Amoebic liver abscess: a report from central India.
We describe our experience of clinical presentation, laboratory parameters, radiological findings and treatment strategies. This is a retrospective analysis of 114 patients who were admitted from January 2012 to September 2014 at our centre. The mean age of presentation was 41.7 ± 13.9 years, the majority of patients were male (86.8%) with chronic alcoholism (63.2%). Most of the patients had a solitary right lobe liver abscess. Abdominal pain, fever, tachycardia and hepatomegaly were the most common clinical findings while hypoalbuminaemia, anaemia, leucocytosis and electrolyte imbalance were the most ...
Source: Tropical Doctor - July 8, 2015 Category: Tropical Medicine Authors: Chaudhary S, Noor MT, Jain S, Kumar R, Thakur BS Tags: Trop Doct Source Type: research

Neurobrucellosis: an often forgotten cause of chronic meningitis.
We report a 26-year-old man of neurobrucellosis who presented with intermittent fever and headache for 2 years, sensori-neural hearing loss with cerebellar ataxia. He responded well to a combination of antimicrobials with significant clinical improvement. PMID: 26160851 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - July 8, 2015 Category: Tropical Medicine Authors: Mahajan SK, Sharma A, Kaushik M, Raina R, Sharma S, Banyal V Tags: Trop Doct Source Type: research

Editorial.
PMID: 26126809 [PubMed - in process] (Source: Tropical Doctor)
Source: Tropical Doctor - July 1, 2015 Category: Tropical Medicine Authors: Cotton M Tags: Trop Doct Source Type: research

The tick Ixodida: an unusual foreign body in the ear.
We report a patient with a hard tick in her left ear, adherent to the tympanic membrane. PMID: 26130704 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - June 29, 2015 Category: Tropical Medicine Authors: Alazzawi S, Omar R, Raman R Tags: Trop Doct Source Type: research

Abdominal cellulitis: dreadful clinical consequence after skin branding.
PMID: 26059648 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - June 8, 2015 Category: Tropical Medicine Authors: Hariprasad S, Raj MA, Rohini K, Ganesh S, Megha P Tags: Trop Doct Source Type: research

Factors associated with blood pressure control among patients attending the outpatient clinic of a South African district hospital.
CONCLUSION: This study confirms the prevalent sub-optimal control of BP and suggests the need for further studies to examine the relationship between marital support, critical medical events and BP control. PMID: 26002722 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - May 22, 2015 Category: Tropical Medicine Authors: Batubenga MM, Omole OB, Bondo MC Tags: Trop Doct Source Type: research

The validity of the macroscopic appearance of lymph node biopsy in the diagnosis of tuberculosis.
CONCLUSION: This study has shown that lymph node appearance is a useful diagnostic test even without laboratory histopathological facilities in the diagnosis of TB. This assessment of the macroscopic appearance is both sensitive and specific. PMID: 25999355 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - May 21, 2015 Category: Tropical Medicine Authors: Houlden C, Woodfield J Tags: Trop Doct Source Type: research

An alternative to India ink stain.
Abstract Accessing India ink in rural Uganda is difficult and costly. An alternative stain was sought to assist in microbiological diagnoses of cryptococcal infections in immunosuppressed patients with meningitis. Mascara proved to be an excellent and cheap alternative. PMID: 25999353 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - May 20, 2015 Category: Tropical Medicine Authors: Ibembe IN, Wiggin TR Tags: Trop Doct Source Type: research

Spontaneous rupture of pyometra manifesting as an acute abdomen: a case report.
We report a case in an elderly postmenopausal woman presenting with an acute abdomen. PMID: 25999354 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - May 20, 2015 Category: Tropical Medicine Authors: Singh A, Mundhra R, Agarwal T, Radhakrishnan G Tags: Trop Doct Source Type: research

Diagnosis of Chikungunya dominated co-infection with dengue during an outbreak in south India (2010 and 2012).
Abstract Following a report of dengue outbreak from January 2010 to 2012 in the Tirunelveli, Theni, Dharmapuri and Thiruvallur districts of Tamil Nadu state, India, an investigation was carried out. The study was to demonstrate the probable presence of Chikungunya viral antibodies in patients clinically suspected of dengue fever. Out of 331 samples analysed, dengue viral antibodies were observed in 14.8% (n = 49) of patients, while 16.6% (n = 55) were positive for Chikungunya viral specific IgM antibodies. In the four districts surveyed, patients found positive for Chikungunya were foun...
Source: Tropical Doctor - May 19, 2015 Category: Tropical Medicine Authors: Venkatasubramani K, Paramasivan R, Thenmozhi V, Dhananjeyan KJ, Balaji T, Leo SV Tags: Trop Doct Source Type: research

A rare case of Cushing's syndrome in pregnancy.
PMID: 25979843 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - May 14, 2015 Category: Tropical Medicine Authors: Sinha P, Srivastava K, Gupta U, Dwivedi S Tags: Trop Doct Source Type: research

Maternal and neonatal outcomes in morbidly adherent placenta: a developing country experience.
CONCLUSION: Morbid adherent placenta is associated with poor maternal and neonatal outcome. PMID: 25979844 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - May 14, 2015 Category: Tropical Medicine Authors: Singh R, Pradeep Y Tags: Trop Doct Source Type: research

Leach out of reach: presented with haematuria and urinary retention.
PMID: 25979845 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - May 14, 2015 Category: Tropical Medicine Authors: Pal DK, Kumar S, Ray RP, Puri A, Wats V Tags: Trop Doct Source Type: research

A young man with skin rash and ascites.
PMID: 25971434 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - May 12, 2015 Category: Tropical Medicine Authors: Nayak SK, Gaadhe RL, Piramanayagam P, Palaniswamy KR Tags: Trop Doct Source Type: research

Microhaematuria as a diagnostic marker of Schistosoma haematobium in an outpatient clinical setting: results from a cross-sectional study in rural Ghana.
Abstract The utility of microhaematuria (as measured by urine reagent strips) as a surrogate marker for Schistosoma haematobium infection is not established in patients with urogenital symptoms presenting to clinical settings, although previous studies have demonstrated its utility in screening asymptomatic individuals in large community or school-based settings. In this cross-sectional study of 201 patients, multivariate analysis demonstrated microhaematuria as an independent predictor of S. haematobium infection (OR, 4.29; 95% CI, 1.6-11.9) in individuals presenting with urogenital symptoms to an outpatient medi...
Source: Tropical Doctor - May 6, 2015 Category: Tropical Medicine Authors: Ephraim RK, Abongo CK, Sakyi SA, Brenyah RC, Diabor E, Bogoch II Tags: Trop Doct Source Type: research

All that seems to be miliary mottling is not always due to tuberculosis: A case report.
PMID: 25914410 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - April 24, 2015 Category: Tropical Medicine Authors: Sneha LM, Karmegaraj B, Ravindran M, Srikiran S, Sai V, Scott JX Tags: Trop Doct Source Type: research

Clinical accuracy of a low cost portable blood pressure device in pregnancy and pre-eclampsia: the Nissei DS-400.
This study evaluated the accuracy of the Nissei DS-400, a low cost blood pressure (BP) device, in pregnancy according to the British Hypertension Society protocol. Forty-five pregnant women (15 with pre-eclampsia), were recruited from a large teaching hospital. Nine sequential same-arm BP measurements were taken from each woman by trained observers, alternating between mercury sphygmomanometry and the device. The Nissei DS-400 achieved the highest accuracy grade (A/A) in all subjects (n = 45) and in pregnancy alone (n = 30). The mean difference ± standard deviation between t...
Source: Tropical Doctor - April 23, 2015 Category: Tropical Medicine Authors: de Greeff A, Shennan AH Tags: Trop Doct Source Type: research

Performance evaluation of direct saline stool microscopy, Formol ether concentration and Kato Katz diagnostic methods for intestinal parasitosis in the absence of gold standard methods.
CONCLUSION: FEC is more sensitive than DS and KK. Hence, use of the latter is preferred. PMID: 25883063 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - April 15, 2015 Category: Tropical Medicine Authors: Hailu T, Abera B Tags: Trop Doct Source Type: research

Quality of diagnosis and monitoring of tuberculosis in Northern Ethiopia: medical records-based retrospective study.
Abstract OBJECTIVES: To determine quality of diagnosis and monitoring of treatment response of patients with smear-negative pulmonary tuberculosis (TB) compared with smear-positive cases in Ethiopia. METHODS: A retrospective analysis of medical records of newly diagnosed pulmonary TB cases that were registered for taking anti-TB medication and had completed treatment between 2010 and 2012. We evaluated the percentage of cases that were managed according to the International Standards of Tuberculosis Care (ISTC) and compared smear-negative with smear-positive cases. RESULTS: We analysed 1168 cases of whic...
Source: Tropical Doctor - April 15, 2015 Category: Tropical Medicine Authors: Mala G, Spigt MG, Gidding LG, Blanco R, Dinant GJ Tags: Trop Doct Source Type: research

Clinical and laboratory features parameters of human granulocytic anaplasmosis (HGA) in patients admitted to hospital in Guangdong Province, China.
CONCLUSION: In patients with fever and thrombocytopenia in whom no other diagnosis is evident on clinical assessment, HGA should be considered in the differential diagnosis, and tested for serologically if possible. For patients in whom the diagnosis of HGA is possible, and to whom tetracyclines can safely be given, it is apparent that these drugs hasten recovery and improve the prognosis. PMID: 25873582 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - April 13, 2015 Category: Tropical Medicine Authors: Jiao XY, Fan ZC, Li YZ, Tang YT, Ke CW Tags: Trop Doct Source Type: research

New light on old methods.
PMID: 25818632 [PubMed - in process] (Source: Tropical Doctor)
Source: Tropical Doctor - April 1, 2015 Category: Tropical Medicine Authors: Cotton M Tags: Trop Doct Source Type: research

Symphysiotomy.
Abstract The place of symphysiotomy, as an alternative to Caesarean section (CS), in the management of established obstructed labour in low- and middle-income, resource-poor countries (LMICs), is reviewed. It is suggested that it does have a very definite place, especially in mothers of low age and parity, in circumstances where medical facilities are limited, where antenatal care and hospital delivery are not assured in a future pregnancy, and in cultures where it is important to the woman that a vaginal delivery is achieved. PMID: 25818633 [PubMed - in process] (Source: Tropical Doctor)
Source: Tropical Doctor - April 1, 2015 Category: Tropical Medicine Authors: Armon P Tags: Trop Doct Source Type: research

Thanks to reviewers.
Authors: PMID: 25818634 [PubMed - in process] (Source: Tropical Doctor)
Source: Tropical Doctor - April 1, 2015 Category: Tropical Medicine Tags: Trop Doct Source Type: research

Learning and teaching Emotional Logic in Zimbabwe: A lifelong learning emotional literacy training package that promotes healthy adjustment in resource-poor settings.
This article describes an innovative, rapidly effective, low cost, health promoting educational input that can strengthen social systems to support the social and emotional development of orphan children. The training project took place in a resource-poor area of rural southern Zimbabwe. The teaching was found to be culturally relevant and transferable, to the extent that several of the learners progressed to become tutors, training others to use the method in local languages. The method promotes healthy adjustment, emotional resilience and intelligent decision-making for health. By reducing chronic stress in orphans and t...
Source: Tropical Doctor - March 24, 2015 Category: Tropical Medicine Authors: Langsford M, Griffiths T Tags: Trop Doct Source Type: research

Non-fatal acute haemorrhagic leukoencephalitis following snake bite: A case report.
Abstract Acute haemorrhagic leukoencephalitis (AHL) is a fulminant inflammatory disease of cerebral white matter, characterised by demyelination and haemorrhagic necrosis. The outcome is usually fatal with only few survivors. An unusual presentation of a 44-year-old South Indian farmer who developed AHL following a snake bite is reported. Though the initial brain imaging showed extensive involvement of the white matter with multiple haemorrhagic foci, the patient improved spontaneously with no specific therapy. A repeat magnetic resonance imaging of the brain 28 days after the snake bite confirmed radiological imp...
Source: Tropical Doctor - March 18, 2015 Category: Tropical Medicine Authors: Prabhakar AT, Kamanahalli R, Sivadasan A, Joseph E, Viggeswarpu S Tags: Trop Doct Source Type: research

An infant with aphallia and its associated complication: A rare case report and review of literature.
We report a case of an infant with complete penile agenesis with recto-urethral fistula, who was referred on day 6 of life. This baby developed obstructive uropathy which required vesicostomy. Surgical management consists of gender assignment after discussing in detail the pertinent situation with the parents and accepting their final decision. PMID: 25786436 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - March 17, 2015 Category: Tropical Medicine Authors: Bahe P, Sharma D, Bahe A, Pandita A Tags: Trop Doct Source Type: research

Periorbital necrotising fasciitis in infants: Presentation and management of six cases.
CONCLUSION: NF of eyelids is a potentially fatal infection that requires urgent and vigorous management and heals with sequelae that may need more than one surgical intervention over a period of time. Adequate cosmetic and functional outcomes can be achieved. PMID: 25786437 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - March 17, 2015 Category: Tropical Medicine Authors: Khurana S, Pushker N, Naik SS, Changole MD, Ghonsikar V, Bajaj M Tags: Trop Doct Source Type: research

Vulvar myiasis following suction and evacuation for incomplete abortion.
We present a rare case of vulvar myiasis which occurred after suction and evacuation performed for incomplete abortion. PMID: 25740831 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - March 3, 2015 Category: Tropical Medicine Authors: Singh A, Goel B, Rani S Tags: Trop Doct Source Type: research

Local production of skeletal traction pins to improve access to skeletal traction.
This study aimed to establish whether traction pins may be manufactured locally in resource-limited countries from cut down stainless steel rods. The overall costs for traction pins were obtained from five UK, Indian subcontinent-based companies and metal fabrication shops in Africa. Strict design specifications were provided. The mean price for 100 Steinmann pins was$428 in the Indian subcontinent,$96 in Malawi,$105 in Kenya and$244 in Tanzania. Our results indicate that Steinmann pins may be manufactured locally in resource-limited countries at a significantly cheaper price, which may increase the access to skeletal trac...
Source: Tropical Doctor - March 3, 2015 Category: Tropical Medicine Authors: Kadhum M, Mannion S Tags: Trop Doct Source Type: research

Complicated malaria: A rare presentation of Plasmodium ovale.
Abstract Malaria has emerged as a major public health problem worldwide. Complications are commonly seen in Plasmodium falciparum (P. falciparum) and Plasmodium vivax (P. vivax) infection, but due to Plasmodium ovale (P. ovale) infection is rarely described in literature. Here we report a case of severe disease due to P. ovale infection complicated with jaundice, thrombocytopenia, hypotension and acute renal failure. PMID: 25672340 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - February 10, 2015 Category: Tropical Medicine Authors: Tomar LR, Giri S, Bauddh NK, Jhamb R Tags: Trop Doct Source Type: research

Factors affecting outcome of treatment of chronic hepatitis C: result of an open label study from eastern India.
CONCLUSION: Treatment outcome and factors affecting it are similar to studies from Europe and America. PMID: 25646016 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - February 1, 2015 Category: Tropical Medicine Authors: Ray G Tags: Trop Doct Source Type: research

Barriers experienced by service providers and caregivers in clubfoot management in Kenya.
CONCLUSION: The challenges facing children with disability start at birth but are little different from those faced throughout their life. Action to remove these challenges is warranted. PMID: 25646017 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - February 1, 2015 Category: Tropical Medicine Authors: Kingau NW, Rhoda A, Mlenzana N Tags: Trop Doct Source Type: research

Use and misuse of glucocorticoids in the community of Raxaul Block, North Bihar.
CONCLUSIONS: Glucocorticoid misuse will contribute to the burden of hypertension, diabetes, osteoporotic fracture, tuberculosis, cataracts and deaths due to hypoadrenal crisis. One in 15 people in Raxaul Block are likely to have a suppressed hypothalamo-pituitary-adrenal axis. PMID: 25617242 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - January 22, 2015 Category: Tropical Medicine Authors: Masih S, Cynthia Stephen S, Joy Armstrong L, Finny P Tags: Trop Doct Source Type: research

Adrenal insufficiency from over-the-counter medicine as a cause of shock in rural area of Thailand: A study at Sisaket Provincial Hospital during October 2012 - October 2013.
This study suggests adrenal crisis with shock is not that uncommon and that the use of OTCM may be the prime culprit. PMID: 25614534 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - January 22, 2015 Category: Tropical Medicine Authors: Kamrat N Tags: Trop Doct Source Type: research

Venom ophthalmia from Naja mossambica in KwaZulu Natal, South Africa: a reminder to all that for ocular chemical injury, dilution is the solution.
We report such a case in a 43-year-old woman who presented to Mosvold Hospital, a district hospital in South Africa. Clinical features and best practice management of venom ophthalmia will be discussed. PMID: 25614535 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - January 22, 2015 Category: Tropical Medicine Authors: Hoffman J Tags: Trop Doct Source Type: research

Giant molluscum contagiosum: An unusual presenting complaint of paediatric HIV disease.
We report a widely disseminated, disfiguring facial molluscum contagiosum (MC) as a presenting complaint in an 11-year-old girl secondary to human immune-deficiency virus infection. A biopsy specimen demonstrated lobulated epidermal growth consisting of keratinocytes with large intracytoplasmic eosinophilic inclusion bodies. The patient was treated with highly active anti-retroviral therapy (HAART). The extent of MC in our patient was remarkable and subsequently improved dramatically after starting HAART. Normally MC does not similarly respond in patients with AIDS. PMID: 25601890 [PubMed - as supplied by publisher] (...
Source: Tropical Doctor - January 18, 2015 Category: Tropical Medicine Authors: Chatterjee S, Banerjee M, Bhattacharya S Tags: Trop Doct Source Type: research

Enterobius vermicularis: An unusual cause of recurrent urinary tract infestation in a 7-year-old girl: case report and review of the literature.
Abstract Enterobius vermicularis, the pinworm, is one of the most prevalent intestinal parasites in the world. Ectopic infestations in the genital or urinary tracts rarely occur and chronic enterobiasis of the urinary tract has rarely been reported. Here we present such a case in a 7-year-old girl presenting with fever, pain in the abdomen, vomiting and burning micturition. Ultrasonography and micturating cystourethrogram (MCU) studies were normal. The ova were demonstrated from both the patient's urine and stool specimen. This child was treated successfully with Albendazole and Ivermectin. PMID: 25586573 [Pu...
Source: Tropical Doctor - January 13, 2015 Category: Tropical Medicine Authors: Patel B, Sharma T, Bhatt GC, Dhingra Bhan B Tags: Trop Doct Source Type: research

Consultation of traditional bone setters instead of doctors: Is it a sociocultural and educational or social insurance problem?
CONCLUSION: Although improvements have occurred in the access to and utilisation of healthcare services, consultation by patients of bone setters seems to be a sociocultural and educational issue rather than a problem of lack of medical insurance. PMID: 25568001 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - January 6, 2015 Category: Tropical Medicine Authors: Gölge UH, Kaymaz B, Kömürcü E, Eroğlu M, Göksel F, Nusran G Tags: Trop Doct Source Type: research

Editorial.
PMID: 25564581 [PubMed - in process] (Source: Tropical Doctor)
Source: Tropical Doctor - January 1, 2015 Category: Tropical Medicine Authors: Cotton M Tags: Trop Doct Source Type: research

Scrub typhus with visual hallucinations.
We present a case of scrub typhus with visual hallucinations. PMID: 25552462 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - December 30, 2014 Category: Tropical Medicine Authors: Mahajan SK, Kaushik M, Raina R, Sharma RC, Thakur P, Bharat Sharma J Tags: Trop Doct Source Type: research

Epidemic dropsy 2013: case series.
Abstract Epidemic dropsy (ED) is caused due to intoxication with Argemone mexicana. Here we report a case series of three families, all of whom were residents of Uttar Pradesh, India, who presented in August 2013 with all the classical features of ED. We aim to highlight the importance of this malady even though the sale of unbottled mustard oil is illegal in India. PMID: 25540161 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - December 24, 2014 Category: Tropical Medicine Authors: Tomar LR, Raizada A, Yadav A, Agarwal S Tags: Trop Doct Source Type: research

Salmonella Typhimurium pneumonia in a patient with multiple myeloma.
Abstract Pneumonia due to non-typhoidal Salmonella is a rarely reported entity. A fatal case of Salmonella pneumonia is reported here where Salmonella Typhimurium was isolated from the endotracheal aspirate and blood culture. PMID: 25540162 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - December 24, 2014 Category: Tropical Medicine Authors: Khan S, Kumar VA, Sidharthan N, Mehta A, Backer B, Dinesh KR Tags: Trop Doct Source Type: research

Bilateral eyelid ecchymosis and subconjunctival haemorrhage manifesting as presenting feature in a case of dengue haemorrhagic fever.
We report a case of bilateral eyelid ecchymosis and subconjunctival haemorrhage, a rare presenting feature of dengue haemorrhagic fever. A 17-year-old boy presented to the emergency department with complaints of redness in both eyes and vomiting. He had bilateral eyelid ecchymosis with subconjunctival haemorrhage. Complete blood count revealed a significantly reduced platelet count of 11000/µL suggestive of dengue haemorrhagic fever (DHF). Ocular manifestations were followed by other systemic haemorrhagic manifestations of dengue later on which violates the usual sequence of events of dengue fever. Bilateral eyelid e...
Source: Tropical Doctor - December 24, 2014 Category: Tropical Medicine Authors: Jain S, Goswami A, Singh N, Kaur S Tags: Trop Doct Source Type: research

Pre-treatment practices among patients attending an Animal Bite Management clinic at a primary health centre in Haryana, North India.
Abstract A cross-sectional study was carried out at the Animal Bite Management (ABM) clinic in a primary health centre in the Faridabad district of Haryana. Information about socio-demographic characteristics, animal bite exposure and pre-treatment practices was obtained. Clinical examination determined the severity of the bite. All 619 patients who reported to the ABM clinic during January 2011 to December 2012 were included. Out of the total, 38% had applied chilli-oil paste, and 4% antiseptics to the wound as pre-treatment; only 30.6% had washed the wound with water. There was a direct association between tradi...
Source: Tropical Doctor - December 23, 2014 Category: Tropical Medicine Authors: Salve H, Rizwan S, Kant S, Rai SK, Kharya P, Kumar S Tags: Trop Doct Source Type: research

Penetrating keratoplasty restoring vision in an unusual case of corneal opacity following exposure to Euphorbia latex.
Abstract The milky sap of the Euphorbia plant is highly toxic and causes inflammation to the skin and eyes. Damage to the eye ranges from superficial epithelial defects, keratoconjunctivitis, mild to moderate corneal edema, anterior uveitis, Descemet membrane folds, raised intraocular pressure and rarely corneal opacity in severe untreated cases. Here we report a case of visual restoration by optical penetrating keratoplasty in a patient with severe corneal opacity following exposure to Euphorbia latex. PMID: 25540165 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - December 23, 2014 Category: Tropical Medicine Authors: Dutta J, Choudhury S, Lahiri K, Savale S, Banerjee M, Datta H Tags: Trop Doct Source Type: research

Unusual presentation of Enterobius vermicularis in conjunctival sac.
We report an unusual case of extraintestinal infection with adult Enterobius vermicularis worms in the conjunctival sac of a two-and-a-half year old boy from Alipurduar, West Bengal, India. Only two other similar cases have been reported in the English literature, one from Assam, India in 1976, and the other from Illinois and California in 2011. PMID: 25540166 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - December 23, 2014 Category: Tropical Medicine Authors: Mallick SK, Sengupta R, Banerjee AK Tags: Trop Doct Source Type: research

A comment on 'A unique case of facial burn superinfected with Dermatobia hominis larvae'
Abstract A recently reported case of a massive infection of a facial wound by Dermatobia hominis is almost certainly a misidentification of the insect. PMID: 25540167 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - December 23, 2014 Category: Tropical Medicine Authors: Smith SM Tags: Trop Doct Source Type: research

Autonomy and confidentiality: patients' perspectives.
CONCLUSION: Respondents want to choose their treating doctor, know about their diseases, be consulted before a procedure. They would like to leave technical issues to their treating doctors without jeopardising their own rights. PMID: 25540168 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - December 23, 2014 Category: Tropical Medicine Authors: Abdalrahman IB, Osman AM, Ali BM, Mustafa EI, Ali EE, Muneer MS Tags: Trop Doct Source Type: research

Study of acute febrile illness: A 10-year descriptive study and a proposed algorithm from a tertiary care referral hospital in rural Kerala in southern India.
Abstract Acute febrile illness (AFI), the initial diagnosis of whose cause is often presumptive, can sometimes be a challenge for the treating physician. To address this issue we carried out a hospital- based descriptive study. More than half (51.5%) of the patients were presumed to have viral fever. Most of the patients (60%) were in the productive phase of life (age range, 18-45 years). The outcome was worst among those aged over 65 years. A definite seasonal trend was observed with a peak in incidence with the arrival of the monsoon in Kerala. Public awareness regarding fevers in the pre-monsoon season should b...
Source: Tropical Doctor - December 23, 2014 Category: Tropical Medicine Authors: Ittyachen AM, Ramachandran R Tags: Trop Doct Source Type: research

Knowledge about prevention and management of acute diarrhoea among caregivers of children aged under 5 years treated at an emergency department in Pernambuco, Brazil.
CONCLUSIONS: Caregivers in this region had limited knowledge of appropriate diarrhoea management. PMID: 25537295 [PubMed - as supplied by publisher] (Source: Tropical Doctor)
Source: Tropical Doctor - December 22, 2014 Category: Tropical Medicine Authors: Dos Santos YF, de B Correia J, Falbo AR Tags: Trop Doct Source Type: research