Browsing by Author "Mahato, Arun Kumar"
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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 Typhoid Fever among Patients Diagnosed with Dengue in a Tertiary Care Centre: A Descriptive Cross-sectional Study(Nepal Medical Association, 2022) Mahato, Arun Kumar; Shrestha, Nischal; Gharti, Sakar Babu; Shah, MadhuAbstract Introduction: Dengue and typhoid fever are different entities with overlapping signs and symptoms which are indistinguishable and there have been few reports of co-infections from endemic areas. The resemblance of symptoms makes accurate clinical diagnosis and treatment difficult. Both are major health problems mainly during monsoon and co-infection, if not timely diagnosed and treated can be fatal. The aim of this study was to find out the prevalence of typhoid fever among patients diagnosed with dengue at a tertiary care centre. Methods: A descriptive cross-sectional study was done among patients of age >15 years with dengue fever attending the medicine outpatient department in a tertiary care centre from 1 July 2021 to 30 June 2022. Ethical approval was taken from the Institutional Review Committee (Reference number: 466/2020). Convenience sampling was used. Patients with other risk factors for febrile illness were excluded from the study. Point estimate and 90% Confidence Interval were calculated. Results: Among 95 dengue cases, typhoid fever was observed in 18 (18.95%) (12.36-25.54, 90% Confidence Interval). The mean age of presentation was 35±9 years with a male to female ratio of 0.8:1. Fever was the most common presentation with a mean temperature of 100.8±2.1°F. Conclusions: The prevalence of typhoid fever among dengue-positive cases was higher as compared to other studies done in similar settings.