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Tropical Doctor最新文献

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Beyond cost-saving: Adding value to frugal and context-specific innovations in global surgery. 超越成本节约：在全球手术中为节俭和具体情况的创新增加价值。
IF 0.6 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Tropical Doctor
Pub Date : 2026-04-01 Epub Date: 2026-01-08 DOI: 10.1177/00494755251413142
Dhananjaya Sharma, Sanjay Kumar Yadav, Michael Cotton
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引用次数: 0
Fatal brucellosis presenting with multi-organ dysfunction and leukaemoid reaction: A case report. 以多器官功能障碍和白血病样反应为表现的致命性布鲁氏菌病1例报告。
IF 0.6 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Tropical Doctor
Pub Date : 2026-04-01 Epub Date: 2026-01-07 DOI: 10.1177/00494755251413831
Thotanolla Surya Prakash, Jeeja Jaya Janardhanan, Namesh Kamat
{"title":"Fatal brucellosis presenting with multi-organ dysfunction and leukaemoid reaction: A case report.","authors":"Thotanolla Surya Prakash, Jeeja Jaya Janardhanan, Namesh Kamat","doi":"10.1177/00494755251413831","DOIUrl":"10.1177/00494755251413831","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"390-391"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145918920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A case of multiple gastrointestinal pathogens in a HIV-negative child: A diagnostic clue to combined immunodeficiency. 一例hiv阴性儿童多重胃肠道病原体：联合免疫缺陷的诊断线索。
IF 0.6 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Tropical Doctor
Pub Date : 2026-04-01 Epub Date: 2026-01-22 DOI: 10.1177/00494755261416600
Kevin Joseph R, Prabhav Aggarwal, Sonal Saxena
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引用次数: 0
Clinical Utility of 'Med-Tu Chart' for the assessment of severity of corrosive ingestion: A prospective observational study. “Med-Tu图”用于评估腐蚀性摄入严重程度的临床应用：一项前瞻性观察研究。
IF 0.6 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Tropical Doctor
Pub Date : 2026-04-01 Epub Date: 2025-11-20 DOI: 10.1177/00494755251395926
Yarlagadda Yashwanth Kumar, Uday Shamrao Kumbhar, Chellappa Vijayakumar, Oseen Shaikh, Harichandrakumar K T

Endoscopy remains the gold standard investigation for assessing the severity of corrosive digestive injuries. Our prospective observational study aimed to validate the 'Med-Tu chart' for the evaluation of corrosive injury, where endoscopy is not available, and found it to have an acceptable diagnostic accuracy in detecting the severity of corrosive ingestion.

内窥镜检查仍然是评估腐蚀性消化系统损伤严重程度的金标准。我们的前瞻性观察研究旨在验证“Med-Tu图”在无法进行内窥镜检查的情况下对腐蚀性损伤的评估，并发现它在检测腐蚀性摄入的严重程度方面具有可接受的诊断准确性。
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引用次数: 0
Sweat: An under-recognized cause of pigmentary changes in the tropics. 汗水：在热带地区，一种未被认识到的引起色素变化的原因。
IF 0.6 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Tropical Doctor
Pub Date : 2026-04-01 Epub Date: 2025-12-03 DOI: 10.1177/00494755251403800
Hima Gopinath, Vijayasankar Palaniappan, Nerukonda Pavani, Kaliaperumal Karthikeyan
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引用次数: 0
Bicytopenia with haemolysis: Think severe vitamin B12 deficiency-associated thrombotic microangiopathy. 双氧体减少伴溶血：考虑与严重维生素B12缺乏相关的血栓性微血管病。
IF 0.6 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Tropical Doctor
Pub Date : 2026-04-01 Epub Date: 2025-11-24 DOI: 10.1177/00494755251398114
Isaac Ks Ng, Charisse Wn Loh

Bicytopenia is not uncommonly encountered in clinical practice; it may reflect either marrow failure or a consumptive process such as haemolysis with thrombotic microangiopathy (TMA). We describe a case of a patient with bicytopenia caused by severe Vitamin B12 deficiency, where there is laboratory evidence that is suggestive of haemolysis in what is known as pseudo-TMA phenomenon. Lack of awareness of this entity may lead clinicians to misdiagnose such cases as microangiopathic haemolytic anaemia (MAHA) or thrombotic thrombocytopenic purpura (TTP), which could lead to inappropriate immunomodulatory treatment or plasmapheresis being administered. To distinguish between true MAHA/TTP and pseudo-TMA from severe vitamin B12 deficiency, reticulocyte and vitamin B12 levels are useful tests in the first instance, while ADAMTS13 activity is the definitive test to diagnose TTP if suspected.

在临床实践中，自行车减少症并不罕见；它可能反映骨髓衰竭或消耗性过程，如溶血伴血栓性微血管病（TMA）。我们描述了一个病例的病人与严重的维生素B12缺乏症引起的双氧体减少症，其中有实验室证据，是提示溶血是所谓的伪tma现象。缺乏对这种实体的认识可能导致临床医生误诊诸如微血管病溶血性贫血（MAHA）或血栓性血小板减少性紫癜（TTP）等病例，这可能导致不适当的免疫调节治疗或血浆置换。为了从严重的维生素B12缺乏症中区分真正的MAHA/TTP和伪tma，网织红细胞和维生素B12水平首先是有用的测试，而ADAMTS13活性是诊断TTP的最终测试。
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引用次数: 0
Antidotes to overdiagnosis and overtreatment. 过度诊断和过度治疗的解毒剂。
IF 0.6 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Tropical Doctor
Pub Date : 2026-04-01 Epub Date: 2025-11-19 DOI: 10.1177/00494755251397147
Isaac Ks Ng, Wilson Gw Goh
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引用次数: 0
An unusual case of myiasis at the feeding jejunostomy stoma site. 在喂养空肠造口部位发生蝇蛆病的罕见病例。
IF 0.6 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Tropical Doctor
Pub Date : 2026-04-01 Epub Date: 2025-12-09 DOI: 10.1177/00494755251404264
Preethi Shilpa, Charan Bala, Sahithi Konduru, Oseen Shaikh
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引用次数: 0
Starvation marrow in the tropics: Gelatinous bone marrow transformation as an underdiagnosed but reversible cause of pancytopenia. 热带地区的饥饿骨髓：胶质骨髓转化是全血细胞减少症的一种未确诊但可逆的病因。
IF 0.6 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Tropical Doctor
Pub Date : 2026-04-01 Epub Date: 2025-12-05 DOI: 10.1177/00494755251403044
Kaninika Sanyal, Hitakshi Goel, Mrinalini Kotru
{"title":"Starvation marrow in the tropics: Gelatinous bone marrow transformation as an underdiagnosed but reversible cause of pancytopenia.","authors":"Kaninika Sanyal, Hitakshi Goel, Mrinalini Kotru","doi":"10.1177/00494755251403044","DOIUrl":"10.1177/00494755251403044","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"380-383"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145688386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bias in epidemiology: Evolution of concepts and implications for research validity. 流行病学中的偏见：概念的演变及其对研究有效性的影响。
IF 0.6 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Tropical Doctor
Pub Date : 2026-04-01 Epub Date: 2026-01-05 DOI: 10.1177/00494755251411745
Dheeraj Sharma
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引用次数: 0
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