https://hdl.handle.net/20.500.14356/1663 2026-04-13T10:33:29Z 2026-04-13T10:33:29Z Sah, R K Ghimire, S Bagale, B B Kayastha, M Chapagain, R H https://hdl.handle.net/20.500.14356/1721 2024-05-09T06:37:54Z 2016-01-01T00:00:00Z

Title: Klippel-Trenaunay Syndrome: A Case Report Authors: Sah, R K; Ghimire, S; Bagale, B B; Kayastha, M; Chapagain, R H Abstract: Abstract Klippel-Trenaunaysyndrome(KTS) is a rare congenital condition usually presenting with port wine stains, excessive growth of bones and soft tissue and varicose veins which most commonly occurs in the legs, but it also may affect the arms, face, head, or internal organs. We report a case of term male neonate with clinical findings of Port-wine stain, multiple cystic swellings with ultrasonographic findings suggestive of vascular malformations and limb abnormalities in the form ofsoft tissue hypertrophy of right upper limb, polydactyly of right hand and syndactyly of left hand consistent withKlippel-Trenaunay syndrome. Keywords: Klippel-trenaunay syndrome; port-wine stain, vascular malformations; soft tissue swelling;polydactyly. Description: Case Study

2016-01-01T00:00:00Z Canan, A https://hdl.handle.net/20.500.14356/1717 2024-05-09T06:38:22Z 2016-01-01T00:00:00Z

Title: Mimicker of Renal Colic: Mesenteric Panniculitis Authors: Canan, A Abstract: Abstract A Mesenteric panniculitis is an uncommon disorder with unknown etiology. It may cause nonspesific abdominal or systemic symptoms. Radiological modalitis especially computed tomography are very helpful to make a diagnosis. Hence, the radiologist should be familiar with its tomographic findings to avoid further examinations and unnecessary surgery. We report computed tomography findings of mesenteric panniculitis in an adult patient with renal colic. Keywords: Computed tomography; mesenteric panniculitis; renal colic. Description: Case Study

2016-01-01T00:00:00Z Chaudhary, S Singh, R R Shah, G S Agrawal, J Kafle, S Shah, L https://hdl.handle.net/20.500.14356/1715 2024-05-09T06:38:51Z 2016-01-01T00:00:00Z

Title: Outcome of Twin Deliveries at a Tertiary Care Centre of Eastern Nepal Authors: Chaudhary, S; Singh, R R; Shah, G S; Agrawal, J; Kafle, S; Shah, L Abstract: Abstract Background: Twins, compared to singletons, have higher perinatal mortality and morbidity. The aim of this study was to describe the twinning rate, epidemiological variables and hospital outcome of twin deliveries and to find out ways of better management of twins in our part. Methods: A retrospective evaluation of the outcome of 92 twin pregnancies during one year study period (1st January 2014 to 31st December 2014) was conducted at BPKIHS. Twins delivered within the institution were included but cases less than 28 weeks gestation were excluded. Maternal and neonatal data were retrieved and analysed. Results: The twinning rate was 9.2/1000 (92/10,031). The mean birth weight was 1636.30 ±339.21 grams and mean gestational age 34.31±2.67 weeks(28 – 40 weeks). One hundred eighty-two babies (98.9%) were low birth weight (LBW) while 32.1% were small for gestational age (SGA). There was mild, moderate and severe growth discordance in 63 (68.5%)22 (23.9%)and 7 (7.6%) respectively. Three (3.26%) of 92 pairs had twin-to-twin transfusion syndrome. The hospital mortality rate was 10.87% (20/184) and 69 (37.5%) babies had complications. The clinical causes of death were hyaline membrane disease in 7 (3.3%), severe birth asphyxia in 5 (2.7%), congenital malformations in 3(1.6%) and sepsis in 3 (1.6%) babies. Conclusions: Twin deliveries are common in this hospital and have poor hospital outcome with more complications and mortality. Hence there is a need for further studies with long term follow-ups to plan for better management of twins in our part. Keywords: Low birth weight (LBW);preterm; small for gestational age (SGA);twins. Description: Original Article

2016-01-01T00:00:00Z Upadhayay, B P Shakya, G Adhikari, S Rijal, N Acharya, J Maharjan, L Marasini, B R https://hdl.handle.net/20.500.14356/1713 2024-05-09T06:39:21Z 2016-01-01T00:00:00Z

Title: Scrub Typhus: An Emerging Neglected Tropical Disease in Nepal Authors: Upadhayay, B P; Shakya, G; Adhikari, S; Rijal, N; Acharya, J; Maharjan, L; Marasini, B R Abstract: Abstract Background: Scrub typhus is a neglected tropical disease and is under reported from Nepal. The objective of this study was to investigate the sero-epidemiology of scrub typhus in patients suffering from acute febrile illness. Methods: A total of 434 specimens collected from July to November 2015 at National Public Health Laboratory (NPHL) were investigated for detection of immunoglobulin M (IgM) antibody to Orientiatsutsugamushi.The Scrub Typhus Detect TM kit (InBios, USA) was used to detect the antibodies to O.tsutsugamushiin human serum. Randomly selected 10% positive specimens were used for confirmation by dot- enzyme-linked immunosorbent assay and indirect immunofluorescence assay. Results: Of the total, 175 (40.3%) were positive for IgM antibodies to O. tsutsugamushi. Positive results of scrub typhus were highest among female in 11-20 yearfollowed by males in41-50 years age group. The IgM antibodies to O. tsutusugamushi werepositive in specimens of various geographical regions including 30 districts of Nepal. Positive cases were found in various ecological regions of Nepal. Conclusions: Scrub typhus is one of the neglected tropical diseases in Nepal. Patients with acute febrile illness should be investigated for scrub typhus with high priority. There is an urgent need of reliable and affordable diagnostic tests at all level of health facilities of Nepal. Surveillance and public health awareness about the disease transmission and preventive measures needs to be initiated. Keywords: Epidemiology; Nepal; orientiatsutsugamushi; scrubtyphus. Description: Original Article

2016-01-01T00:00:00Z