Tropical Medicine |
Introduction
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One of the thrilling aspects of living in Los Angeles is enjoying the diverse cultural atmosphere evident throughout the city. With its close proximity to the Mexican border, in addition to its pivotal role as a central hub for entry into the United States, many of our emergency department patients at LAC+USC are recent immigrants or international travelers. To improve our diagnostic abilities, tropical infectious diseases have become an important part of our emergency medicine training, a basic knowledge of which is fundamental for any physician working with these populations of patients. Past lectures have emphasized the diagnostic approach to fever in the returned traveler, tropical causes of space occupying lesions of the hepatobiliary tree diagnosed by bedside ultrasound, leprosy, malaria, and tropical skin ulcers. |
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Active research continues in tropical medicine in the emergency department at LAC+USC. Using mostly retrospective case reports and descriptive studies in the past as tools for further research, prospective studies are currently in progress and future projects are being planned. Our efforts range from identifying the parasite of Chagas' disease as an etiology of chest pain to the tapeworm Taenia Solium, which is responsible for many of our patients seizures. |
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With increasing immigration and ease of global travel, patients with tropical diseases will continue to present to our emergency department at LAC+USC. Recognizing this, our physicians will persist in our devotion to provide the highest quality of health care to all our patients.
Tuberculosis wards are not uncommon in many countries. It remains an enormous problem, both with diagnosis, compliance with treatment, and drug resistance (Solomon Islands) Also, descriptive abstract studies of diseases such as tetanus, malaria, typhoid, amebiasis, ascariasis, and leprosy have aided in our understanding and expanded our differential diagnosis. |