Browsing by Author "Yadav, Krishna Chandra"
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Publication Amiodarone Induced Interstitial Lung Disease: An Enigma(Nepalese Respiratory Society, 2024) Aryal, Prakash; Pantha, Srijan; Gurung, Kum Bahadur; Uprety, Augraj; Shah, Nensi; Timsina, Anup; Mandal, Dipesh; Yadav, Krishna Chandra; Adhikari, Aarati; Shahi, Rejina; Mishra, Deebya Raj; Bhatta, NarendraAbstract: Amiodarone is an anti-arrhythmic drug that has potential to cause Interstitial Lung Disease (ILD) commonly non-specific Interistitial pneumonia. We present a 75-year male presenting with gradual onset progressive shortness of breath and dry cough after undergoing coronary artery bypass grafting (CABG) and was kept on amiodarone therapy post-surgery to control arrhythmias. The patient was diagnosed as amiodarone induced Non-Specific Interstitial Pneumonia (NSIP) after excluding alternative diagnosis. Early recognition and stoppage of amiodarone, prompt treatment with corticosteroid and respiratory support had favorable clinical outcome in this case.Publication Anthropometric and Nutritional status of Chronic Obstructive Pulmonary Disease presenting in Acute Exacerbation in Tertiary care Hospital in Eastern Nepal(Nepalese Respiratory Society, 2024) Uprety, Augraj; Pantha, Srijan; Gurung, Kum Bahadur; Aryal, Prakash; Timsina, Anup; Mandal, Dipesh; Hamal, Sangita; Chaudhary, Sabnam; Thakur, Aanad Lohar; Yadav, Krishna Chandra; Shah, Nensi; Yadav, Dipendra; Pandey, Prajwal; Dahal, Sweta; Shahi, Rejina; Mishra, Deebya Raj; Bhatta, NarendraAbstract: Background: There is scarcity of data regarding the nutritional status of COPD patients presenting in exacerbation in our setup, thus this observational study was conducted. Methods: We performed an observational study of patients with acute exacerbation of COPD, who were admitted in the Department of Pulmonary, Critical care and Sleep Medicine in tertiary hospital in eastern Nepal from April 2023 to June 2023. Results: During the study period, a total of 154 patients of COPD with exacerbations were admitted in our department. The baseline anthropometric parameters, lab parameters as well as the malnutrition scores were determined. The mean BMI was 21.82 ± 3.92 kg/m2 and only 29% had BMI < 18.5 kg/m2.The mean hemoglobin, mean cell volume, serum protein, serum albumin, serum calcium, phosphorus and vitamin D level were 12.43 ± 2.32 g/dL, 84.4 ± 9.41 fL, 6.42 ± 1.74 g/ dL, 3.32 ± 0.34 g/dL, 8.98 ± 0.63 mg/dL, 3.02 ± 0.42 mg/dL, 18.48 ± 8.22 pg/mL and 40%, 12%, 28%, 41%, 31%, 42% and 49% of these values were below the lower normal limit respectively. The nutritional status tool used NRS-2002, MUST and MNAS-F screened malnutrition in about 68%, 51% and 54% respectively. There shows a discrepancy between the evaluation of the malnutrition assessed by BMI with that of nutritional assessment score. Conclusion: COPD who present in exacerbations are malnourished, but use of sole BMI to rule out malnutrition in such group of patients can cause false negative result.Publication Varicella Pneumonia in Young Adult Male: A Case Report(Nepalese Respiratory Society, 2024) Uprety, Augraj; Pantha, Srijan; Gurung, Kum Bahadur; Aryal, Prakash; Timsina, Anup; Mandal, Dipesh; Yadav, Krishna Chandra; Shah, Nensi; Yadav, Dipendra; Pandey, Prajwal; Dahal, Sweta; Shahi, Rejina; Mishra, Deebya Raj; Bhatta, NarendraAbstract: Varicella infection is a common disease in pediatric age group but is uncommon in adult. Varicella pneumonia is the dreaded complication in these patients leading to mortality, which is more pronounced in adult patients. This is a case report of a young adult male, presenting with Varicella pneumonia in severe hypoxic respiratory failure, which was successfully managed with oxygen therapy, acyclovir, and steroids.