- Calicut, Kerala, India
Sunny George
Kerala University Of Health Sciences, Pulmonary Medicine, Faculty Member
- MD,FRCP,FCCP,DNB,DTCD,MNAMS,FIMSA,PG Dip (Diab)
12 years service(continuing) in Post graduate teachingedit
Cryptococcosis ia rare fungal infection,often encountered in immunocompromised individuals.Here we report a case of an immunocompetent individual with pulmonary and rib involvement of the fungus.
Giant pulmonary hamartoma though a benign lesion can grow up to large size occupying a major part of the hemithorax and can cause mechanical compression to the adjacent structures, It is a spot radiological diagnosis in Chest X ray owing... more
Giant pulmonary hamartoma though a benign lesion can grow up to large size occupying a major part of the hemithorax and can cause mechanical compression to the adjacent structures, It is a spot radiological diagnosis in Chest X ray owing to it s characteristic pocorn calcifications.So far only 15 cases of Giant Pulmonary hamartomas are reported in English Literature and hence the interest in publishing.
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The aetiology of pleural effusion in ESRD has been considered transudative unless otherwise proved. However there are several other alternate aetiologies for the same in a patient with end stage renal disease which requires proper... more
The aetiology of pleural effusion in ESRD has been considered transudative unless otherwise proved. However there are several other alternate aetiologies for the same in a patient with end stage renal disease which requires proper evaluation and timely management especially the pleural fluid is altered by prolonged use of high dose diuretics and the high prevalence of tuberculosis in our community.
First Author; Dr.Laila najeeb
First Author; Dr.Laila najeeb
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Treatment of Tuberculosis in Children always is a challenge to all the practicing physicians.This is because many a times there lacks a proper bacteriological diagnosis as a majority are treated as primary complex with active... more
Treatment of Tuberculosis in Children always is a challenge to all the practicing physicians.This is because many a times there lacks a proper bacteriological diagnosis as a majority are treated as primary complex with active disease.However RNTCP has laid down definite guidelines for management of childhood tuberculosis in the Indian population.This presentation is an overview of the current management strategies in Childhood tuberculosis.
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Normal anatomic variants in Chest X-ray and CT-Chest is always a curiosity for the learner.This pearl is one such variant.
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Recurrence of bronchial carcinoid may pose a dilemma for both the treating physician as well as for the patient who may not comply for invasive diagnostic modalities which may open up new avenues of unexplored diagnostic... more
Recurrence of bronchial carcinoid may pose a dilemma for both the treating physician as well as for the patient who may not comply for invasive diagnostic modalities which may open up new avenues of unexplored diagnostic possibilities,octreotide scintigraphy may turn out to be a promising tool in such rare situations.
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Benign tumors can present with major pulmonary problems if they are having an endobronchial location.This case presented with left lung collapse and the pneumonectomy specimen revealed this rare diagnosis. This case was reported in the... more
Benign tumors can present with major pulmonary problems if they are having an endobronchial location.This case presented with left lung collapse and the pneumonectomy specimen revealed this rare diagnosis. This case was reported in the journal PULMON in 2009
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OSA is recently picked up as an independent risk factor for increased mortality among young individuals and syndrome Z is the occurrence of OSA in COPD patients.Apart from uncontrolled hypertension, mortality from ischaemic cardiovascular... more
OSA is recently picked up as an independent risk factor for increased mortality among young individuals and syndrome Z is the occurrence of OSA in COPD patients.Apart from uncontrolled hypertension, mortality from ischaemic cardiovascular events, OSA is supposed to be a concern in those cases with unexplained Pulmonary hypertension which may be overlooked in lean OSA patients where Upper airway MRI and tests like cephalometry may be required to establish the diagnosis. However this presentation is an humble effort to simplify the polysomnography interpretation from a purely Pulmonologist perspective leaving aside the complex variants of OSA which may require multidisciplinary evaluation for proper management.
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Dyspnoea and haemoptysis are the two common cardinal symptoms pertaining to the respiratory system. Though there are common causes for both, there could be very rare reasons for the same which may require specialized care including... more
Dyspnoea and haemoptysis are the two common cardinal symptoms pertaining to the respiratory system. Though there are common causes for both, there could be very rare reasons for the same which may require specialized care including thoracic surgery intervention.Here we reported a case which required three major surgical procedures for correction of his dyspnoea and haemoptysis and after a very stormy clinical course survived with no residual disease.
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Treating MDR TB & XDR TB is probably one of the worst situations and a dreaded nightmare for a majority of health care workers worldwide.This paper is an attempt to share the experience which we gained by treating more than 500 such... more
Treating MDR TB & XDR TB is probably one of the worst situations and a dreaded nightmare for a majority of health care workers worldwide.This paper is an attempt to share the experience which we gained by treating more than 500 such patients registered under the DOTS Plus programme from the DRTB site at Kozhikode which is the first centre in India to try decentralisation of DRTB services in a successful manner and has been credited for considering this strategy under the excellence in preventive health segment by the prestigious British Medical Journal-Awards India for 2014.This paper was also well accepted by the International Union against TB & Lung Diseases (IUATLD) at Paris in 2013.
Research Interests: Internal Medicine (General Medicine), Public Health Policy, Tuberculosis and Infectious Disease, Public Health, Tuberculosis, and 6 moreMycobacterium tuberculosis, International Public Health, M. tuberculosis, Social and Preventive Medicine, Multi drug resistance in Tuberculosis (MDR-TB), and Pulmonary Medicine
Nutrition is probably the most neglected aspect of patient care in chronic respiratory illnesses and amongst the pulmonary rehabilitation bundle in particular.A knowledge about the various aspects of proper nutrition will help the... more
Nutrition is probably the most neglected aspect of patient care in chronic respiratory illnesses and amongst the pulmonary rehabilitation bundle in particular.A knowledge about the various aspects of proper nutrition will help the physician in delivering an optimized care in chronic diseases like COPD.
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Thoracoscopy is a very useful tool in the diagnostic armamentarium of a Pulmonologist in unveiling the myths behind difficult Pleural effusions and it may help you to pick up very rare diseases like systemic amyloidosis presenting as... more
Thoracoscopy is a very useful tool in the diagnostic armamentarium of a Pulmonologist in unveiling the myths behind difficult Pleural effusions and it may help you to pick up very rare diseases like systemic amyloidosis presenting as pleural effusion which is a very rare presentation.
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Spirometry is a useful tool in making a proper diagnosis of many respiratory problems, provided the interpretation is done after proper history taking and clinical evaluation of the patient.
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Epidemic of H1N1 has caused considerable mortality in the indian population especially in pregnant females and is a potential threat faced by people all over the world.A clear cut knowledge of the disease and the various management... more
Epidemic of H1N1 has caused considerable mortality in the indian population especially in pregnant females and is a potential threat faced by people all over the world.A clear cut knowledge of the disease and the various management strategies available is of utmost importance.
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COPD,a common clinical problem calls for systematic assessment for proper diagnosis and monitoring the course of the disease for optimal management and proper prognostication based on stage and severity of the disease.
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The reasons underlying the choice of a standardized regime adopted by the Revised National Tuberculosis Programme is essentially derived from the principles of anti tuberculous chemotherapy.
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Tackling respiratory emergencies from a casualty service proves to be a life saving and satisfying experience to the treating physician.This power point show compiles most of the common respiratory emergencies one has to deal in day to... more
Tackling respiratory emergencies from a casualty service proves to be a life saving and satisfying experience to the treating physician.This power point show compiles most of the common respiratory emergencies one has to deal in day to day practice.
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Abstract: (http://www.calicutmedicaljournal.org/) Cases of malignant transformation in bullous lung disease are not infrequent, and most of these cancers turn out to be non small cell lung cancer. However, they are often difficult... more
Abstract: (http://www.calicutmedicaljournal.org/)
Cases of malignant transformation in bullous lung disease are not infrequent, and most of these cancers turn out to be non small cell lung cancer. However, they are often difficult to diagnose because of their uncertain appearance. Here we report a case of bullous lung disease, now presenting with an air – fluid level, in which a diagnosis of malignancy was made by ultrasound, guided fine needle aspiration cytology. Hence this possibility has to be kept in mind when a known case of bullous lung disease presents with worsening symptoms or new radiological shadows which is often treated as secondary infection of a preexisting bulla.
Key words: Malignant transformation, Bullous Lung Disease, ultrasound guided fine needle aspiration
Cases of malignant transformation in bullous lung disease are not infrequent, and most of these cancers turn out to be non small cell lung cancer. However, they are often difficult to diagnose because of their uncertain appearance. Here we report a case of bullous lung disease, now presenting with an air – fluid level, in which a diagnosis of malignancy was made by ultrasound, guided fine needle aspiration cytology. Hence this possibility has to be kept in mind when a known case of bullous lung disease presents with worsening symptoms or new radiological shadows which is often treated as secondary infection of a preexisting bulla.
Key words: Malignant transformation, Bullous Lung Disease, ultrasound guided fine needle aspiration
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Background: It was observed that there were a large number of diabetic patients, both previously known as well as recently detected amongst the MDR-TB (Multi drug resistant tuberculosis) patients who were being started on CAT-IV regime... more
Background: It was observed that there were a large number of diabetic patients, both previously known as well as recently detected amongst the MDR-TB (Multi drug resistant tuberculosis) patients who were being started on CAT-IV regime Aims: To analyze the profile of these Diabetic patients with MDR-TB so as to pick up any possible trends in their dual co-occurrence . Materials & Methods: The study was a descriptive analysis conducted in the Department of Pulmonary Medicine in 40 patients who had diabetes-MDR-TB co existence and were enrolled under DOTs Plus programme for CAT-IV regime during the period between February 2009 and August 2010 with the intention for identifying trends in the development of MDR-TB in diabetic patients. Results: There was a clear male predominance with 80% (32/40) cases belonging to the male sex.Seventy percent (28/40) patients were current or Exsmokers. Contrary to the general notion that most of the diabetic-MDR-TB patients may be underweight, only 30 % of patients with diabetes belonged to the < 45 Kg category. There was an alarmingly high proportion of diabetics in the group of CAT-I failures which accounts for 85 % (34/40) cases, of which a vast majority 52.5 % (21/40), had uncontrolled diabetes at the time of diagnosis which makes it possibly a very strong risk factor for the development of MDR-TB and a significant proportion ,35% (14/40), were not even started on a proper diabetes control regimen till this period.Conclusion:The trend analysis of our diabetic MDR-TB patients points towards the fact that uncontrolled diabetes mellitus, is possibly a strong risk factor for the development of MDR-TB in smear positive tuberculosis, which is definitely a modifiable risk factor, if properly addressed as a component of the DOTs strategy, can influence the outcome & occurrence of multidrug resistant tuberculosis in a large number of patients.
KEY WORDS: MDR-TB (multi drug resistant tuberculosis), CAT-IV regime, trend analysis, uncontrolled diabetes mellitus.
KEY WORDS: MDR-TB (multi drug resistant tuberculosis), CAT-IV regime, trend analysis, uncontrolled diabetes mellitus.
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This is a presentation of real cases encountered in our clinical practice over last 12 years regarding the various difficult to treat situations in tuberculosis management.