Browsing by Author "Nayek, Kaustav"
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Publication A Study on Clinico-Epidemiological Profile of Poisoning in Children in a Rural Tertiary Care Hospital(Nepal Paediatric Society (JNPS), 2016) Sil, Archan; Ghosh, Tarak Nath; Bhattacharya, Sudipta; Konar, Mithun Chandra; Soren, Baisakhi; Nayek, KaustavAbstract: Introduction: Poisoning is an important cause of morbidity and mortality in paediatric age group. Objective of this study was to determine the pattern of poisoning in paediatric age group in respect to epidemiological characteristics, aetiology, clinical features and mortality in a major part of South Bengal. Material and Methods: This was a retrospective, observational study conducted in the paediatric medicine ward and paediatric intensive care unit (PICU) of Burdwan Medical College from January, 2015 to December, 2015.All children in the age group of less than or equal to 12 years who visited the paediatric emergency with history of exposure to toxic substances were included in the study. Poisoning due to insect or animal bite was excluded from the study. Data was obtained from hospital records and the admission register of paediatric emergency, entered in the Microsoft excel sheet and analysed by using statistical software SPSS version 17. Results: During the study period, 393 patients with poisoning were reported, which was 1.9% of all pediatric admissions. Majority were in the 1-3 year age group (59.6%). Volatile hydrocarbons accounted for the highest proportion of poisonings (153 cases, 38.9%).. GI system involvement (36.5 %) was most common. The total mortality of poisoning patients was 8. Conclusion: Number of children, presenting with poisoning was higher in our study in comparison to other studies. Volatile hydrocarbons were common source of poisoning in our study. More epidemiological studies are required to identify socio-demographic risk factors of poisoning.Publication Caffey’s Disease Affecting the Ribs(Nepal Paediatric Society (JNPS), 2012) Nayek, Kaustav; Barik, Kanailal; Chaki, Bhusan; Adhikary, AmitAbstract: Caffey’s disease is a rare disorder affecting the bones in infancy. It is characterized by irritability, fever, cortical hyperosteosis and adjacent soft tissue swelling. Here is report of an uncommon case where the ribs were significantly affected including the clavicle.Publication Lung Hypoplasia Without Other Congenital Anomaly- A Rarely Encountered Entity(Nepal Paediatric Society (JNPS), 2013) Ghosh, Nilanjan; Das, Nabanita; Nayek, KaustavAbstract: A case of left sided lung hypoplasia is described in a seven year old female. She was admitted in our department with complaints of recurrent chest infections since infancy. Clinical examination revealed a febrile child with respiratory distress and with grossly diminished breath sound with patchy coarse crepitations on left hemithorax. X-ray chest revealed non homogenous opaque shadow on left hemithorax. Bronchscopy and CT thorax confirmed the diagnosis of left sided hypoplasia of lung. No other developmental anomaly was noted.Publication Miller Dieker Syndrome as a Cause of Refractory Seizures(Nepal Paediatric Society (JNPS), 2014) Pati, Sananda; De, Sangita; Nag, Sankha Subhra; Nayek, KaustavAbstract Miller-Dieker syndrome is a genetic deletion syndrome characterized by neuronal migration disorder lissencephaly where the exterior of the brain is abnormally smooth with fewer folds and grooves and characteristic facial dysmorphism. A one year old boy born presented to our emergency with severe respiratory distress and recurrent convulsions. A diagnosis of Miller Diecker syndrome was made consistent with typical clinical features and investigations. The child was managed symptomatically, however the seizures remained refractory and the child succumbed on day three of admission. Diagnosis of rare diseases like this is necessary not only for management but also for predicting recurrence in the family and genetic counselling.Publication Morquio disease with CNS involvement: a rare association(Nepal Paediatric Society (JNPS), 2014) Pal, Shinabi; Dey, Chandrashekhar; Ghosh, Nilanjan; Roy, Shabarna; Nayek, Kaustav; Dasgupta, Malay KumarAbstract: Morquio syndrome is a rare type of mucopolysaccharidosis. Our patient presented with uncontrolled seizures and gross skeletal deformity. He was suspected to be suffering from mucopolysaccharidosis based on his disease presentation but the diagnosis could be made as Morquio syndrome on the basis of the presence of keratan sulphate in the urine.