Browsing by Author "Vaidhya, N"
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Publication Nitrobenzene Induced Methemoglobinemia with Paroxysmal Atrial Fibrillation Treated with Single Volume Exchange Transfusions(Kathmandu University, 2022) Sapkota, P; Vaidhya, N; Bhatt, S; Shrestha, PABSTRACT Methemoglobinemia is a potentially fatal condition if left untreated. Conventional treatment of nitrobenzene induced methemoglobinemia dictates the use of methylene blue, which is the antidote of choice. However, its availability in our setting is limited only to the laboratory use. We present a case of a 21-year-old female with intentional ingestion of nitrobenzene. Clinical history and supportive investigations revealed methemoglobinemia and it was successfully managed with single volume exchange transfusions in absence of specific antidote. While exchange transfusions are indicated for severe cases, it may be useful as an alternative treatment in acute life-threatening conditions where methylene blue is not available. KEY WORDS Exchange transfusion, Methylene blue, Nitrobenzene, Whole bloodPublication Platelet Satellitism in a Patient with Bronchial Asthma(Kathmandu University, 2022) Koju, S; Vaidhya, N; Twitwi, R; Shankhadev, R; Pote, NABSTRACT Platelet satellitism is uncommon phenomenon characterized by formation of platelet rosette around polymorphonuclear leucocytes in blood smear prepared from Ethylenediaminetetraacetic acid anticoagulated blood. This phenomenon may cause reporting of spurious thrombocytopenia unless proper examination of blood smears. Here we describe a case of platelet satellitism in a 29 year old female which has been incidentally found on evaluation of eosinophilia in a bronchial asthma patient. KEY WORDS Ethylenediaminetetraacetic acid, Platelet satellitism, Pseduothrombocytopenia