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Tropical Doctor

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https://www.readbyqxmd.com/read/28937331/ameloblastoma-resection-with-immediate-rib-reconstruction-addressing-the-problem-of-mandibular-angle-and-central-bone-bulk
#1
O Kenneth Johnson, Kapil Sharma
Several methods are available to treat mandibular tumours. This case series demonstrates the feasibility of resection and immediate reconstruction with free rib graft in limited resource settings. Innovative technical modifications are described to handle the problem of reconstruction of the angle of the mandible and to provide increased bone bulk in the centre of the mandible. Early postoperative complications are few. Follow-up demonstrates good functional results.
October 2017: Tropical Doctor
https://www.readbyqxmd.com/read/28937330/experience-with-computer-radiography-and-radiology-in-rural-zambia
#2
Rodney Strahan, David McAdam
No abstract text is available yet for this article.
October 2017: Tropical Doctor
https://www.readbyqxmd.com/read/28937329/trauma-care-in-the-districts
#3
Michael Cotton
No abstract text is available yet for this article.
October 2017: Tropical Doctor
https://www.readbyqxmd.com/read/28689492/autoimmune-haemolytic-anaemia-and-haemophagocytic-lymphohistiocytosis-in-an-adolescent-boy-with-tuberculosis-an-unusual-association
#4
Anirban Mandal, Kana Ram Jat, Ashok Singh, Asit Ranjan Mridha, Sushil K Kabra
No abstract text is available yet for this article.
July 2017: Tropical Doctor
https://www.readbyqxmd.com/read/28689491/deceptive-nasal-nk-t-cell-lymphoma
#5
Jagdeep S Thakur, Aditi Mahajan, Manika Saluja, Narinder K Mohindroo
Nasal NK/T cell lymphoma is rare and it easily masquerades as chronic rhinosinusitis. It has a very poor prognosis and hence early diagnosis, although difficult, is necessary for better outcome. We present a case of a 30-year-old man who presented with nasal obstruction, facial oedema and crusts. High-resolution computed tomography found soft tissue in all sinuses and the nasal cavity. Endoscopic biopsy revealed necrotic and inflammatory tissue with fungi on culture. A diagnosis of fungal rhinosinusitis was made but the patient did not respond to antifungal drugs...
July 2017: Tropical Doctor
https://www.readbyqxmd.com/read/28689490/thanks-to-reviewers
#6
(no author information available yet)
No abstract text is available yet for this article.
July 2017: Tropical Doctor
https://www.readbyqxmd.com/read/28689489/correlation-between-serum-ferritin-and-bone-marrow-iron-stores
#7
Anupama K V, Purnima S Rao, Sushma Adappa, Prashantha Balanthimogru, Chakrapani Mahabala
Bone marrow aspirate examination is a gold standard to assess bone marrow iron stores. The correlation between serum ferritin and bone marrow iron has not been established in detail, as the cutoff value for iron stores have not been uniformly established. Ours was a cross-sectional study. Perl's Prussian blue stain was used to stain bone marrow, assessed by Gale's grading. Receiver operating characteristic curve analysis and Spearman's correlation coefficient calculated. Gale's grading revealed iron store deficiency in 26 and sufficiency in 13...
July 2017: Tropical Doctor
https://www.readbyqxmd.com/read/28424035/coexistence-of-tuberculosis-and-malignancy-a-mere-coincidence-or-a-causal-association
#8
Mukta Pujani, Zeeba S Jairajpuri, Sabina Khan, Mohd Jaseem Hassan, Sujata Jetley, Safia Rana
Tuberculosis (TB) and malignancy are among the most important current global health problems. Many authors suggest that their coexistence is a chance association owing to their high prevalence. There is, however, enough evidence that one condition may predispose the other. In our retrospective report of two cases, TB in draining lymph nodes was discovered incidentally on histopathology, following surgical resection for malignancy. The possibility of coexistent lesions, especially in regions endemic for TB, mandate a detailed histopathological examination to prevent the chances of diagnostic failure and thus therapeutic error...
April 2017: Tropical Doctor
https://www.readbyqxmd.com/read/28424034/clinical-and-laboratory-factors-associated-with-mortality-in-dengue
#9
Atul Saroch, Vivek Arya, Nitin Sinha, R S Taneja, Pooja Sahai, R K Mahajan
Dengue is endemic in more than 100 countries, giving rise to an increased number of deaths in the last five years in the South-East Asian region. We report our findings from a retrospective study of adults admitted with confirmed dengue at our institution. We studied the clinical and laboratory parameters associated with mortality in these patients. Of the 172 hospitalised patients studied, 156 (90.69 %) recovered while 16 (9.3%) died. Univariate analysis showed altered sensorium on presentation, lower haemoglobin and haematocrit levels, higher serum creatinine, higher serum transaminase and lower serum albumin levels to be significantly associated with mortality in dengue...
April 2017: Tropical Doctor
https://www.readbyqxmd.com/read/28424033/a-melas-phenotype-is-not-necessarily-melas
#10
Josef Finsterer, Sinda Zarrouk-Mahjoub
No abstract text is available yet for this article.
April 2017: Tropical Doctor
https://www.readbyqxmd.com/read/28424032/the-onslaught-of-infectious-disease
#11
Michael Cotton
No abstract text is available yet for this article.
April 2017: Tropical Doctor
https://www.readbyqxmd.com/read/28424031/yellow-fever-from-angola-and-congo-a-storm-gathers
#12
REVIEW
Qanta A Ahmed, Ziad A Memish
In common with Zika, Chikungunya and Dengue, Yellow Fever (YF) is an arthropod-borne flavivirus. It is transmitted between humans and from monkeys by mosquitoes of the Aedes aegypti (its principal vector), haemogogus and albopictus varieties. Three cycles of transmission may occur: urban; sylvatic; and intermediate. Recently, sub-Saharan Africa has seen the resurgence of this neglected disease. The current YF outbreak in Angola began in December 2015 in the capital Luanda and by October 2016 there had been > 4300 suspected cases, with 376 deaths (case fatality rate = 8...
April 2017: Tropical Doctor
https://www.readbyqxmd.com/read/28424030/expanded-dengue-syndrome-three-concomitant-uncommon-presentations-in-the-same-patient
#13
Ahmad Mursel Anam, Raihan Rabbani, Farzana Shumy
We report a case of expanded dengue syndrome, where three uncommon presentations occurred concomitantly. A patient with dengue haemorrhagic fever presented initially with acute acalculous cholecystitis along with acute pancreatitis, but later on, during resolution of pancreatitis and cholecystitis, developed pancytopenia, most likely due to haemophagocytic syndrome. Such presentations, besides being rare themselves, have not been reported to occur concomitantly, in the same patient, during the same disease process...
April 2017: Tropical Doctor
https://www.readbyqxmd.com/read/28178873/laryngeal-actinomycosis-with-dysplasia-in-a-young-male-with-a-recurrent-laryngeal-polyp
#14
Mukta Pujani, Sabina Khan, Sujata Jetley, Seema Monga
No abstract text is available yet for this article.
April 2017: Tropical Doctor
https://www.readbyqxmd.com/read/28166687/hepatitis-and-thrombocytopenia-markers-of-dengue-mortality
#15
Smitha Krishnamoorthy, Arun N Bhatt, Celine Thalappillil Mathew, Abraham M Ittyachen
Dengue fever is of great concern to public health in India as it contributes significantly to the burden of healthcare. The aim of our study was to measure mortality in dengue and its association with hepatitis and thrombocytopenia. Our study was performed in a tertiary care setting in the state of Kerala in southern India. Adult patients admitted in the year 2013 were included. Among 1308 confirmed dengue patients, the mortality rate was 1.76%. Hepatitis and thrombocytopenia were present in over 80% of all patients, but severe hepatitis was seen in 11...
April 2017: Tropical Doctor
https://www.readbyqxmd.com/read/28118798/investigation-of-brucellosis-in-a-female-agricultural-population-in-turkey
#16
Nebiye Yentur Doni, Gulcan Gurses, Zeynep Simsek, Fadile Yildiz Zeyrek, Gozde Yasar
Much epidemiological information concerning brucellosis generally depends on the evaluation of hospital-based retrospective data. The aim of this study was to determine the prevalence and risk factors of brucellosis in female farmworkers in the south-eastern region of Turkey (GAP) in order to obtain a more representative analysis. Our representative community-based cross-sectional study was conducted during four months of 2013, in all nine GAP provinces. An optimum sample size was determined and blood samples were analysed from 707 reproductive-age female farmworkers using the Rose Bengal (RBT) and standard (SAT) agglutination tests...
April 2017: Tropical Doctor
https://www.readbyqxmd.com/read/28118797/disseminated-tuberculosis-with-evans-syndrome-an-uncommon-presentation
#17
Sanchit Sharma, Sauvik Dasgupta, Shiv Kumar Suman, Uma Kumar, Sindhu Chitekela
No abstract text is available yet for this article.
April 2017: Tropical Doctor
https://www.readbyqxmd.com/read/28114858/bilateral-patellar-tuberculosis-masquerading-as-infected-infrapatellar-bursitis
#18
Ravi Sreenivasan, Rehan Ul Haq
A 30-year-old woman presented to our outpatient department with complaints of pain and swelling in bilateral infrapatellar regions and a discharging sinus in the right knee over the duration of one year. Radiographs showed lytic regions in bilateral patellae. Samples sent from material curetted from sinus yielded no organism but histopathology reported granulomatous inflammation. Following a fresh magnetic resonance imaging (MRI) scan that revealed the infrapatellar pad of fat communicating with the patellar lesions, an exploration and evacuation was done...
April 2017: Tropical Doctor
https://www.readbyqxmd.com/read/28092222/varied-presentations-of-leptospirosis-experience-from-a-tertiary-care-hospital-in-north-india
#19
Rama Chaudhry, Karnika Saigal, Tej Bahadur, Kamla Kant, Bishwanath Chourasia, Nitin Gupta
Leptospirosis has been recognised as an emerging global public health problem. The aim of our study was to explore the epidemiological and clinical pattern of disease occurrence in suspected cases and to search for any existing co-infections. Ours was a retrospective study in patients with acute febrile illness in north India over a period of three years (April 2011 to June 2014). Serological diagnosis of leptospirosis was made using the PanBio IgM ELISA kit. Using modified Faine's criteria, presumptive and possible diagnosis was made in 57% and 34% cases, respectively...
April 2017: Tropical Doctor
https://www.readbyqxmd.com/read/28092221/tuberculosis-mimicking-primary-systemic-vasculitis-not-to-be-missed
#20
Ankit Jain, Durga Prasanna Misra, A Ramesh, Debdatta Basu, Vikramraj K Jain, Vir Singh Negi
Infections are an important differential diagnosis in patients presenting with features of systemic vasculitis. We report a young lady with constitutional features, leg ulcers, digital gangrene and absent peripheral pulses with cervical adenopathy. Chest imaging revealed multiple necrotic lung lesions and involvement of left subclavian artery at its origin from the aorta, Histopathology from cervical lymph nodes showed multiple caseated lymph nodes, which in the context of a positive Mantoux test led us to diagnose tuberculosis and institute appropriate therapy...
April 2017: Tropical Doctor
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