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Browsing by Author "Gaur, Bablu Kumar"

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    Childhood Neurocysticersosis: A Rural Teaching Hospital Experience
    (Nepal Paediatric Society (JNPS), 2019) Bhalla, Arjun Sakha; Maini, Baljeet; Gaur, Bablu Kumar
    Abstract: Introduction: Neurocysticercosis (NCC) is caused by the larval stage of Taenia Solium. Neurocysticercosis is the most common cause of acquired epilepsy in developing countries. In India NCC has been identified as a significant cause of seizures. Methods: This prospective observational study was conducted on 150 children of NCC up to 18 years of age in a tertiary care hospital. The diagnosis was based on clinical and laboratory/ radiological evaluation of the patients. Socio-clinical, radiological and serological data of the patients were analysed. Results: A total of 150 children were enrolled in this study. The commonest age group of the cases in this study was six to 10 years. Male to female ratio was 1.8:1. The largest percentage of cases belonged to upper lower class (56%) and lowest was 4% in upper class. Sixty percent subjects were non vegetarian. Seizures were the most common presentation (96%). Headache was present in 44% cases. Single lesion was commonest type of lesion on radiological examination with frontal cortex as most commonly involved area of brain. Stage II NCC was commonest type of lesion on MRI. EEG was abnormal in 38% cases. Serum ELISA for cysticercosis was positive in 10% cases. Number of lesions was not associated with age group, type of seizure or any particular area of brain. Conclusion: Stage II NCC the commonest type of NCC. Single lesion NCC was more common than multiple lesions. All cases with atypical presentation and positive ELISA had multiple lesions. Frontal portion of cortex was most commonly involved.
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    Multiple Splenic Abscess in an Immunocompetent Child: A rare case Report
    (Nepal Paediatric Society (JNPS), 2023) Gaur, Bablu Kumar; Yadav, Amiya; Singh, Rupa R
    Abstract: Enteric fever is one of the most common bacterial infections found in developing countries. Splenic abscess is a rare and unrecognized but fatal complication of enteric fever in children. This is usually solitary rather than multiple and can be dangerous if untreated. Here, we report a case of splenic abscess in an adolescent girl who was successfully managed with antibiotics and percutaneous drainage of pus from the splenic parenchyma.
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    Platelet Indices in Neonates: A Comparative Study of Normal and Low Birth Weight Babies
    (Nepal Paediatric Society (JNPS), 2019) Duggal, Tegsimran; Maini, Baljeet; Chauhan, Gauri; Gaur, Bablu Kumar; Sharma, Mukti; Bhardwaj, Anand Kumar
    Abstract: Introduction: Birth weight is an important indicator of perinatal and neonatal outcome. Low birth weight (LBW) babies suffer from many problems in neonatal period and have more morbidity and mortality as compared to normal weight babies. Platelets play an important role in neonatal immunity. Platelet indices of LBW babies are not well understood and may have contributed to morbidities in these babies. This study was conducted to study the platelet indices in LBW babies. Methods: All inborn LBW babies born in our centre and fulfilling the inclusion criteria were enrolled in the study. Study period was of one and half years (Oct 2015 – Apr 2017). Cord blood sample (2 ml) was collected and platelet indices namely Platelet Count (PC), Mean Platelet Volume (MPV), Platelet Distribution Width (PDW), were assessed. Blood sample was processed with a hospital laboratory based automated analyser. Neonatal morbidities were recorded. Platelet indices were analysed with respect to low birth weight. Results: The platelet count in LBW babies was lower than the control group. Other indices i.e. PDW and MPV however did not show significant variation between both the groups. Conclusions: LBW babies had lower platelet counts but other platelet indices were not significantly affected. The results need to be substantiated with further larger studies in the future.

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