Browsing by Author "K C, Niranjan"
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Publication A Rare Case of Bronchopulmonary Infection by Lophomonas Blattarum : A Case Report(Nepal Medical Association, 2025) Mahato, Arun Kumar; Shah, Sonu; K C, Rupak; Kandel, Sudarshan; Paudel, Neetika; Siddiqui, Saharoj; K C, NiranjanAbstract Lophomonas blattarum is a flagellated protozoan parasite found in cockroaches' and termites' hindgut. It can rarely cause bronchopulmonary infection in humans, especially in people with other comorbidities or immunocompromised, but the prevalence and characterization of the disease remains poorly understood. In this case report, we present a case of a 51-year-old male patient with underlying Hepatitis B presenting with a persistent cough for more than two weeks. During evaluation, microscopic examination of the wet mount of Bronchoalveolar lavage revealed actively motile trophozoite of Lophomonas blattarum. The patient was treated with metronidazole with significant improvement in two weeks.Publication Adult-onset Still’s Disease: A Case Report(Nepal Medical Association, 2023) Karki, Bikash; K C, Niranjan; Mahato, Arun Kumar; Kandel, Saksham; Acharya, PrakashAbstract Pyrexia of unknown origin refers to a fever of over 38.3°C on multiple occasions for at least three weeks without a known aetiology, even after a week of hospitalization. Adult-onset Still’s disease is a rare systemic auto-inflammatory disorder with a prevalence of 0.6/100,000 population characterized by spiking fever, arthralgia or arthritis and maculopapular rash. Here, we present a case of 19 years-old female with pyrexia of unknown origin. With no identifiable cause and fulfilled criteria of Yamaguchi, a diagnosis of adult-onset Still’s disease was made. She was treated with IV steroid therapy followed by oral steroids and non-steroidal anti-inflammatory drugs. This case highlights the awareness of the possible adult-onset Still’s disease patients with pyrexia of unknown origin. However, one should remain cautious and exclude all other differentials before making this diagnosis, as the actual disease may masquerade as adult-onset Still’s disease criteria.