospirosis is a serious public health concern worldwide. It is highly endemic in the Andaman Islands and its prevalence is increasing in other Indian states. Clinical features are non-specific and diagnosis relies on laboratory confirmation. The gold standard is microscopic agglutination testing, but this is not widely available. Real-time polymerase chain reaction testing of LipL32 antigen provides the earliest detection of pathogenic Leptospira in the body. We found it to be 100% specific, but it should be used in the first 10 days of illness for reliable results...
August 19, 2018: Tropical Doctor
Tchin Darre, Bathokédeou Amana, Essobozou Pegbessou, Foma Winga, Dolou Warou, Gado Napo-Koura
Tuberculosis (TB) remains a real public health concern in Africa; thyroid localisation of the disease is a very rare form of extrapulmonary TB. We conducted a descriptive and cross-sectional study on all histologically proved cases of thyroid TB diagnosed in Togo over the last 20 years. Eleven cases of TB of the thyroid were identified, of which nine were in women, with an average age of 29.4 ± 0.2 years. The clinical signs were the presence of a nodule in seven, an abscess in three and a swelling with cutaneous fistulisation in one...
August 16, 2018: Tropical Doctor
Keisha Livingstone-Sinclair, Charmaine Scott, Helen Trotman
Health surveillance of children with Down's syndrome may be inadequate. We aimed to assess adherence to health management guidelines at the main paediatric hospital in Jamaica. Ours was a retrospective descriptive study over a five-year period. Data on demographics, co-morbidities, investigations, referrals and interventions were recorded. Of 41 children included in the study, 85% were diagnosed in the neonatal period. Congenital heart disease in 29 (76%) and ophthalmological disorders in 13/24 (54%) were the most common co-morbidities...
August 16, 2018: Tropical Doctor
Shreekant Bharti, Neeraj Kumar Agarwal, Richa Katiyar, Saloni Dwivedi, Mridu Shri
Filariasis is a major concern, particularly in endemic regions. The majority of patients harbouring the parasite may remain asymptomatic for years. Here, we present six patients who were sent for routine cytological examination to rule out neoplastic pathology, in whom cytology identified filarial infestation. The main purposes of our paper are to highlight the importance of fine needle aspiration cytology (FNAC), a cheap and quick investigation to detect the microfilaria from tissue swelling and body fluids, and to point out that clinicians practising in endemic regions should always consider filarial infestation in patients presenting with longstanding swelling...
August 15, 2018: Tropical Doctor
Bobbity Deepthi, Samridhi Goyal, Rachita Singh Dhull, Preeti Rai, Abhijeet Saha
A seven-year-old boy with nephrotic syndrome presented with a frequent rash along with relapse of nephrotic syndrome. Clinical and histological features were suggestive of pityriasis lichenoides et varioliformis acuta (PLEVA). Treatment of the condition with doxycycline led to the cure of the lesions as well as the relapses.
August 12, 2018: Tropical Doctor
Prem Kumar, Pankaj Gupta, Vikas Bhatia, Harjeet Singh
No abstract text is available yet for this article.
August 8, 2018: Tropical Doctor
Ashish Gupta, Amit Gupta, Sweety Gupta, Udit Chauhan, Lokavarapu Manoj Joshua
Gallbladder cancer (GBC) is a rare gastrointestinal tumour. It occurs in women with pre-existing cholelithiasis. These tumours pose therapeutic as well as diagnostic challenges to treating clinicians. Early suspicion and optimal surgery for suspected GBC results in the best outcome. We describe two cases of metastatic GBC initially treated by simple cholecystectomy for gallstone despite disease pointers towards a malignant pathology. Subsequent presentation was with histopathologically proven metastatic GBC...
August 8, 2018: Tropical Doctor
Solwayo Ngwenya
A global concern is to end preventable stillbirths by the year 2030. The objective of this study was to document the stillbirth rate and causes of stillbirths in a low-resource setting. This was a retrospective descriptive study carried out at Mpilo Central Hospital, a tertiary teaching referral government hospital in Bulawayo, Zimbabwe during the period January to December 2016. There were 8801 live births and 268 stillbirths (rate: 30.5/1000). The majority(81.3%) were macerated. Pre-term labour, pre-eclampsia, eclampsia and abruptio placenta accounted for 51...
August 8, 2018: Tropical Doctor
Zain Majid, Syed Majid Warsi
No abstract text is available yet for this article.
August 8, 2018: Tropical Doctor
Ashok Kumar Pannu, Rithvik Golla
The management of a pulmonary echinococcal cyst consists mainly of medical treatment with a scolicidal agent such as albendazole and surgical extirpation. Rarely, a pulmonary cyst may rupture into a bronchus and be spontaneously expelled. This may result in seeding elsewhere in the bronchial tree, or even the alimentary tract, but occasionally, as in our case, may result in a cure.
August 6, 2018: Tropical Doctor
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