Authors contributions:
Dr.Shivaji Kraki had taken history and performed physical examinations.
Dr.Sushil Pokhrel and Dr. Nawin Ghimire were involved in the management
of the patient. Dr. Shivaji Karki , Ms. Karuna Khadka, and Dr. Sushil
Pokhrel were involved in writing, editing and revision of the
manuscript. All authors have read and approved the final version of the
manuscript.