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Survival of a case of pre-eclampsia complicated with acute fatty liver of pregnancy and acute pancreatitis.

Omkolsoum M Alhaddad, Maha M Elsabaawy, Eman A Rewisha, Omar A Shaarawy, Hanaa M Badran, Imam A Waked,

Acute fatty liver of pregnancy (AFLP) and acute pancreatitis are peculiar complications of pregnancy. When acute pancreatitis occurs co-incidentally with acute fatty liver of pregnancy, mortality is high. Here, we report a case of a 22-year-old lady in her 36th week of gestation, who presented with pre-eclampsia, acute fatty liver ... Read more >>

Trop Doct (Tropical doctor)
[2021, :494755211041870]

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Seton in high anal fistula.

Sreecheta Mukherjee, Ritankar Sengupta, Sushil Ranjan Ghosal,

The use of seton still remains a reasonably valid option for its simplicity and optimal results in treating high anal fistulae. Ours was a single-centre retrospective study on patients with supra-sphincteric and transsphincteric types of high anal fistula, using the 'kharsutra' as seton. The first group were treated with a ... Read more >>

Trop Doct (Tropical doctor)
[2021, :494755211042122]

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Necrosis and amputation following the bite of the Bibron's stiletto snake (Atractaspis bibronii) with a concise review of current literature.

Scott Jc Pallett, Charles Handford, Stephanie My Wong, Collin West, Luke Sp Moore,

<i>Atractaspis bibronii</i> are highly specialised snakes found across Southern Africa. Adapted for subterranean hunting of prey, snakes of the genus <i>Atractaspis</i> demonstrate a unique biting mechanism, with an ability to deliver venom via a single fang, protruded over an almost closed mouth in a side-to-side striking pattern. It is not ... Read more >>

Trop Doct (Tropical doctor)
[2021, :494755211039638]

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Socio-clinico-radiological profile of smear-positive pulmonary tuberculosis patients in association with sputum conversion and baseline hsCRP levels.

S Krishna Singha, Bineeta Kashyap, Rajnish Avasthi, Puneeta Hyanki, N P Singh, Ashwani Khanna,

Our was an observational follow-up study where the aim was to assess the baseline high-sensitivity C-reactive protein levels in 50 smear-positive pulmonary tuberculosis patients in association with socio-clinico-radiological profile and microbiological conversion. Smear and culture conversion of sputum samples at the end of intensive phase of anti-tubercular treatment were recorded. ... Read more >>

Trop Doct (Tropical doctor)
[2021, :494755211042127]

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Total eyelid complex sparing orbital exenteration for mucormycosis.

Pawan Agarwal, D Sharma,

Orbital exenteration is a radical surgery which involves complete removal of the orbital contents along with all or parts of the eyelid. However, the eyelid complex can be totally spared in cases of necrotising disease such as mucormycosis without compromising on exposure, or fear of devascularisation of the lids. We ... Read more >>

Trop Doct (Tropical doctor)
[2021, :494755211041865]

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Trauma surgery via distance mentoring: A model inspired by the 2020 pandemic.

Shamir O Cawich, Marlon Mencia, Dexter Thomas, Richard Spence, David Milne, Vijay Naraynsingh, Shaheeba Barrow,

When the COVID-19 pandemic unfolded in March 2020, surgical care was impacted globally. The developing nations in the Caribbean were unprepared with fragile, resource poor healthcare systems. A series of rapid policy changes in response to the pandemic radically changed surgical care and prevented the usual oversight in the operating ... Read more >>

Trop Doct (Tropical doctor)
[2021, :494755211038790]

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An epidemic within a pandemic.

Niladri Banerjee, Anannya Ray Banerjee, Harshita Agarwal, Harshit Agarwal,

Trop Doct (Tropical doctor)
[2021, :494755211041876]

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Microbiological profile and antibiotic resistance pattern of empyema thoracis in Calabar, Nigeria.

C I Nwagboso, B E Ekeng, A U Etiuma, E A Ochang, J N Eze, C P Echieh,

Targeted empirical antibiotic therapy based on local microbiology and antibiotic resistance patterns is essential for the treatment of empyema thoracis. Our retrospective review of 105 pleural empyema culture and sensitivity reports aimed at determining the causative microorganisms and their antimicrobial resistance pattern. Of 105 pleural aspirate samples, 46 (43.8%) were ... Read more >>

Trop Doct (Tropical doctor)
[2021, :494755211032844]

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Congenital syphilis: Need for intensification of antenatal screening and clinician awareness.

Minu P Sunny, C Krishnan, Pr Sabeel Abdulla, M G Geeta,

Congenital syphilis occurs due to trans-placental transmission of <i>Treponema pallidum</i> or rarely, intrapartum contact with infectious lesions. Even though preventable, congenital syphilis occurs sporadically in India, owing to lack of antenatal screening as well as the lack of awareness among clinicians about the burden of syphilis in the community. Since ... Read more >>

Trop Doct (Tropical doctor)
[2021, :494755211041297]

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Frugal indigenous elastic bands for maxillo-mandibular fixation.

Pawan Agarwal, D Sharma, Rajeev Kukrele,

Trop Doct (Tropical doctor)
[2021, :494755211040331]

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Clinical yield of screening colonoscopies in Jamaica.

Shamir O Cawich, Avidesh H Mahabir, Milton Arthurs,

There is still no organised national screening programme for colorectal cancer in Jamaica. We sought to evaluate the detection of colorectal cancer precursor lesions in patients who underwent opportunistic screening over three years. Patients with colorectal polyps were selected for further study. In 431 procedures, there were 84 (19.5%) patients ... Read more >>

Trop Doct (Tropical doctor)
[2021, :494755211039591]

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A rare case of abdominal cocoon caused by brucellosis.

Priya Bansal, Pratibha Pal, L H Ghotekar, Ramesh Aggarwal, Rohit Bansal,

<i>Brucella</i> is the most common zoonosis in the world and is also included among the neglected endemic zoonoses by the World Health Organization. Its clinical presentation is often vague and it is not frequently suspected. A thorough history of social-economic status and animal exposure is often missed. We present a ... Read more >>

Trop Doct (Tropical doctor)
[2021, :494755211040333]

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Diverse liver morphology in two cases of visceral leishmaniasis: Same face, different expressions.

Shashi Dhawan, Satyender S Dharamdesani,

Two cases of visceral leishmaniasis are presented; one patient was from an endemic region and visceral leishmaniasis was suspected clinically, while the other was from a non-endemic region and it was not suspected clinically. Bone marrow examination was negative in both cases and both showed different morphological pictures in the ... Read more >>

Trop Doct (Tropical doctor)
[2021, :494755211038129]

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Hypoxic respiratory failure in small neonates in developing countries - A call for improving service delivery.

Chetan Khare, Avantika Gupta,

Trop Doct (Tropical doctor)
[2021, :494755211039354]

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Ultrasound-guided autologous blood patch - A novel modality for broncho-pleural-cutaneous fistula closure.

Ashin Varghese, Jacob Baby, Brijesh Ray,

We present a 36-year-old immuno-compromised male with non-resolving pneumonia, who developed a broncho-pleuro-cutaneous fistula following a thoracoscopic biopsy, which was successfully managed with an ultrasound-guided blood patch placed over the bronchial defect. We discuss the mechanism by which this is presumed to close a fistula, thus justifying it as a ... Read more >>

Trop Doct (Tropical doctor)
[2021, :494755211038782]

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Fostering bidirectional trainee-led partnerships through a technology-assisted journal club - The GASOC experience.

Krithi Ravi, Delphine Nkuliza, Reema Patel, Joseph Niyitegeka, Sarah Davidson, Noel Aruparayil,

Since 2017, the Global Anaesthesia Surgery and Obstetric Collaboration (GASOC) has been hosting journal clubs to promote critical appraisal of global surgery publications. The COVID-19 pandemic has prompted a transition to an online-only journal club format. Attendees have rated the online GASOC journal clubs highly in terms of relevance for ... Read more >>

Trop Doct (Tropical doctor)
[2021, :494755211035216]

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Syringomyelia after spinal anaesthesia: A case report.

Govind Madhaw, Divya M Radhakrishnan, Niraj Kumar,

Lumbar spinal or epidural anaesthesia has a lower complication rate compared to general anaesthesia. An occasional patient may develop spinal cord injury during the procedure and develop neurological complications. We report an interesting case of paraparesis due to dorsal spinal cord involvement and syrinx formation following spinal anaesthesia for abdominal ... Read more >>

Trop Doct (Tropical doctor)
[2021, :494755211037783]

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Ralstonia mannitolilytica sepsis in neonatal intensive care unit - Be(a)ware of the multidrug resistant nosocomial bug.

Usha Devi Rajendran, Subha Sundaramoorthy, Giridhar Sethuraman,

<i>Ralstonia mannitolilytica</i>, an emerging opportunistic pathogen is rarely isolated in neonatal units. We have elaborated our experience of managing its recent septic outbreak affecting four neonates in our intensive care unit over a span of five days. Three of the four had extremely low birth weight and had secondary clinical ... Read more >>

Trop Doct (Tropical doctor)
[2021, :494755211036557]

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An unusual case of gastrointestinal perforation caused by trans-abdominal penetration of sewing needles.

Mahindra Rampersaud, Tameshwar K Algu,

Trans-abdominal penetration by foreign bodies causing bowel injury is uncommon. We present a case of injury to the caecum caused by deliberate trans-abdominal placement of hand sewing needles. The patient was managed successfully by urgent laparotomy with right hemicolectomy and primary anastomosis. ... Read more >>

Trop Doct (Tropical doctor)
[2021, :494755211036595]

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Non-malignant gall bladder perforation: Our experience from an institution-based retrospective analysis of 25 cases.

Abhijeet Kumar, Nirmal Prasad Shah, Narendra Pandit, Suresh Prasad Sah, Rakesh Kumar Gupta, Rajan Shah,

Gallbladder perforation still continues to perplex surgeons; 25 such patients diagnosed either pre- or intra-operatively and managed at our institute over the last 10 years period were analysed. Only eight were diagnosed pre-operatively, while a large majority (17) had a wrong initial working diagnosis. Symptoms and signs were variable. No ... Read more >>

Trop Doct (Tropical doctor)
[2021, :494755211036593]

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'BOMBILE' - Newest enemy to our sight? - A case series.

Pranidhi Sharda, Praveen Panwar,

As possession of a mobile phone becomes ubiquitous in the general population, its hazards, especially for vision, should be better known and understood. Although blast injuries are common in war, gas cooking and with firecrackers, mobile phone blasts, popularly known as BOMBILE (Blast of Mobile Battery in the Living Eye), ... Read more >>

Trop Doct (Tropical doctor)
[2021, :494755211036839]

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Scrub typhus meningoencephalitis presenting as opsoclonus myoclonus syndrome: A video-based case.

Laxmikant Ramkumarsingh Tomar, Dhrumil Jatinbhai Shah, Utkarsh Agarwal, Atul Gogia, Anshu Rohatgi, C S Agrawal,

Opsoclonus myoclonus syndrome secondary to scrub typhus infection is a rare clinical entity. Hence, it is important to know its clinical manifestations and complications, so that it can be properly managed. We report a 28-year-old female whose initial manifestation was only fever, which subsided in four days. Two days later, ... Read more >>

Trop Doct (Tropical doctor)
[2021, :494755211034381]

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Atypical scrotal masses: Surgical surprise.

Parveen Kumar, Mamta Sengar, Anup Mohta,

We present three unusual cases of atypical scrotal lesions in children. The first was a firm left scrotal mass with the testis indistinguishable. The second with apparently a large hydrocoele, which was a cyst, and the third with multiple nodular lesions, pushing the left testis into the right hemiscrotum. These ... Read more >>

Trop Doct (Tropical doctor)
[2021, :494755211036588]

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Primary hyperparathyroidism misdiagnosed as metastatic disease, with trans-oral endoscopic surgical management.

Ankur Jain, Nishtha Yadav, Ashutosh Silodia, Namrata Khandelwal, Sanjay Kumar Yadav,

Primary hyperparathyroidism is not so uncommon a disease. In high-income countries, with the introduction of routine biochemical testing in 1980s, it is diagnosed early, and the majority are seen as asymptomatic disease. However, in India, a severe symptomatic form is still seen, and many times patients are undiagnosed, thus continuing ... Read more >>

Trop Doct (Tropical doctor)
[2021, :494755211035223]

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Concurrence of rectocoele and anal incontinence, and outcome of their simultaneous surgical correction.

Elifcan Haberal, Feza Yarbu─č Karakayal─▒, Emre Karakaya,

Rectocoele and faecal incontinence coexist in most patients. We determined an excellent one-year outcome of simultaneous repair of the former and correction of the latter can be achieved. ... Read more >>

Trop Doct (Tropical doctor)
[2021, :494755211032497]

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