Browsing by Author "Jha, P"
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Publication Case of necrotizing fasciitis of breast in a young lactating mother(Institute of Medicine, 2018) Jha, P; Jha, BKAbstract Introduction: Necrotizing fasciitis is an infection of soft tissues associated with a high risk of mortality. Primary necrotizing fasciitis of breast is an extremely rare condition with very few cases reported in literature. Case presentation: This case report describes a 19 year old Hindu female with necrotizing fasciitis of left breast. Patient was managed with intravenous antibiotics, early aggressive debridement, daily dressing followed by split thickness skin grafting. Conclusion: Though necrotizing fasciitis of breast is a rare condition, it should be suspected in a patient with pain and swelling of breast. Keywords: Necrotizing fasciitis, BreastPublication Extraintestinal Gastrointestinal Stromal Tumor arising from parietal wall: A rare entity(Institute of Medicine, 2018) Jha, BK; Jha, P; Vaidya, P; Kansakar, PBS; Manandhar, SAbstract Extraintestinal gastrointestinal stromal tumors (E-GIST) are rare types of GIST most commonly involving the mesentry, omentum and retroperitoneum. Parietal wall E-GIST are very rare. Very few cases have been reported in the literature. Keywords: GIST, parietal wallPublication Outbreak of Cholera in Tilathi VDC Saptari Nepal(Kathmandu University, 2012) Yadav, DK; Tamrakar, D; Baral, R; Jha, P; Gautam, S; Pokharel, PKABSTRACT Background On 2011, Cluster of cholera cases was reported in the Tilathi VDC of Saptari, Nepal. Objective The outbreak was investigated to identify the etiological agent and possible source of infection and guiding the prevention and control measures. Methods Demographic and clinical details were collected from the suspected case-patients, and the outbreak was described by time, place, and person. Focus group discussion and Key informant interview were conducted to assess the practice of sanitation, source of drinking water and probable cause of diarrheal disease. Five stool samples and 10 water samples of tube well and ponds were collected and microbiological study was done in BPKIHS Dharan. Results A total of 111 persons suffered with diarrhea and 02 died of it (attack rate 3.05%, case fatality rate 1.8%). All age groups were affected with disease (median age 26 yrs) and males were affected more than females. Descriptive epidemiology suggested the clustering of cases were around the pond where they clean utensils, take bath and wash clothes. The Vibrio cholerae 01 El Tor, Ogawa serotype was isolated in 03 out of 05 suspected stool samples and in all three of the pond water samples. They reported that most of the houses do not have the toilet and people do not wash their hands regularly with soap and water after defecation. Conclusion Vibrio cholerae was the causative agent behind the outbreak and probable source of infection was the problematic pond water which they used for different purpose. Immediate chlorination of the pond was recommended to halt further spread of the epidemics. KEY WORDS Cholera, outbreak, tilathi, saptariPublication Prenatal diagnosis of congenital anomalies and their outcome in Tribhuvan University Teaching Hospital(Institute of Medicine, 2017) Jha, BK; Jha, P; Dahal, GR; Pokharel, RPAbstract Introduction: Congenital anomalies represent defects in morphogenesis during early fetal life. The proportion of perinatal deaths due to congenital anomalies is increasing in developing countries like Nepal as a result of reduction of mortality due to other causes. Methods: A retrospective study was conducted in the Pediatric Surgery Unit, Department of Surgery, Tribhuvan University Teaching Hospital (TUTH). Data were collected from patients’ hospital files from 2013 to 2015 AD. Result: A total of 33 patients who had congenital anomalies either diagnosed and referred from outside or diagnosed at TUTH were included. Various types of anomalies involving different body systems were identified during the prenatal period. But surgery was performed in only seven cases. Conclusion: Due to widespread availability of ultrasound the number of patients with congenital anomalies who are being detected is on the rise. The proper management of these children in the intrauterine and neonatal period is a challenge in our context. Lack of proper policy and resources is a big hindrance to the proper management of these group of patients. Keywords: Congenital anomalies, Surgery, Nepal