Browsing by Author "Hussain, Asraf"
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Publication Atropine and Kounis syndrome, a rare association mimicking ST segment elevation myocardial infarction in a young patient: A Case Report(Nepalese Respiratory Society, 2023) Hussain, Asraf; Regmi, Shyam Raj; Dhital, Bishnu Mani; Thapa, Shovit; Dhungana, Tirth; Khan, Amir; Thapa, Sagar; Murarka, Rohit; Shrestha, Ashok; Chaudhary, Ramgobind; Kurmi, RamnarayanAbstract: Kounis syndrome is a hypersensitivity acute coronary disorder which occurs with allergic reaction with drugs, food and insect bite. Atropine is rarely found to be reported with such allergic reactions in the literatures. In this report, we describe a case of a 25 years old male, with a background history of psychotic disorder and cannabis dependent syndrome with persistent bradycardia. When challenged with atropine he developed chest pain, shortness of breath and urticarial rash. ECG showed ST segment changes which settled after symptomatic management. Coronary angiogram revealed normal coronary arteries. Though uncommonly reported, it is one of the confusing and underdiagnosed serious conditions for treating physicians which can potentially mimic ST segment elevation myocardial infarction.Publication Long COVID a perpetual threat even after COVID era? A case presentation(Nepalese Respiratory Society, 2022) Hussain, Asraf; Ansari, Parwez Alam; Gupta, Ajay Kumar; Kushwaha, Omprakash; Shah, Rupesh; Yadav, Surendra; Kaushik, PratibhaAbstract: Coronavirus disease 2019 (COVID-19) is a highly infectious disease. The acute phase of the disease has been focused upon and less importance is given to the long-term sequelae. A new term ‘long COVID’ is used to describe a diverse set of symptoms that persists for more than 12 weeks after a diagnosed COVID-19 infection with no alternative diagnosis. Predominant symptoms include persistent breathlessness, fatigue, cough, chest pain, palpitations, neurological and cognitive deficits, rashes, and gastrointestinal dysfunction. Risk factors for the development of long COVID are female gender, increased age, and increased BMI. Lung fibrosis is an important ailment in COVID survivors. Long COVID needs urgent attention for better understanding and specialized action plans to improve the quality of life in these patients and decrease their financial burden. Studies are warranted to investigate the early installation of antifibrotic agents in high-risk patients. Till we find better measures to counter long COVID, preventive measures and vaccination are the best available options. We are presenting here a case of long COVID who was admitted on multiple occasions for exacerbation of symptoms. He is now being managed on an outpatient basis.