Publications by authors named "J Gyawali"
Article Synopsis
- - Cytomegalovirus (CMV) is a common herpes virus that usually causes mild or no symptoms in healthy people but can lead to serious complications in those who are immunocompromised or newborns, causing disabilities.
- - A four-month-old girl presented with decreased feeding and severe anemia; lab tests revealed low blood cell counts and a urine CMV PCR test showed extremely high viral load, indicating CMV-related bone marrow suppression.
- - She was treated with the antiviral drug valganciclovir, resulting in improved blood parameters, highlighting the importance of recognizing CMV infections in cases of anemia or low blood cell counts in infants for better outcomes.
Duodenum inversum is a rare congenital anomaly in which the proximal duodenum travels posteriorly and superiorly before crossing the midline, often presenting asymptomatically. Clinical features can include epigastric pain, nausea, and abdominal distension. This case report describes a 35-year-old female who presented with right hypochondrial pain.
View Article and Find Full Text PDFIntroduction: Job satisfaction is an attitudinal variable representing the extent to which people like or dislike their jobs. It is a critical factor influencing healthcare quality, patient outcomes, and overall well-being in medical professionals. This study aimed to determine Job Satisfaction among medical doctors in Nepal.
View Article and Find Full Text PDFArticle Synopsis
- * A 60-year-old diabetic male had a long-term misdiagnosis of sebaceous cysts, but imaging and biopsy eventually revealed tubercular costochondritis after an exacerbation of symptoms.
- * Successful treatment with antituberculous therapy for nine months led to complete recovery, emphasizing the importance of considering TB in chest wall swellings and the need for better diagnostic approaches and research in managing this rare condition.