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Tropical Doctor

Archan Sil, Tamoghna Biswas, Moumita Samanta, Mithun Chandra Konar, Arun Kumar De, Jasodhara Chaudhuri
Ours was a descriptive observational cross-sectional study carried out in a tertiary care hospital in eastern India over a period of one year to study the profile of neurological involvement in paediatric dengue patients. Of 71 laboratory-confirmed cases, 20 (28.17%) had neurological involvement. Common forms observed were acute encephalopathy (40%), encephalitis (30%), pure motor weakness (15%), transverse myelitis (5%), acute disseminated encephalomyelitis (5%) and Guillain-Barré syndrome (5%). The dengue IgM antibody could be detected in the cerebrospinal fluid of only two patients with encephalitis...
December 2, 2016: Tropical Doctor
P Philip Samuel, R Govindarajan, S Victor Jerald Leo, R Krishnamoorthy, R Paramasivan, N Arunachalam
As original tribal ways of living have morphed from a forest dweller existence, dengue is no longer an urban infection but is now also found in rural hilly areas. The spread of dengue is enhanced by the frequent movement of people to endemic areas where there is a vector mosquito presence. The impact of the virus is known to be great in the immunologically naive population. Our study reports on the threat of the dengue virus in these hilly areas.
November 12, 2016: Tropical Doctor
Ira Shah, M V Bhaskar
We sought to determine the incidence and clinical spectrum of the paradoxical reaction (PR) to treatment in 1000 children with tuberculosis (TB). Its incidence was 3.3%, presenting as mediastinal adenopathy (n = 12), central nervous system (CNS) tuberculoma (n = 8), increasing size of lymph nodes (n = 8) and serositis (n = 5). Symptoms included breathlessness (n = 7, 21.2%), neck swellings (n = 5, 15.2%), hemiplegia (n = 3, 9.1%), raised intracranial tension (n = 2, 6.1%) and fever or diabetes insipidus (n = 1, 3% each)...
November 12, 2016: Tropical Doctor
Ishwar Agrawal, Sohaib Ahmad, Manoj Kumar, Mohamad Akram
We report a case of respiratory failure with unconsciousness in an adult occurring within 1 h of ingestion of a pesticide, amitraz, along with alcohol with a suicidal intent. Although commonly available and potentially fatal, this compound is not usually used as a suicidal agent.
November 8, 2016: Tropical Doctor
Aarti Kotwal, Debasis Biswas, Shailendra Raghuvanshi, Girish Sindhwani, Barnali Kakati, Shweta Sharma
The diagnosis of smear-negative pulmonary tuberculosis (PTB) is particularly challenging, and automated liquid culture and molecular line probe assays (LPA) may prove particularly useful. The objective of our study was to evaluate the diagnostic potential of automated liquid culture (ALC) technology and commercial LPA in sputum smear-negative PTB suspects. Spot sputum samples were collected from 145 chest-symptomatic smear-negative patients and subjected to ALC, direct drug susceptibility test (DST) testing and LPA, as per manufacturers' instructions...
October 26, 2016: Tropical Doctor
Eliz Thomas, Veenaa Venkatesh
No abstract text is available yet for this article.
October 19, 2016: Tropical Doctor
Marita Macken, Gretchen L Birbeck
No abstract text is available yet for this article.
September 23, 2016: Tropical Doctor
Ajay Kumar Mishra, Nathaniel Samson Devakiruba, Sudha Jasmine, Sowmya Sathyendra, Anand Zachariah, Ramya Iyadurai
Rodenticides such as yellow phosphorus are highly toxic compounds which are commonly used for pest control. Reports of yellow phosphorus poisoning from tropical nations is scanty. In this retrospective study, we report the clinical features, mortality and predictors of mortality among nine patients at a tertiary care centre in south India. Yellow phosphorus consumption was common among a younger age group of patients. The mean duration of presentation after consumption was five days. The most common clinical manifestations seen were abdominal pain and vomiting followed by a depressed sensorium...
September 23, 2016: Tropical Doctor
Gopila Gupta, Alok Hemal, Abhijeet Saha, Kanika Kapoor, Parul Goyal, Ashish Datt Upadhyay
Chronic kidney disease (CKD) is a major cause of morbidity and mortality among individuals with HIV infection. Screening for proteinuria in HIV-infected children will help in early detection and treatment, and thus prevention and progression to CKD to end-stage kidney disease (ESRD). We screened 139 HIV-infected children aged 18 months to 18 years for proteinuria by urinary dipstick and confirmed by spot urine protein-to-creatinine ratio. If proteinuria was absent by the above methods, patients were screened for microalbuminuria by urinary albumin to creatinine ratio...
September 21, 2016: Tropical Doctor
Nafis Faizi, Zulfia Khan, Iqbal M Khan, Ali Amir, Suhail A Azmi, Najam Khalique
Adolescence is a highly vulnerable period for malnutrition. This study was based on a Global School Health Survey methodology in the 13-15-year age group; employing WHO AnthroPlus to evaluate the nutritional status, find the prevalence of both extremes of malnutrition, compare with the growth curves and to find its sociodemographic correlates. A total of 1456 students were sampled and the mean BMI for age Z score was found to be -0.11. The prevalence of overweight and obese were 11.95% and 2.27%, respectively, whereas 2...
September 21, 2016: Tropical Doctor
Kamal Nain Rattan, Jasbir Singh, Poonam Dalal
No abstract text is available yet for this article.
September 21, 2016: Tropical Doctor
Prajakta Shende, Manisha Gandhewar, Pradip Gaikwad, Sandip Nanaware, Prachi Risbud Joshi
Tuberculosis (TB), being a global health problem, represents variedly. Its presentation as a labial swelling secondary to pubic bone TB has been reported rarely in literature. We report a case of pubic bone TB presenting as a labial swelling in a woman of reproductive age. Early diagnosis with fine needle aspiration cytology, acid-fast bacillus (AFB) staining, AFB culture and magnetic resonance imaging with early initiation of treatment resulted in a favourable outcome.
September 14, 2016: Tropical Doctor
Durga Prasanna Misra, Abhra Chandra Chowdury, Sukesh Edavalath, Amita Aggarwal, Sudeep Kumar, Vikas Agarwal
Rheumatic manifestations may be prevalent in more than 30% of patients with infective endocarditis (IE), often predating this diagnosis by several months. A case series of five patients recorded at a tertiary care Rheumatology and Clinical Immunology unit over a period of 1 year emphasises that varied presentations of endocarditis may mimic uncommon rheumatic diseases.
October 2016: Tropical Doctor
Michael Cotton
No abstract text is available yet for this article.
October 2016: Tropical Doctor
Hilda Yenuberi, Anuja Abraham, Ajit Sebastian, Santosh J Benjamin, Visalakshi Jeyaseelan, Jiji E Mathews
A comparison of induction of labour (IOL) using three doses of 25 µg vaginal misoprostol inserted at intervals of 4 h or more with a stepwise oral regime starting with 50 µg followed by two doses of 100 µg was studied in a double-blind placebo-controlled trial in a tertiary centre in South India. Primary outcome was vaginal delivery in 24 h. Significantly more women in the first group required oxytocin augmentation and a third dose of the drug than women in the second group. Uterine tachysystole and other maternal and neonatal complications were similar...
October 2016: Tropical Doctor
Pushplata Manish, Swati Rathore, Santosh J Benjamin, Anuja Abraham, Vishali Jeyaseelan, Jiji E Mathews
Inducing labour with a Foley balloon catheter rather than using oxytocin or prostaglandins is considered to be less risky if the uterus is scarred.(1) It is not known if more fluid in the balloon is more effective without being more dangerous. Volumes of 80 mL and 30 mL were compared in 154 eligible women. Mode of delivery, duration of labour and delivery within 24 h were similar in both groups. However, the second group required oxytocin more frequently. Though more scar dehiscences occurred in the first group, the difference was not significant...
October 2016: Tropical Doctor
Verner N Orish, Joseph Y Ansong, Onyekachi S Onyeabor, Adekunle O Sanyaolu, Wellington A Oyibo, Nnaemeka C Iriemenam
Overdiagnosis and overtreatment of malaria is a major problem in children in malaria-endemic countries. This retrospective study identified children who were admitted with fever and were treated with or without anti-malarial medications and discharged at the Paediatric Unit of the Effia-Nkwanta Regional Hospital. The medical records of all children were searched, retrieved and assessed. A total of 1160 records from children (age range, 0-12 years) were reviewed and evaluated. Of the total number, 21.3% had laboratory confirmed malaria, 38...
October 2016: Tropical Doctor
Rodney Strahan, Mwansa Jere, Paul Osteen
No abstract text is available yet for this article.
October 2016: Tropical Doctor
Satish K Nayak, M Preethi, Shankar Zanwar, Kallipatti R Palaniswamy
No abstract text is available yet for this article.
October 2016: Tropical Doctor
Saber Esmaeili, Abdolrazagh Hashemi Shahraki, Fahimeh Bagheri Amiri, Mohammad Karimi, Ehsan Mostafavi
Leptospirosis is a zoonosis and a major public health problem. Blood sampling was done in the province of Kurdistan from 250 members of different groups, including hunters and their families, butchers and slaughterhouse workers, healthcare workers (HCWs) and those referred to medical diagnostic laboratories for routine testing. Sera were tested using an ELISA method to detect specific Leptsopira IgG antibodies. We found 20.80% (95% confidence interval, 16.23-26.25%) to be positive. The highest and lowest seroprevalence were in hunters (26%) and HCWs (18%)...
September 2, 2016: Tropical Doctor
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