Browsing by Author "Joshi, Anish"
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Publication Clinical Profile, Radiological Resolution and Risk Factors Associated with Community Acquired Pneumonia(Nepal Paediatric Society (JNPS), 2018) Singh, Srijana Dongol; Shrestha, Narayan Charan; Joshi, AnishAbstract: Introduction Pneumonia is a widespread and commonest infectious lung disease that causes inflammation which lead to reduced oxygenation. Indeed, it is the leading cause of child death in the world. The study was carried out to fine out the demographic, clinical characteristics and radiologic resolution of Pneumonia in children between 2 months to 16 years of age. Material and Methods A prospective study done in 121 cases over 18 month period in patients admitted in pediatric department of Dhulikhel hospital. Demography, clinical profile, diagnosis, Down’s scoring at presentation, response of treatment and risk factor for fetal Community acquired pneumonia were analyzed using descriptive statics. Chest radiography was done on admission and every 2 weeks until its complete resolution occurred. Results A total of 121 patients with community acquired pneumonia were enrolled. The male and female ratio was 1.69:1. Among all age group it was most significantly common in children less than 1 year (p=.022).The common symptoms of Community acquired pneumonia observed in this study were cough (80%), fever (66%) and shortness of breath (38.8%). On chest roentgenogram right middle zone(47.9%) was most frequently involved. The total leukocyte count had low degree of association with pneumonia. More than half of patients (54.08%) with community acquired pneumonia had radiographic resolution at 2 weeks. The respiratory distress was significantly high (p<0.0001) in children who delayed to seek medical treatment in a health facility by three days.Anemia, lymphopenia, thrombocytopenia, sepsis and hemorrhagic pleural effusion were the clinical characteristics associated withfatal Community acquired pneumonia Conclusion Clinical presentations variesin Community acquired pneumonia with different age groups. Chest radiography is still best investigation for the diagnosis of pneumonia and most of the radiological clearance occurs in 2 weeks.Publication Complicated Congenital Pulmonary Adenomatoid Malformation Type I following Right Lower Lobectomy: A Case Report(Nepal Medical Association, 2024) Basnet, Preeti; Joshi, Anish; Karki, Saurab; Shrestha, Suchitra; Thapa, SagarAbstract Congenital pulmonary airway malformation is a rare congenital abnormality of the lungs. It can manifest at any age and can lead to significant morbidity and mortality in infants and children. Some individuals with congenital lung malformations may present with respiratory symptoms right after birth, while others may remain asymptomatic for extended periods. We present a case of a 4-year-old female child who experienced recurrent chest infections. Imaging revealed type I congenital pulmonary airway malformation with an underlying infection. Despite the increased risks associated with surgery and the complexity of the disease, the patient underwent a posterolateral thoracotomy with resection of the right lower lobe. The patient achieved successful outcomes and was able to recover successfully following the surgery. This case study holds significance because several studies have focused on the timing and outcomes of surgical intervention in asymptomatic cases, there remains a lack of consensus regarding symptomatic patients and their outcomes after surgery.