Case report of scrub typhus with bilateral acute sensorineural hearing loss and cerebral salt-wasting disease
We present a 65-year-old male from Sri Lanka who presented with fever, bilateral acute sensorineural hearing loss, and confusion. On examination, he was dehydrated. Significant orthostatic hypotension and an eschar were noted. Investigations revealed hyponatremia with elevated urine sodium, reduced serum osmolality, and normal urine osmolality suggestive of cerebral salt wasting. After initial hydration with 0.9% NaCl, hyponatremia was corrected with 3% NaCl. Oral doxycycline was prescribed, and he showed dramatic clinical improvement. A diagnosis of typhus must be considered in a patient presenting with a febrile illness ...
Source: Tropical Doctor - September 6, 2023 Category: Tropical Medicine Authors: Asitha Goonetilleke Shehan Silva Source Type: research
Case report of scrub typhus with bilateral acute sensorineural hearing loss and cerebral salt-wasting disease
We present a 65-year-old male from Sri Lanka who presented with fever, bilateral acute sensorineural hearing loss, and confusion. On examination, he was dehydrated. Significant orthostatic hypotension and an eschar were noted. Investigations revealed hyponatremia with elevated urine sodium, reduced serum osmolality, and normal urine osmolality suggestive of cerebral salt wasting. After initial hydration with 0.9% NaCl, hyponatremia was corrected with 3% NaCl. Oral doxycycline was prescribed, and he showed dramatic clinical improvement. A diagnosis of typhus must be considered in a patient presenting with a febrile illness ...
Source: Tropical Doctor - September 6, 2023 Category: Tropical Medicine Authors: Asitha Goonetilleke Shehan Silva Source Type: research
An alarming surge of scrub typhus cases presenting as acute encephalitis in children
We present four cases of scrub typhus with acute encephalitis, including one with multiorgan failure and another serologically proven co-infection with Hepatitis C. Treatment of scrub typhus is not, however, so difficult, so its early diagnosis is paramount.PMID:37644872 | DOI:10.1177/00494755231194197 (Source: Tropical Doctor)
Source: Tropical Doctor - August 30, 2023 Category: Tropical Medicine Authors: Uneza Husain None Arpita Raj Kumar Kalyan Source Type: research
An alarming surge of scrub typhus cases presenting as acute encephalitis in children
We present four cases of scrub typhus with acute encephalitis, including one with multiorgan failure and another serologically proven co-infection with Hepatitis C. Treatment of scrub typhus is not, however, so difficult, so its early diagnosis is paramount.PMID:37644872 | DOI:10.1177/00494755231194197 (Source: Tropical Doctor)
Source: Tropical Doctor - August 30, 2023 Category: Tropical Medicine Authors: Uneza Husain None Arpita Raj Kumar Kalyan Source Type: research
An alarming surge of scrub typhus cases presenting as acute encephalitis in children
We present four cases of scrub typhus with acute encephalitis, including one with multiorgan failure and another serologically proven co-infection with Hepatitis C. Treatment of scrub typhus is not, however, so difficult, so its early diagnosis is paramount.PMID:37644872 | DOI:10.1177/00494755231194197 (Source: Tropical Doctor)
Source: Tropical Doctor - August 30, 2023 Category: Tropical Medicine Authors: Uneza Husain None Arpita Raj Kumar Kalyan Source Type: research
An alarming surge of scrub typhus cases presenting as acute encephalitis in children
We present four cases of scrub typhus with acute encephalitis, including one with multiorgan failure and another serologically proven co-infection with Hepatitis C. Treatment of scrub typhus is not, however, so difficult, so its early diagnosis is paramount.PMID:37644872 | DOI:10.1177/00494755231194197 (Source: Tropical Doctor)
Source: Tropical Doctor - August 30, 2023 Category: Tropical Medicine Authors: Uneza Husain None Arpita Raj Kumar Kalyan Source Type: research
An alarming surge of scrub typhus cases presenting as acute encephalitis in children
We present four cases of scrub typhus with acute encephalitis, including one with multiorgan failure and another serologically proven co-infection with Hepatitis C. Treatment of scrub typhus is not, however, so difficult, so its early diagnosis is paramount.PMID:37644872 | DOI:10.1177/00494755231194197 (Source: Tropical Doctor)
Source: Tropical Doctor - August 30, 2023 Category: Tropical Medicine Authors: Uneza Husain None Arpita Raj Kumar Kalyan Source Type: research
An alarming surge of scrub typhus cases presenting as acute encephalitis in children
We present four cases of scrub typhus with acute encephalitis, including one with multiorgan failure and another serologically proven co-infection with Hepatitis C. Treatment of scrub typhus is not, however, so difficult, so its early diagnosis is paramount.PMID:37644872 | DOI:10.1177/00494755231194197 (Source: Tropical Doctor)
Source: Tropical Doctor - August 30, 2023 Category: Tropical Medicine Authors: Uneza Husain None Arpita Raj Kumar Kalyan Source Type: research
Adrenal histoplasmosis in an immunocompetent host
Trop Doct. 2023 Aug 28:494755231193179. doi: 10.1177/00494755231193179. Online ahead of print.NO ABSTRACTPMID:37641234 | DOI:10.1177/00494755231193179 (Source: Tropical Doctor)
Source: Tropical Doctor - August 29, 2023 Category: Tropical Medicine Authors: Nawsabah Noor Homayra Tahseen Hossain Ishrat Jahan Urmee Sharmin Akter Md Abul Kashem Khandakar Quazi Tarikul Islam Source Type: research
The disappearing art of clinical examination
Trop Doct. 2023 Aug 28:494755231196598. doi: 10.1177/00494755231196598. Online ahead of print.NO ABSTRACTPMID:37641235 | DOI:10.1177/00494755231196598 (Source: Tropical Doctor)
Source: Tropical Doctor - August 29, 2023 Category: Tropical Medicine Authors: Michael Cotton Dhananjaya Sharma Source Type: research
Adrenal histoplasmosis in an immunocompetent host
Trop Doct. 2023 Aug 28:494755231193179. doi: 10.1177/00494755231193179. Online ahead of print.NO ABSTRACTPMID:37641234 | DOI:10.1177/00494755231193179 (Source: Tropical Doctor)
Source: Tropical Doctor - August 29, 2023 Category: Tropical Medicine Authors: Nawsabah Noor Homayra Tahseen Hossain Ishrat Jahan Urmee Sharmin Akter Md Abul Kashem Khandakar Quazi Tarikul Islam Source Type: research
The disappearing art of clinical examination
Trop Doct. 2023 Aug 28:494755231196598. doi: 10.1177/00494755231196598. Online ahead of print.NO ABSTRACTPMID:37641235 | DOI:10.1177/00494755231196598 (Source: Tropical Doctor)
Source: Tropical Doctor - August 29, 2023 Category: Tropical Medicine Authors: Michael Cotton Dhananjaya Sharma Source Type: research
Improvisation of surgical light: Another way round the obstacle
Trop Doct. 2023 Aug 25:494755231191556. doi: 10.1177/00494755231191556. Online ahead of print.ABSTRACTThe importance of surgical lighting is to illuminate the operative site on and within a patient for proper visualisation by operating theatre staff during a surgical procedure. With a good surgical illumination, a higher level of efficacy and safety can be achieved during surgery thus reducing the risk of complications. A rechargeable home LED bulb was converted into an improvised surgical lamp after removing the shade. This was mounted into the lamp holders of an old operating room lamp. This operating room lamp was plugg...
Source: Tropical Doctor - August 25, 2023 Category: Tropical Medicine Authors: Alexander A Dimoko Sotonye Fyneface-Ogan Source Type: research
Improvisation of surgical light: Another way round the obstacle
Trop Doct. 2023 Aug 25:494755231191556. doi: 10.1177/00494755231191556. Online ahead of print.ABSTRACTThe importance of surgical lighting is to illuminate the operative site on and within a patient for proper visualisation by operating theatre staff during a surgical procedure. With a good surgical illumination, a higher level of efficacy and safety can be achieved during surgery thus reducing the risk of complications. A rechargeable home LED bulb was converted into an improvised surgical lamp after removing the shade. This was mounted into the lamp holders of an old operating room lamp. This operating room lamp was plugg...
Source: Tropical Doctor - August 25, 2023 Category: Tropical Medicine Authors: Alexander A Dimoko Sotonye Fyneface-Ogan Source Type: research
Improvisation of surgical light: Another way round the obstacle
Trop Doct. 2023 Aug 25:494755231191556. doi: 10.1177/00494755231191556. Online ahead of print.ABSTRACTThe importance of surgical lighting is to illuminate the operative site on and within a patient for proper visualisation by operating theatre staff during a surgical procedure. With a good surgical illumination, a higher level of efficacy and safety can be achieved during surgery thus reducing the risk of complications. A rechargeable home LED bulb was converted into an improvised surgical lamp after removing the shade. This was mounted into the lamp holders of an old operating room lamp. This operating room lamp was plugg...
Source: Tropical Doctor - August 25, 2023 Category: Tropical Medicine Authors: Alexander A Dimoko Sotonye Fyneface-Ogan Source Type: research
