Annals of Tropical Medicine and Public Health
Home About us Ahead Of Print Instructions Submission Subscribe Advertise Contact e-Alerts Editorial Board Reader Login
Users Online:1043
  Print this page  Email this page Small font sizeDefault font sizeIncrease font size
Export selected to
Reference Manager
Medlars Format
RefWorks Format
BibTex Format
  Citation statistics : Table of Contents
   2014| November-December  | Volume 7 | Issue 6  
    Online since April 14, 2015

  Archives   Previous Issue   Next Issue   Most popular articles   Most cited articles
Hide all abstracts  Show selected abstracts  Export selected to
  Cited Viewed PDF
Emerging Drug Resistance in Melioidosis
Madhavan Pillai Gopalakrishna Pillai, Baiju P Faizal, Vishnu Dev Urs
November-December 2014, 7(6):263-265
Melioidosis, also known as Whitmore disease, is caused by the bacterium Burkholderia pseudomallei, a motile, aerobic, non-spore-forming bacillus. The bacterium is known to thrive in tropical climates. However, the worldwide incidence of the disease appears to be increasing as a result of increased travel and epidemiological sophistication. [1] We report two patients who were diagnosed to have melioidosis, and the challenges faced in treating them.
  1 2,374 17
Acute cerebellar ataxia: A neurological manifestation in malaria
Peddametla Shravan Kumar, Siddula Manohar, Ravala Siddeswari, Mulam Mythili
November-December 2014, 7(6):266-267
Malaria is a vector-borne disease transmitted by the bite of an infected female anopheles mosquito presents with varied clinical manifestations. Neurological manifestations include headaches, confusion, convulsions, hemiplegia, ataxia, cerebral palsy, cortical blindness, and Guillain-Barre syndrome (GBS). We are presenting a case report of acute cerebellar ataxia in a 20-year-old male patient who presented with fever and positive for Plasmodium vivax and Plasmodium falciparum malaria antibodies.
  - 2,510 14
The newest H10N8 influenza: It is still a story of neurological problem due to new emerging influenzas
Somsri Wiwanitkit, Viroj Wiwanitkit
November-December 2014, 7(6):268-268
  - 1,252 14
Neuraminidase inhibitor resistance of the isolated influenza virus: Analysis of 54-month data from Thailand
Sora Yasri, Viroj Wiwanitkit
November-December 2014, 7(6):268-269
  - 1,126 14
Inguinal hydatidosis mimicking irreducible inguinal hernia
Sim Sai Tin, Viroj Wiwanitkit
November-December 2014, 7(6):269-269
  - 1,182 14
Facemask and respiratory protection for healthcare workers
Sim Sai Tin, Viroj Wiwanitkit
November-December 2014, 7(6):270-270
  - 1,141 14
Hypoglossal nerve palsy in a case of Guillain-Barré syndrome
Subrata Chakrabarti, Koushik Pan
November-December 2014, 7(6):270-270
  - 2,430 21
Cytomorphological tissue reaction patterns in lymph node tuberculosis and their correlation with bacterial density
Ruquiya Afrose, Navjeevan Singh, Arati Bhatia, Vinod Kumar Arora
November-December 2014, 7(6):255-262
Background: The diagnosis of extrapulmonary lymph node tuberculosis (TB) is made by the demonstration of different cytomorphological tissue reaction patterns on fine needle aspirations (FNA) smears; however, definitive diagnosis is made by demonstration of AFB by culture or Ziehl-Neelsen (ZN) stained smears. This procedure is technically demanding and time consuming, and is liable to fail on occasion for unexplained reasons. If the identification of cytomorphological patterns could predict bacterial density, it would help to improve diagnostic accuracy and also serve as a control on the acid-fast staining procedure. Therefore this study was being undertaken to determine the correlation between bacterial density and cytomorphological patterns in lymph node TB. Materials and Methods: FNA was performed on 505 clinically-suspected lymph node TB patients. May Grunwald Giemsa stained smears were used to analyze cytomorphological patterns and ZN stained smears for acid-fast bacilli (AFB) detection. Bacterial density (BI) was calculated by utilizing Ridley's logarithmic scale. Results: Seven distinct cytomorphological tissue reaction patterns were observed. Pattern 1 was predominantly an exudative response, comprising of neutrophils and mononuclear phagocytes and was the most common tissue reaction pattern, seen in 160 out of 505 patients (31.6%). Pattern 4, epithelioid cell granulomas with necrosis, was the second most common and seen in patients (29.3%). This study showed that multibacillary lesion (BI>1) was more often associated with pattern 1. Although the BI varied significantly across different cytomorphological tissue reaction patterns (P value = 0.004), no specific trend was observed as both paucibacillary as well as multibacillary lesions were noticed with different proportions among all tissue reaction patterns. Conclusion: The present study showed that multibacillary disease is more frequently associated with pattern 1 compared to pattern 4. However, more studies are needed to establish a trend among different cytomorphological tissue reaction patterns.
  - 3,006 14
Rickettsial disease outbreaks in India: A review
Vishal Dasari, Prabhdeep Kaur, Manoj V Murhekar
November-December 2014, 7(6):249-254
Rickettsial infections are caused by bacteria of the Rickettsiae family. Several reports in the past decade indicated the presence of disease in various parts of India. We reviewed the rickettsial outbreaks to describe the epidemiology, clinical features, laboratory investigations, entomological investigations, risk factors and treatment. We searched the literature about rickettsial diseases outbreaks in India using web databases. We included research papers about the investigation of rickettsial disease outbreaks during 2000-2011. We included 11 outbreaks from seven Indian states of which four were in a community setting rest were hospital based. There were more than 900 cases and forty two deaths with case fatality ratios 5%-17%. The clinical manifestations were fever, eschar, headache, myalgia, cough and lymphadenopathy. The laboratory diagnosis in 9 outbreaks was based on Weil Felix test either singly (n = 5) or in combination with Micro-immunofluorescence (n = 2) or ELISA (n = 2). Only IgM ELISA was used in 2 outbreaks. Only one of the outbreaks was due to Indian Tick Typhus while the remaining 10 were due to Scrub Typhus. Risk factor and entomological investigations were conducted in few studies. The review of rickettsial outbreaks in the last decade indicates its continued presence in several parts of the India. We recommend use of uniform case definition, capacity building for laboratory confirmation and entomology surveys. Doctors practicing in areas prone to these diseases need to be sensitized to have high index of suspicion while evaluating patients with fever and community should be educated to seek early treatment.
  - 8,372 15
  The Journal 
  Site Statistics 
  My Preferences 
  Online Submission