Diabetic foot ulcers (DFUs) are among the most debilitating complications of diabetes mellitus, substantially increasing morbidity, healthcare costs, and risk of amputation. We prospectively evaluated the efficacy of various tailored surgical offloading procedures in promoting biomechanical ulcer healing and preventing recurrence. No patient experienced ulcer recurrence or new ulcer formation during a mean follow-up of one year. Revision surgery was not required in any case. Individualised surgical offloading techniques are viable and effective for DFUs as they address the underlying biomechanical derangements that predispose to ulceration.
{"title":"Correcting the cause: Surgical offloading for healing and recurrence prevention in neuro-mechanical diabetic foot ulcers.","authors":"Pawan Agarwal, Mansi Nema, Rajeev Rs Kukrele, Dhananjaya Sharma","doi":"10.1177/00494755251414933","DOIUrl":"10.1177/00494755251414933","url":null,"abstract":"<p><p>Diabetic foot ulcers (DFUs) are among the most debilitating complications of diabetes mellitus, substantially increasing morbidity, healthcare costs, and risk of amputation. We prospectively evaluated the efficacy of various tailored surgical offloading procedures in promoting biomechanical ulcer healing and preventing recurrence. No patient experienced ulcer recurrence or new ulcer formation during a mean follow-up of one year. Revision surgery was not required in any case. Individualised surgical offloading techniques are viable and effective for DFUs as they address the underlying biomechanical derangements that predispose to ulceration.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"270-275"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012258","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}
Neurobrucellosis can present as raised intracranial pressure (headache, diplopia, and papilledema) without fever or meningeal signs. Steroids might be helpful in the management.
{"title":"Isolated intracranial hypertension in neurobrucellosis.","authors":"Venkata Jaya Divya Tenneti, Anjely Sebastian, Shagun Pareek, M Mukhayprana Prabhu, Nitin Gupta","doi":"10.1177/00494755261415701","DOIUrl":"10.1177/00494755261415701","url":null,"abstract":"<p><p>Neurobrucellosis can present as raised intracranial pressure (headache, diplopia, and papilledema) without fever or meningeal signs. Steroids might be helpful in the management.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"366-367"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991214","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}
Pub Date : 2026-04-01Epub Date: 2026-02-10DOI: 10.1177/00494755261420973
Praveen Kumar Dubey, Ajoy Kumar Behera, Atish Mohapatra, Ranganath T Ganga
{"title":"Disseminated melioidosis complicated by osteomyelitis and pulmonary embolism in a patient with sickle cell disease and type 1 diabetes: A rare clinical triad.","authors":"Praveen Kumar Dubey, Ajoy Kumar Behera, Atish Mohapatra, Ranganath T Ganga","doi":"10.1177/00494755261420973","DOIUrl":"10.1177/00494755261420973","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"335-337"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158931","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}
Pub Date : 2026-04-01Epub Date: 2026-02-06DOI: 10.1177/00494755261419977
Reymark P Malinda, Kent T Onahon, Derren N Gaylo, Kehinde Precious Fadele, Reuben Victor M Laguitan, Don Eliseo Lucero-Prisno
{"title":"Medical content creators in the Philippines: Opportunities, risks and implications for public health communication.","authors":"Reymark P Malinda, Kent T Onahon, Derren N Gaylo, Kehinde Precious Fadele, Reuben Victor M Laguitan, Don Eliseo Lucero-Prisno","doi":"10.1177/00494755261419977","DOIUrl":"10.1177/00494755261419977","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"438-439"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133057","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}
A high incidence of multidrug resistance (MDR) exists in many special neonatal care units, and ours is no exception. We therefore evaluated the short-term outcomes of 135 neonates with severe sepsis on intravenous colistimethate sodium (Colistin) therapy and its effect on the incidence of nephrotoxicity. We found 17.5% resistance with hardly any nephrotoxicity amongst 57 Gram-negative bacteria, suggesting colistin as a reasonable choice as a reserve drug, even in centres with high MDR incidence.
{"title":"Short-term outcomes of neonates with severe sepsis on intravenous colistin therapy - A prospective study.","authors":"Shyna Soin, Amanpreet Sethi, Gurmeet Kaur, Shashi Kant Dhir, Anmol Bansal, Himanshi Singla","doi":"10.1177/00494755251397149","DOIUrl":"10.1177/00494755251397149","url":null,"abstract":"<p><p>A high incidence of multidrug resistance (MDR) exists in many special neonatal care units, and ours is no exception<b>.</b> We therefore evaluated the short-term outcomes of 135 neonates with severe sepsis on intravenous colistimethate sodium (Colistin) therapy and its effect on the incidence of nephrotoxicity. We found 17.5% resistance with hardly any nephrotoxicity amongst 57 Gram-negative bacteria, suggesting colistin as a reasonable choice as a reserve drug, even in centres with high MDR incidence.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"276-283"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607047","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}
Pub Date : 2026-04-01Epub Date: 2025-12-08DOI: 10.1177/00494755251398128
Shaira Haziera Samsu, Lausanne Chua, Tengku Ain Kamalden, Shao Sze Tan
{"title":"Bilateral para-infectious optic neuritis post Epstein-Barr virus infection in an adult patient: A case report.","authors":"Shaira Haziera Samsu, Lausanne Chua, Tengku Ain Kamalden, Shao Sze Tan","doi":"10.1177/00494755251398128","DOIUrl":"10.1177/00494755251398128","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"314-317"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145709970","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}
Pub Date : 2026-04-01Epub Date: 2026-02-18DOI: 10.1177/00494755261417495
Devika Jabagodu Lingappa, Freston Marc Sirur, Vrinda Lath, Usha Wagle
{"title":"Malabar pit viper envenomation to the face: A case report.","authors":"Devika Jabagodu Lingappa, Freston Marc Sirur, Vrinda Lath, Usha Wagle","doi":"10.1177/00494755261417495","DOIUrl":"10.1177/00494755261417495","url":null,"abstract":"","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"375-376"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221685","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}
Pub Date : 2026-04-01Epub Date: 2025-12-08DOI: 10.1177/00494755251404851
Tanya Grover, Sumedha Sharma, Aruna Nigam, Dina Aisha Khan, Nidhi Gupta
Our study aims to correlate meconium-stained amniotic fluid with subclinical chorio-amnionitis and associated cardio-tocographic (CTG) changes in women of >34 week gestation. We found CTG abnormalities in 47.2% cases and 24.1% controls, showing a significant correlation between meconium stained amniotic fluid and CTG abnormalities. These were not significantly associated with subclinical chorio-amnionitis, though the neonatal outcome of these babies was worse. Consequently, it is essential to balance the use of CTG with clinical judgement and other diagnostic tools to avoid unnecessary Caesarean section, while ensuring the safety of both mother and foetus.
{"title":"Correlation of meconium-stained amniotic fluid with subclinical chorioamnionitis and associated cardiotocographic changes.","authors":"Tanya Grover, Sumedha Sharma, Aruna Nigam, Dina Aisha Khan, Nidhi Gupta","doi":"10.1177/00494755251404851","DOIUrl":"https://doi.org/10.1177/00494755251404851","url":null,"abstract":"<p><p>Our study aims to correlate meconium-stained amniotic fluid with subclinical chorio-amnionitis and associated cardio-tocographic (CTG) changes in women of >34 week gestation. We found CTG abnormalities in 47.2% cases and 24.1% controls, showing a significant correlation between meconium stained amniotic fluid and CTG abnormalities. These were not significantly associated with subclinical chorio-amnionitis, though the neonatal outcome of these babies was worse. Consequently, it is essential to balance the use of CTG with clinical judgement and other diagnostic tools to avoid unnecessary Caesarean section, while ensuring the safety of both mother and foetus.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":"56 2","pages":"294-297"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379307","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}
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