Browsing by Author "Zamal, Ashadur"
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Publication Incomplete Kawasaki Disease in a 27 days old Infant – A Case Report(Nepal Paediatric Society (JNPS), 2023) Sk, Md Habibullah; Saha, Bijan; Zamal, Ashadur; Bose, AdritaAbstract: We report a case of incomplete Kawasaki disease in a 27 days old neonate. The neonate presented with fever, cough, cold, and poor feeding, accompanied by a polymorphous rash. Neurological manifestations, including encephalopathy and convulsions, were also observed. Laboratory findings showed thrombocytosis, anemia, leukocytosis, elevated alanine transaminase and C-reactive protein. Echocardiography confirmed dilated coronary arteries. The administration of intravenous gamma globulin led to a prompt improvement in the infant’s condition. Although Kawasaki disease is uncommon in neonates, it can manifest as a rapidly progressing and severe illness.Publication Necrotizing Enterocolitis and Anasarca: Unusual Presentation of Multisystem Inflammatory Syndrome in Neonates – A case Report(Nepal Paediatric Society (JNPS), 2024) SK, Md Habibullah; Zamal, Ashadur; BijanAbstract: Multisystem inflammatory syndrome in neonates (MIS-N) is a rare complication of COVID-19, characterized by immune dysregulation leading to various systemic manifestations. We present a case of a preterm neonate with MIS-N who developed necrotizing enterocolitis (NEC) and anasarca. Despite initial challenges in diagnosis, MIS-N was suspected based on clinical presentation and confirmed by laboratory findings, including elevated inflammatory markers and positive SARS-CoV-2 antibodies in the infant and the mother. Management involved immunomodulatory therapy with IVIG and methylprednisolone, resulting in clinical improvement. This case underscores the importance of considering MIS-N in symptomatic neonates born to mothers with a history of COVID-19, particularly in the post-pandemic era.Publication Retrieval of Broken Umbilical Venous Catheter Fragment in a VLBW Neonate(Nepal Paediatric Society (JNPS), 2023) SK, Md Habibullah; Saha, Bijan; Zamal, Ashadur; Saha, SayantanAbstract: Fracture of umbilical venous catheters is a serious uncommon complication. We are reporting a 31+4 week male neonate weighing 1390 gm with a broken umbilical venous catheter and successful retrieval of the catheter by an open surgical technique.