We report a case, a 14 month old male child who presented with fever and diarrhea for a month. It was diagnosed as a case of H dimunata infection, which is a sole parasite of rat. Very few cases of such infection have been reported in Nepal. The treatment is done with either Niclosamide or Praziquantel, but the main concern is about the diagnosis of the condition. Since, H dimunata is a sole rat parasite, it is hardly ever thought about a cause of the diarrhea. Key words: Diarrhea, H dimunata, Niclosamide   DOI: 10.3126/jnhrc.v7i1.2294 Journal of Nepal Health Research Council Vol. 7, No. 1, 2009 April 49-51

Total maxillectomy is the complete resection of one of the two maxillae or resection to the midline. Surgical intervention creates communication between the oral cavity, nasal cavity and maxillary sinus. Postsurgical maxillary defects predispose the patient to hypernasal speech, leakage of food bolus and liquids into the nasal cavity, impaired mastication and various degrees of cosmetic deformities. Prosthodontic rehabilitation with obturator prosthesis restores the missing structures and acts as a barrier between the communications among the various cavities. Hollow bulb obturator with the maximum coverage of the defect aids in retention, stability, support with improved speech resonance and reduced weight on the unsupported side. This clinical report presents the prosthetic management of a patient having total maxillectomy on left side with definitive hollow bulb closed obturator and cast partial denture on the maxilla.