Publications by authors named "Sital Thapa"
We herein described a case of a 45-year-old male recently detected with HIV and Hepatitis C who presented with signs of sepsis, developed delirium, and received haloperidol. Surprisingly, 10 min after intravenous administration, the patient developed Torsades de pointes and required immediate resuscitation. The report discusses the limited instances of cardiac arrest linked to haloperidol use, despite its generally perceived safety.
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- Community-acquired pneumonia (CAP) is a significant health issue, and researchers aim to find reliable markers to predict its severity and mortality, focusing on the neutrophil-lymphocyte ratio (NLR) as a potential solution.
- A systematic review analyzing data from nine studies, totaling 3,340 patients, found that elevated NLR (cutoff value over 10) is an effective predictor of adverse outcomes like in-hospital mortality and ICU admission.
- The study concludes that NLR is a simple and cost-effective marker that can help healthcare professionals assess the prognosis of patients with CAP.
Eosinophilia can be caused by various conditions, parasitic infection being the most common cause. Here, we present a case of a 17-year male who presented with multisystem involvement and eosinophilia. He was later diagnosed to have systemic lupus erythematosus with eosinophilia which is a rare combination.
View Article and Find Full Text PDFBilateral clavicle fractures are uncommon and are mostly associated with polytrauma. The presence of concurrent serious injuries diverts the doctor's attention and causes the clavicular injury to be overlooked. Our report presents a 39-year-old male patient with bilateral clavicle fracture whom we managed surgically by open reduction and internal fixation.
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- Morgagni Hernia is a congenital defect in the diaphragm that can occasionally present in adults, as highlighted by a case of a 53-year-old woman with recurrent chest symptoms.
- Diagnosis was confirmed through chest X-ray and CECT, which showed bowel contents in the right hemithorax, leading to laparoscopic reduction and repair of the hernia.
- Surgical repair is recommended even for asymptomatic cases to prevent potential complications like strangulation, with the approach being either transthoracic or transabdominal.