Browsing by Author "Limbu, Sion Hangma"
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Publication Navigating challenges in management of drug resistant tuberculosis: Case experience from Nepal(Nepalese Respiratory Society, 2022) Verma, Avatar; Bhatta, Narendra; Mishra, Deebya Raj; Acharya, Achyut Bhakta; Shahi, Rejina; Limbu, Sion Hangma; Katuwal, SrijanAbstract: Drug resistant tuberculosis (DR TB) a severe form of TB is a disease of concern. Its treatment requires multiple toxic drugs for prolonged duration because of which, often have complicated course requiring close supervision, continuous encouragement from physician, management of side effects and modification of drug regimen for successful outcome. In this report, we are presenting a case of diabetic patient suffering from DR TB highlighting key diagnostic and management challenges.Publication Small Cell Lung Carcinoma with Pancoast Syndrome: A Case Report(Nepal Medical Association, 2022) Limbu, Sion Hangma; Bhatta, Narendra; Mishra, Deebya Raj; Acharya, Achyut Bhakta; Verma, Avatar; Shahi, Rejina; Katuwal, Srijan; Singh, Sunil KumarAbstract: Small cell lung cancer mostly arises centrally in the large bronchi. The literature search revealed very limited cases of small cell lung cancer arising at the upper part of the pulmonary sulcus near the thoracic inlet as superior sulcus tumor and also manifesting with typical Pancoast syndrome. We report a case of a 71 years old male patient, presenting with features of Pancoast syndrome including Horner’s syndrome with completed three cycles of chemotherapy resulting in partial response which concludes that small cell lung carcinoma has to be considered despite the clinical findings like pancoast syndrome.