Browsing by Author "Basnet, R"
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Publication Paediatric Stroke: A Rare Presentation of Iron Deficiency Anemia in a Four Year Old Child(Kathmandu University, 2016) Subedi, K; Koirala, S; Basnet, R; Poudel, AABSTRACT Paediatric stroke is an uncommon syndrome with even lesser annual incidence rates of arterial ischemic stroke in infants and children. In children the diagnosis of stroke is frequently delayed or missed. This is due to subtle and nonspecific clinical presentations, a complicated differential diagnosis and a lack of awareness by physicians and also delay in the seeking of medical attention as in our case. We report you a rare case of a four year old child from remote Nepal who presented to our Out Patient Department after a long gap of around four months after the sudden onset of loss of consciousness and decreased movement of right limbs who after detailed history examination and lab investigations and imaging revealed ischemic stroke due to iron deficiency anemia. KEY WORDS Anemia, iron deficiency, pediatric strokePublication Pompe Disease: Cyanosed Hypotonic Infant with Normal Respiratory Rate(Kathmandu University, 2015) Koirala, S; Poudel, A; Basnet, R; Subedi, KABSTRACT Infantile hypotonia or floppy infant is a diagnostic challenge when it presents with other presenting complaints such as fever, cough or diarrhea. Many times the hypotonia goes unnoticed when other symptom covers the hypotonia and child continues to receive the treatment for other symptoms. We report a rare case from Nepal of infantile Pompe disease who presented with the history of fever and cough in the recent earthquake disaster camp at remote part of Sindhupalchowk, Nepal. He was being treated as a case of pneumonia. Pompe disease can be diagnosed clinically by taking detailed history and correlating the clinical findings during the presentation with other symptoms. In our case the normal respiratory rate, reduced Spo2 and presence of crackles dominated the hypotonia and was mistreated as pneumonia. High index of suspicion is necessary in diagnosing Pompe disease. KEY WORDS Developmental delay, hypertrophic cardiomyopathy, hypotonia, normal respiratory rate, pompe disease