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6 T ropical infections and infestations

ACKNOWLEDGEMENT

ACKNOWLEDGEMENT The authors acknowledge the contribution of Professor Ahmed Hassan Fahal MBBS, F...

AMOEBIASIS Introduction

AMOEBIASIS Introduction Amoebiasis is caused by Entamoeba histolytica. The disease is common in t...

ASIATIC CHOLANGIOHEPATITIS Introduction

ASIATIC CHOLANGIOHEPATITIS Introduction This disease, also called oriental cholangiohepatitis, is...

Aetiology and pathology

Aetiology and pathology Cassava (tapioca) is a root vegetable that is readily available and inexp...

Amoeboma

Amoeboma This is a chronic granuloma arising in the large bowel, most commonly seen in the caecum...

Classification

Classification In 2003, the WHO Informal Working Group on Echinoco - ccosis (WHO-IWGE) proposed a ...

Clinical features and diagnosis

Clinical features and diagnosis The disease is slowly progressive and a ff ects the skin, upper re...

Clinical features

Clinical features The typical patient with an amoebic liver abscess is a young adult male with a ...

Clinical presentation

Clinical presentation As mycetoma is painless, presentation is late in the majority . It presents...

Culture

Culture A variety of microorganisms are capable of producing myce - tomata that can be identified ...

Diagnosis

Diagnosis The disease may remain dormant for many years. Clinical features are non-specific and in...

Differential diagnosis

Differential diagnosis Mycetoma should be distinguished from Kaposi’s sarcoma, malignant melanoma...

Epidemiology and pathogenesis

Epidemiology and pathogenesis The condition predominantly occurs in the ‘mycetoma belt’ that lies...

FILARIASIS Introduction

FILARIASIS Introduction Filariasis is mainly caused by the parasite Wuchereria bancrofti , which ...

FURTHER READING

FURTHER READING AMOEBIASIS Barnes SA, Lillemore KD. Liver abscess and hydatid disease In: Zinner ...

Fine-needle aspiration cytology

Fine-needle aspiration cytology Fine-needle aspiration cytology (FNAC) can yield an accurate diag...

HYDATID DISEASE

HYDATID DISEASE HYDATID DISEASE HYDATID DISEASE

Histopathological diagnosis

Histopathological diagnosis Deep biopsy is obtained under general or regional anaesthesia, althou...

Imaging techniques

Imaging techniques On ultrasonography , an abscess cavity in the liver is seen as a - hypoechoic ...

Introduction and pathology

Introduction and pathology Hydatid disease is caused by Echinococcus granulosus, commonly calle...

Introduction

INTRODUCTION Most surgical conditions in the tropics (regions of the Earth surrounding the equat...

Investigations

Investigations The haematological and biochemical investigations reflect the presence of a chroni...

LEPROSY Introduction

LEPROSY Introduction Leprosy , also called Hansen’s disease, is a chronic infectious disease caus...

Learning objectives

Learning objectives To be able to list: The common surgical infections and infestations that • oc...

MYCETOMA Introduction

MYCETOMA Introduction Mycetoma is a chronic, specific, granulomatous, progressive, destructive infl...

Management

Management Surgical management is directed mainly towards the rehabili - tation of the patient wh...

POLIOMYELITIS Introduction

POLIOMYELITIS Introduction Poliomyelitis is an enteroviral infection that sadly still a ff ects ch...

Pathogenesis

Pathogenesis y are The organism enters the gut through food or water contam - inated with the cys...

Pathology and life cycle

Pathology and life cycle The fertilised eggs can survive in a hostile environment for a long time...

Pathology

Pathology In humans, the parasite matures into the adult worm in the intrahepatic biliary radicle...

Pulmonary hydatid disease

Pulmonary hydatid disease The lung is the second commonest organ a ff ected after the liver. The s...

ROUNDWORM ( ASCARIS LUMBRICOIDES ) Introduction

ROUNDWORM ( ASCARIS LUMBRICOIDES ) Introduction Ascaris lumbricoides, commonly called the roundwo...

Spread

Spread Local spread occurs predominantly along tissue planes. The organism multiplies to form col...

Surgical treatment

Surgical treatment Surgery is indicated for small, localised lesions, resistance to medical treat...

TROPICAL CHRONIC PANCREATITIS Introduction

TROPICAL CHRONIC PANCREATITIS Introduction Tropical chronic pancreatitis is a disease a ff ecting ...

TUBERCULOSIS OF SMALL INTESTINE Introduction

TUBERCULOSIS OF SMALL INTESTINE Introduction Infection by M. tuberculosis is common in the tropic...

TUBERCULOSIS

TUBERCULOSIS Although tuberculosis can a ff ect all systems in the body , in the tropical world th...

TUBERCULOUS CERVICAL LY M P H A D E N I T I S Intr

TUBERCULOUS CERVICAL LY M P H A D E N I T I S Introduction This is common in the Indian subcontin...

TUBERCULOUS CERVICAL LY M P H A D E N I T I S Introduction

TUBERCULOUS CERVICAL LY M P H A D E N I T I S Introduction This is common in the Indian subcontin...

TYPHOID Introduction

TYPHOID Introduction Typhoid fever is caused by Salmonella Typhi , also called the typhoid bacill...

Treatment

Treatment Medical treatment is very e ff ective and should be the first choice in the elective situ...