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Tropical Doctor

Şule Gökçe, Zafer Kurugöl, Candan Çiçek
The frequency of Chlamydia trachomatis infection among young infants admitted with acute bronchiolitis was analysed to determine whether the former affects the clinical course of the latter. A total of 92 infants aged <6 months admitted with acute bronchiolitis were tested for C. trachomatis by a cell culture technique, obtaining nasal smears from each infant's nostrils. A second nasal sampling was taken for respiratory viruses from the study group and tested with real-time polymerase chain reaction. Clinical characteristics of C...
January 1, 2018: Tropical Doctor
Mohammad Adil, Syed Suhail Amin, Noora Saeed, Mohd Mohtashim, Annu Priya, Mahtab Alam
Lupus vulgaris, the commonest form of tuberculosis of the skin, presents with a plaque that enlarges slowly with advancing edges while showing atrophy at other areas. It may be acquired by the blood stream, via lymph, by contiguous spread or from external inoculation. We describe a case of lupus vulgaris with a large erythematous-scaly plaque of 44 × 26 cm over the back and a similar 7 × 5 cm plaque over the right thigh. The plaque over the back was gradually progressive for the previous ten years and showed scarring and atrophy at places...
January 1, 2018: Tropical Doctor
Rini Bandyopadhyay, Veeraghavan Balaji, Bijesh Yadav, Sudha Jasmine, Sowmya Sathyendra, Priscilla Rupali
The epidemiology of typhoid fever in South Asia has changed. Multi-drug resistant (MDR) Salmonella typhi ( S. typhi) is now frequently resistant to nalidixic acid and thus labelled NARST. Treatment failure with the use of fluoroquinolones has been widely noted, forcing clinicians to adopt alternative treatment strategies. In this observational study, we looked at various treatment regimens and correlated clinical and microbiological outcomes. In 146 hospitalised adults, the median minimum inhibitory concentration (MIC) for ciprofloxacin was 0...
January 1, 2018: Tropical Doctor
Vimlesh Soni, Sanjay Verma
No abstract text is available yet for this article.
January 1, 2018: Tropical Doctor
Om Dawani, Raja Samir Khan, Mujtaba Jamal Syed, Abdul Moid Shehzad, Ahmed Alratoot, Muhammad Faizan Ahmed
For many years, tuberculosis (TB) has been endemic in Pakistan; many rare and unusual presentations have been reported. There is a myriad of non-specific symptoms which always requires a high index of clinical suspicion for TB. World Health Organization data suggest that Pakistan ranks as the fifth highest country burdened with TB and has the fourth highest prevalence of multi-drug resistant TB globally. With an annual incidence of 277 cases per 100,000, the importance of early diagnosis and treatment is self-evident...
January 1, 2018: Tropical Doctor
Pradeepa H D, Sathish B Rao, Ganaraj B, Gopalakrishna Bhat, Chakrapani M
Dengue fever is an acute febrile illness with a duration of 2-12 days. Our observational study observed the 24-h continuous tympanic temperature pattern of 15 patients with dengue fever and compared this with 26 others with fever due to a non-dengue aetiology. A tri-phasic fever pattern was seen among two-thirds of dengue fever patients, but in only one with an inflammatory disease. One-third of dengue fever patients exhibited a single peak temperature. Continuous temperature monitoring and temperature pattern analysis in clinical settings can aid in the early differentiation of dengue fever from non-dengue aetiology...
January 1, 2018: Tropical Doctor
Subraya Krishna Holla, Harish A Rao, Damodara Shenoy, Archith Boloor, Manaswitha Boyanagari
Snakebite associated with a venom-induced consumption coagulopathy (VICC) is a major public health problem. Our study aims to evaluate if fresh frozen plasma (FFP), administered after anti-snake venom (ASV), restores coagulability rapidly. At admission, all snakebite victims with a whole blood clotting time (WBCT) >20 min received ten vials of ASV according to World Health Organization criteria. After 6 h, at the discretion of the physician, patients with WBCT >20 min were divided into two groups...
January 1, 2018: Tropical Doctor
Aastha Gupta, Kabir Sardana, Ram K Gautam
Noma or cancrum oris is an orofacial gangrene causing progressive mutilating destruction of the infected tissues. It mainly affects malnourished children with poor oral hygiene and concurrent debilitating systemic illnesses. It is a polymicrobial infection and borrelia vincentii and fusobacterium are the most important pathogens known. We present a case of a boy aged 2.5 years with noma where klebsiella was grown and was the initial cause of failure of empiric therapy.
January 1, 2018: Tropical Doctor
Vic Albert Okoth, Joyce W Maina, James Ransom
Globally, nearly 500,000 women die annually from pregnancy- and childbirth-related complications. Antenatal care (ANC) is one of the most important factors in preventing maternal and infant mortality. This study investigated whether ANC attendance and sociodemographic characteristics of pregnant women influence uptake of skilled delivery at Lokitaung Sub-County Hospital, Turkana County, Kenya.
January 1, 2018: Tropical Doctor
Çiğdem Kader, Ayşe Erbay, Nazan Kılıç Akça, Selda Yüzer Alsaç, Sevinç Polat
Hepatitis A is a worldwide vaccine-preventable infection. The aim of our study was to determine the serological status of hepatitis A virus (HAV) among first-year nursing students in Turkey. A sample of 423 students was used and immunoglobulin G antibodies against HAV were determined quantitatively by enzyme-linked immunosorbent assay on each. Overall, 84.6% had no immunity to HAV, making them at risk for HAV, and so susceptible to nosocomial transmission. Nursing students who work in high-risk wards must be vaccinated against hepatitis A...
January 1, 2018: Tropical Doctor
Varsha Gupta, Mandeep Kaur, Priya Datta, Jagdish Chander
Enteric fever caused by Salmonella Typhi is a global public health problem. With adequate treatment, most patients recover from the acute phase; however, 2-4% develop a chronic carrier state acting as reservoir of infection by continued shedding of bacteria in faeces and urine. Recovery of S. Typhi from urine is rare, even in endemic areas. The three main causes of bacteriuria arise following a recent episode of typhoid fever, in chronic carrier states involving the urinary system and occasionally following localised urinary tract infection (UTI) due to S...
January 1, 2018: Tropical Doctor
António J Dos Santos Grácio, Maria Amélia A Grácio
No abstract text is available yet for this article.
January 2018: Tropical Doctor
Apoorv Goel, Shalabh Gupta, Ayush Agarwal, Nitin Shiwach, Vishal Chawda, Tripta S Bhagat
No abstract text is available yet for this article.
January 2018: Tropical Doctor
Kasonde Bowa, Eliakim Manda
Urethral stricture disease is the commonest cause of morbidity in urology practice in sub-Saharan Africa. In contrast, prostate disease is commonly cited as the leading cause of urological disease in most urology practices in developed countries. In Africa, the aetiology of urethral stricture disease is compounded by a high prevalence of sexually transmitted infections (STIs), increasing levels of urethral trauma and over-stretched urological services. Thus, patients with prostate disease are treated with long-stay urethral catheters for periods often up to two years...
January 2018: Tropical Doctor
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
Rodney Strahan, David McAdam
No abstract text is available yet for this article.
October 2017: Tropical Doctor
Michael Cotton
No abstract text is available yet for this article.
October 2017: Tropical Doctor
James Ker
No abstract text is available yet for this article.
October 2017: Tropical Doctor
Harriet Ing, Gracia Fellmeth, Jitrachote White, Alan Stein, Julie A Simpson, Rose McGready
Postnatal depression is common and may have severe consequences for women and their children. Locally validated screening tools are required to identify at-risk women in marginalised populations. The Edinburgh Postnatal Depression Scale (EPDS) is one of the most frequently used tools globally. This cross-sectional study assessed the validity and acceptability of the EPDS in Karen and Burmese among postpartum migrant and refugee women on the Thai-Myanmar border. The EPDS was administered to participants and results compared with a diagnostic interview...
October 2017: Tropical Doctor
Collins Oduro-Boatey, Della Adzosii
Chronic cor pulmonale is defined as right ventricular failure secondary to pulmonary hypertension. Our study reviewed all cases of chronic cor pulmonale secondary to respiratory diseases in a ten-year period (2004-20014) in the Department of Child Health, Korle-Bu Teaching Hospital, Ghana. Nine cases of chronic cor pulmonale were recorded during the period. The age range was 1-9 years (average age = 3 years). Obstructive sleep apnoea secondary to adenoid hypertrophy was the commonest cause of pulmonary hypertension...
October 2017: Tropical Doctor
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