journal
https://read.qxmd.com/read/38634123/omphalitis-as-a-presentation-of-multiple-liver-abscesses-in-a-term-neonate
#1
JOURNAL ARTICLE
Aabha Phalak Yewale, Baldev S Prajapati
We report a case of term neonate presenting with purulent and foul-smelling discharge from the umbilicus, later investigated to have multiple non-drainable, sterile liver micro-abscesses. Conservative management was continued with intravenous antibiotics, after completion of a total of six weeks of antibiotics, all liver abscesses resolved and the baby was discharged.
April 18, 2024: Tropical Doctor
https://read.qxmd.com/read/38634122/pyogenic-liver-abscess-presenting-as-fatal-fulminant-acute-liver-failure-a-case-report
#2
JOURNAL ARTICLE
Sudha Chandelia
Liver abscess causing and presenting as acute liver failure is rare; it does not result in hepatitis as it causes focal hepatic necrosis. With drainage of pus, recovery is the rule. However, a child having multiple abscesses may present with acute fulminant liver failure.
April 18, 2024: Tropical Doctor
https://read.qxmd.com/read/38562099/defunctioning-ileostomy-for-typhoid-ileal-perforations-out-of-the-frying-pan-into-the-fire
#3
JOURNAL ARTICLE
Amrendra Verma, Reena Kothari, Arpan Mishra, Pawan Agrawal, Dhananjaya Sharma
Typhoid ileal perforation (TIP) is a common surgical emergency in low-middle income countries (LMICs). Its high surgical morbidity and mortality is due to its often late presentation or diagnosis, the patient's malnutrition, severe peritoneal contamination and unavailability of intensive care in most peripheral hospitals. This prompted the philosophy of minimizing the crisis by avoiding any repair or anastomosis, limiting the surgery in these physiologically compromised patients and performing only a temporary defunctioning ileostomy (DI) which could then be closed 10-12 weeks later...
April 2, 2024: Tropical Doctor
https://read.qxmd.com/read/38562095/oesophageal-perforation-by-migrated-ryles-tube
#4
JOURNAL ARTICLE
Amol Vadgaonkar, Nagesh Kamat, Sanil Parekh, Gaurav Patil, Ankit Dalal, Amit Maydeo
A 72-year woman with a history of multiple cerebrovascular accidents presented with severe epigastric pain. An oesophageal perforation by the tip of a Ryles tube, which had migrated into the mediastinum, was diagnosed by radiography. An attempt at pushing the nasogastric tube into the stomach resulted in increasing the rupture to about 6 cm in size. Replacement by a triple-lumen nasojejunal feeding tube and subsequent feeding with c.1,400 calories per day enabled the perforation to close without further intervention...
April 2, 2024: Tropical Doctor
https://read.qxmd.com/read/38562088/momentum-of-hope-the-journey-toward-a-universal-tb-vaccine
#5
LETTER
Bashar Haruna Gulumbe, Aminu Shehu
In addressing the persistent threat of tuberculosis (TB) - a disease that claims millions of lives, especially in low-income countries - this correspondence underlines the critical role of advancing vaccine research. Historically, the BCG vaccine, developed over a century ago, has been the cornerstone of TB prevention. However, its efficacy is limited, particularly in adults and against pulmonary TB, the most common form of the disease. Recent developments, such as the M72/AS01E vaccine, demonstrate promising results in increasing protection against TB in adults with latent infections...
April 2, 2024: Tropical Doctor
https://read.qxmd.com/read/38557301/implementation-of-a-3-phase-grid-coupled-solar-electricity-and-back-up-system-at-mulanje-mission-hospital-malawi
#6
JOURNAL ARTICLE
Arie C Glas, Michael J Cocquyt, Cathy Ratcliff
In this report we describe the implementation of a new electricity supply system at Mulanje Mission Hospital, Malawi, which integrates the use of grid electricity, solar-generated electricity and battery back-up. To realize the system, suppliers from several countries had to be used and external expertise and funding were vital. The completed system provides reliable and good quality electricity to all departments in the hospital, prioritizing essential equipment when needed. Implementation of the system has reduced cost of electricity bills by 60%, ended black-outs and extended longevity of electrical equipment...
April 1, 2024: Tropical Doctor
https://read.qxmd.com/read/38500375/multi-level-approach-to-workplace-violence-against-healthcare-workers
#7
LETTER
Isaac Ks Ng
No abstract text is available yet for this article.
March 18, 2024: Tropical Doctor
https://read.qxmd.com/read/38497140/duragen-a-dermal-substitute-for-the-management-of-suboptimal-wounds
#8
JOURNAL ARTICLE
Prashant Yadav, Satyam Soni, Rajeev Kukrele, Pawan Agarwal, Dhananjaya Sharma
Using a flap in a large wound with a very small area of exposed vital structures may be an excessive intrusion and cause unnecessary donor site morbidity. Dermal matrix (DuraGen) was applied onto critical areas where bone or tendons were exposed and a split skin graft was placed thereon. All patients had satisfactory wound closure without the need for a flap. DuraGen appears to be a safe, single-stage alternative, to a flap for the healing of complex wounds.
March 18, 2024: Tropical Doctor
https://read.qxmd.com/read/38497138/flap-blood-glucose-measurement-for-flap-monitoring-and-early-detection-of-circulatory-problems
#9
JOURNAL ARTICLE
Mohammed H Anwar, Rishabh Dwivedi, Bhupendra Singh, Vrinda Agarwal, Pawan Agarwal, Dhananjaya Sharma
Postoperative monitoring of skin flaps is subjective and cannot detect early circulatory problems in the flap. Early detection and rapid remedial re-exploration are important for flap salvage. We evaluated flap glucose measurement to monitor the flaps for early detection of circulatory problems. In total, 30 patients underwent cutaneous flap reconstruction. This is an easy, economic, objective, and reliable method for flap monitoring and can detect early venous congestion requiring remedial measures.
March 18, 2024: Tropical Doctor
https://read.qxmd.com/read/38497135/assessment-of-symptomatic-response-to-intravesical-alkalinized-lidocaine-bupivacaine-heparin-and-steroids-in-patients-with-bladder-pain-syndrome
#10
JOURNAL ARTICLE
Ravikant Mahant, Fanindra Singh Solanki, Chandan Tiwari, Ankush Lokhande, Deepti B Sharma, Dhananjaya Sharma
Bladder Pain Syndrome (BPS) is a puzzling and complicated disorder. 12 such patients, with a mean age 48.3 years, were treated with weekly intravesical instillation of admixture of alkalinized lidocaine, bupivacaine, heparin and steroids for six weeks. Evaluating the benefits of this therapy, patients experienced 82.2% & 90.9% relief at 3rd & 6th week of instillation. After completion of six cycles of therapy, patients experienced 68.7% & 65.3% relief at 3rd & 6th month follow up, concluding the early and long term relief of BPS...
March 18, 2024: Tropical Doctor
https://read.qxmd.com/read/38470505/the-race-against-time-zika-virus-on-the-horizon-in-pakistan
#11
JOURNAL ARTICLE
Moiz Ahmed Khan, Summaiya Zafar
No abstract text is available yet for this article.
March 12, 2024: Tropical Doctor
https://read.qxmd.com/read/38465632/e-cigarettes-assessing-the-differences-and-the-harms
#12
JOURNAL ARTICLE
Shubhajeet Roy, Jay Tewari, Jyoti Bajpai, Kartikeya Mani Tripathi
No abstract text is available yet for this article.
March 11, 2024: Tropical Doctor
https://read.qxmd.com/read/38456731/advocacy-for-surgeons-ensuring-excellence-in-patient-care
#13
EDITORIAL
Siddhesh Zadey, Dhananjaya Sharma, Michael Cotton
No abstract text is available yet for this article.
March 8, 2024: Tropical Doctor
https://read.qxmd.com/read/38419508/knuckle-hyperpigmentation-in-a-young-male-a-clinical-sign-of-b12-deficiency-not-to-be-missed
#14
JOURNAL ARTICLE
Harpreet Singh, Arvind Subramanian, Deba P Dibhar, Vikas Suri, Ashish Bhalla
Vitamin B12 and folate deficiency are reversible causes of megaloblastic anemia . Strict vegetarians are at risk of megaloblastic anemia due to low cobalamin in their diet . Knuckle hyperpigmentation in patients with megaloblastic anemia is due to excess melanin synthesis in skin. Here we present a case of a young vegetarian male with megaloblastic anemia with knuckle hyperpigmentation managed successfully with intravenous followed by oral vitamin b12 and folate supplementation.
February 29, 2024: Tropical Doctor
https://read.qxmd.com/read/38419504/scope-of-antibiotic-stewardship-in-enteric-fever-an-evidence-based-summary
#15
JOURNAL ARTICLE
Dipankar Pal
No abstract text is available yet for this article.
February 29, 2024: Tropical Doctor
https://read.qxmd.com/read/38410846/a-meta-analysis-of-the-incidence-of-infections-following-open-tibia-fractures-and-the-microorganisms-that-cause-them-in-high-middle-and-low-income-countries
#16
REVIEW
Djenna Chebli, Fatema Dhaif, Ali Ridha, Alexander Schade, Chetan Khatri
Open tibia fractures are devastating, life changing injuries, with infection associated with substantial morbidity to the patient. Reducing infection is a research priority, but before interventional studies can be designed, the incidence of infection following this injury needs to be better defined. Our aim was to estimate the global incidence of infection following an open tibia fracture. A systematic review was performed of MEDLINE, EMBASE, Central Register of Controlled Trials (CENTRAL), Web of Science and Global Index Medicus...
February 27, 2024: Tropical Doctor
https://read.qxmd.com/read/38409996/a-simple-three-pronged-approach-to-managing-infantile-methaemoglobinaemia
#17
JOURNAL ARTICLE
Isaac Ks Ng
No abstract text is available yet for this article.
February 26, 2024: Tropical Doctor
https://read.qxmd.com/read/38383996/privacy-concerns-and-challenges-with-informed-consent-in-medical-tourism
#18
JOURNAL ARTICLE
Isaac Ks Ng
No abstract text is available yet for this article.
February 21, 2024: Tropical Doctor
https://read.qxmd.com/read/38380987/the-nipah-virus-resurgence-2023-kerala-s-resilience-in-overcoming-the-outbreak
#19
JOURNAL ARTICLE
Feriha Fatima Khidri
No abstract text is available yet for this article.
February 21, 2024: Tropical Doctor
https://read.qxmd.com/read/38380905/the-unsettling-reality-of-violence-against-healthcare-workers-past-present-and-future
#20
EDITORIAL
Hritvik Jain, Samia Aziz Sulaiman, Suman Saurabh
No abstract text is available yet for this article.
February 21, 2024: Tropical Doctor
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