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Low cost smart phone based laryngoscopy for the assessment of vocal cords in patients undergoing thyroid surgery: A pilot study
Trop Doct. 2024 Apr 23:494755241246823. doi: 10.1177/00494755241246823. Online ahead of print.ABSTRACTCan a smart phone application be reliably used for laryngoscopy? This thesis was tested for peri-operative evaluation of vocal cords in patients undergoing thyroid and parathyroid surgery.PMID:38654398 | DOI:10.1177/00494755241246823 (Source: Tropical Doctor)
Source: Tropical Doctor - April 23, 2024 Category: Tropical Medicine Authors: Maithily Gautam Sanjay Kumar Yadav Pawan Agarwal Dhananjaya Sharma Source Type: research

Emergency surgical decompression of the orbit may rescue impaired vision even in a patient presenting late with a retrobulbar haematoma: A case report from rural southwestern Uganda
Trop Doct. 2024 Apr 22:494755241244546. doi: 10.1177/00494755241244546. Online ahead of print.ABSTRACTRetrobulbar haematoma is a rare emergency that can potentially lead to blindness. Common causes include facial trauma and surgery. Timely surgical evacuation of the haematoma improves visual outcomes. In rural communities, patients often present to hospital after many hours and this increases the risk of poor visual outcomes. Radiological evaluation which is often not available in rural communities, results in further delay in surgical treatment. This case report highlights the need for urgent surgical intervention over ra...
Source: Tropical Doctor - April 22, 2024 Category: Tropical Medicine Authors: Robert Mugarura Mary Katushabe Nakitto Irene Kisakye Nek Arthur Jonathan Source Type: research

Effect of chewing gum in reducing postoperative ileus after gastroduodenal perforation peritonitis surgery: A prospective randomised controlled trial
Trop Doct. 2024 Apr 22:494755241245456. doi: 10.1177/00494755241245456. Online ahead of print.ABSTRACTChewing gum reduces the duration of postoperative ileus and early recovery of bowel function following elective abdominal surgery. However, its role has not been studied in cases of gastroduodenal perforation peritonitis, prompting us to conduct this study. Patients were randomised into two groups, 39 patients received chewing gum (study group) and 43 patients were in the control group. Sensation of hunger, appearance of first bowel sound, and passages of flatus and faeces were significantly early in the study group; their...
Source: Tropical Doctor - April 22, 2024 Category: Tropical Medicine Authors: Sanjay Muwel Seema Suryavanshi Hari Krishna Damde Arpan Mishra Sanjay Kumar Yadav Dhananjaya Sharma Source Type: research

Wastewater surveillance and < em > Wolbachia < /em > - < em > aedes < /em > method to combat Zika virus outbreaks in tropical countries
Trop Doct. 2024 Apr 22:494755241246019. doi: 10.1177/00494755241246019. Online ahead of print.NO ABSTRACTPMID:38646734 | DOI:10.1177/00494755241246019 (Source: Tropical Doctor)
Source: Tropical Doctor - April 22, 2024 Category: Tropical Medicine Authors: Isaac Ks Ng Source Type: research

Increasing azithromycin resistance in patients with enteric fever: Cause for concern
Trop Doct. 2024 Apr 22:494755241247082. doi: 10.1177/00494755241247082. Online ahead of print.NO ABSTRACTPMID:38646775 | DOI:10.1177/00494755241247082 (Source: Tropical Doctor)
Source: Tropical Doctor - April 22, 2024 Category: Tropical Medicine Authors: Vijay Alexander John Titus George Jackwin Sam Paul Source Type: research

Pyogenic liver abscess presenting as fatal fulminant acute liver failure - a case report
Trop Doct. 2024 Apr 18:494755241247086. doi: 10.1177/00494755241247086. Online ahead of print.ABSTRACTLiver 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.PMID:38634122 | DOI:10.1177/00494755241247086 (Source: Tropical Doctor)
Source: Tropical Doctor - April 18, 2024 Category: Tropical Medicine Authors: Sudha Chandelia Source Type: research

Omphalitis as a presentation of multiple liver abscesses in a term neonate
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.PMID:38634123 | DOI:10.1177/00494755241245461 (Source: Tropical Doctor)
Source: Tropical Doctor - April 18, 2024 Category: Tropical Medicine Authors: Aabha Phalak Yewale Baldev S Prajapati Source Type: research

Momentum of hope: The journey toward a universal TB vaccine
Trop Doct. 2024 Apr 2:494755241244833. doi: 10.1177/00494755241244833. Online ahead of print.ABSTRACTIn 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 inc...
Source: Tropical Doctor - April 2, 2024 Category: Tropical Medicine Authors: Bashar Haruna Gulumbe Aminu Shehu Source Type: research

Oesophageal perforation by migrated Ryles tube
Trop Doct. 2024 Apr 2:494755241241832. doi: 10.1177/00494755241241832. Online ahead of print.ABSTRACTA 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.PMID:38...
Source: Tropical Doctor - April 2, 2024 Category: Tropical Medicine Authors: Amol Vadgaonkar Nagesh Kamat Sanil Parekh Gaurav Patil Ankit Dalal Amit Maydeo Source Type: research

Defunctioning ileostomy for typhoid ileal perforations: Out of the frying pan into the fire?
Trop Doct. 2024 Apr 2:494755241241830. doi: 10.1177/00494755241241830. Online ahead of print.ABSTRACTTyphoid 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...
Source: Tropical Doctor - April 2, 2024 Category: Tropical Medicine Authors: Amrendra Verma Reena Kothari Arpan Mishra Pawan Agrawal Dhananjaya Sharma Source Type: research