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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
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
Sumit Mehndiratta, Ritika Singhal, Krishnan Rajeshwari, Anand P Dubey
Dengue fever has classically been described as a disease of children and young adults. Infants are naturally protected by virtue of maternally derived immunoglobulins, especially in endemic countries. The resurgence of dengue, coupled with the availability of early and sensitive diagnostic methods and a high degree of clinical suspicion, has led to an increasing number of infants being diagnosed. There is a wide spectrum of clinical manifestations, particularly in infancy. Here we describe three cases presenting with diverse clinical features, their subsequent management and outcome...
August 30, 2016: Tropical Doctor
Laura Macpherson, Maggie Collins
BACKGROUND: Urgent investment in human resources for surgical and anaesthesia care is needed globally. Responsible training and education is required to ensure healthcare providers are confident and skilled in the delivery of this care in both the rural and the urban setting. The Tropical Health and Education Trust (THET), a UK-based specialist global health organisation, is working with health training institutions, health professionals, Ministries of Health and Health Partnerships or 'links' between healthcare institutions in the UK and low- or middle-income country (LMIC) counterparts...
August 30, 2016: Tropical Doctor
Seema Chopra, Sujata Siwatch, Neelam Aggarwal, Pooja Sikka, Vanita Suri
Our study sought to determine the characteristics of antenatal patients with tuberculosis (TB) and their pregnancy outcomes. Case records of 50 antenatal women with extra-pulmonary and pulmonary TB at a tertiary centre in India were compared to 150 antenatal women not suffering from TB, for adverse medical, obstetric and neonatal outcomes. The prevalence of TB was 1.16 per 1000 deliveries. Of these, 62% had extra-pulmonary TB. There were two maternal deaths. TB in pregnancy was associated with a five times higher risk of prematurity and three times higher risk of intrauterine growth restriction than the norm...
August 30, 2016: Tropical Doctor
Stanley S Nyirenda, Bernard M Hang'ombe, Bukheti S Kilonzo, Mathews N Kabeta, Mundia Cornellius, Yona Sinkala
Plague is a re-emerging zoonotic disease caused by the bacterium Yersinia pestis. The disease has caused periodic global devastation since the first outbreak in the 6th century. Two months after a suspected plague outbreak in Nyimba district, samples were collected from 94 livestock (goats and pigs), 25 rodents, 6 shrews and 33 fleas. Enzyme-linked immunosorbent assay (ELISA) and polymerase chain reaction (PCR) techniques were used to investigate the presence of Y. pestis, which showed that 16.0% (4/25) of rodents, 16...
August 29, 2016: Tropical Doctor
Ayoade Adebiyi, IkeOluwa Lagunju, Adesola Ogunniyi
Epilepsy is a common chronic neurological disease which predominantly affects children and young adults. The disease is highly stigmatised and transition from child care to adult services is not routine in many low- and middle-income countries. Where a treatment system follows routines which cannot be sustained in such countries because of specialised manpower challenges, it becomes imperative that appropriate care models be sought for patients whose seizures fail to remit in childhood. In teaching hospitals, well-organised, multidisciplinary meetings and a planned transfer between paediatric and adult neurologists will be feasible...
August 29, 2016: Tropical Doctor
Jagadeesh Menon, Anmol Bhatia, Babu Ram Thapa, Kushaljit Singh Sodhi
No abstract text is available yet for this article.
August 25, 2016: Tropical Doctor
Esra Tanyel, Mustafa Sunbul, Tom Fletcher, Hakan Leblebicioglu
Infective endocarditis (IE) is life-threatening condition with a highly variable clinical presentation. We report a case of acute IE with delayed diagnosis which resulted due to an initial misdiagnosis of Crimean Congo Hemorrhagic Fever (CCHF) in an endemic area. A case was due to Staphylococcus aureus and requiring valve replacement. They serve to emphasize the importance of careful history taking, physical examination and a broad range of different diagnostic techniques in the context of suspected viral hemorrhagic fever...
August 2, 2016: Tropical Doctor
Yogish Kamath, Sarita Gonsalves, Vivekanand U, Shailaja S Bhat, Ketaki Rajurkar
No abstract text is available yet for this article.
July 28, 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
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