Publications by authors named "Niranjan Shah"

Corticosteroid recipients with lung infections should be suspected of having nocardiosis; however, nocardiosis can easily mimic malignancy, tuberculosis, or fungal infection. Though cultural identification is possible, it might be missed due to its slow growth pattern..

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Article Synopsis
  • Antimicrobial resistance, especially carbapenem resistance due to the production of various β-lactamases like OXA-48, is a significant issue in healthcare practices.
  • A 56-year-old male with meningoencephalitis developed ventilator-associated pneumonia and had limited antibiotic options due to resistant bacterial isolates, initially treated with colistin and amikacin.
  • Despite improved vital signs, he later relapsed with fever and low blood pressure; tests confirmed that the infecting bacteria produced OXA-48 carbapenemase, rendering them resistant to all available antibiotics.
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The diagnosis of a 22 year-old male patient from Kerabari, Morang District, Nepal led to the review of human fascioliasis cases and analysis of the epidemiological situation in that country not included in the WHO fascioliasis map. Symptom onset one month before egg detection and normal levels of ALT and AST did not agree with the 3-4-month migratory period of fascioliasis. A shorter acute phase may happen when the main biliary duct is reached by the migratory juveniles directly from the intestinal lumen.

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Background: Fascioliasis is a zoonotic disease caused by Fasciola species. Patient may be asymptomatic or presents with jaundice and biliary colic or right hypochondriac pain due to bile duct obstruction with gastrointestinal symptoms.

Case Presentation: We report a case of human fascioliasis in a 45 years old female presented to Tribhuvan University Teaching Hospital (TUTH), Kathmandu, Nepal on August, 2015 with fever, right hypochondriac pain, jaundice and occasional vomiting with anorexia for 4 months whose alkaline phosphatase was elevated and peripheral blood smear revealed eosinophilia.

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Background: Candida species are responsible for various clinical infections ranging from mucocutaneous infection to life threatening invasive diseases along with increased resistance to antifungal drugs has made a serious concern. Resistance to antifungal agents has increased during the last decade. Thus, identification of Candida up to species level and its antifungal susceptibility testing has a paramount significance in the management of Candidal infections.

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Article Synopsis
  • - Rotaviruses are a leading cause of severe diarrhea in children worldwide, resulting in over 500,000 deaths annually, with significant infection rates in Nepal (17.0-39.0% in kids under 5 years).
  • - A study conducted from January to November 2014 found that 22.9% of sampled children tested positive for Rotavirus, with G12 and P6 being the most prevalent genotypes.
  • - The research indicates that Rotavirus infections predominantly affect infants aged 7 to 24 months during winter, highlighting the need for enhanced surveillance and prevention strategies for these unusual genotypes in Nepal.
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Reactive oxygen species (ROS), highly reactive molecules, are produced by living organisms as a result of normal cellular metabolism and environmental factors, and can damage nucleic acids and proteins, thereby altering their functions. The human body has several mechanisms to counteract oxidative stress by producing antioxidants. A shift in the balance between oxidants and antioxidants in favor of oxidants is termed as "oxidative stress".

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