Nandakishore Baikunje's research while affiliated with K.S. Hegde Medical Academy and other places
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Publications (20)
A 73-year-old male smoker presented with complaints of fever and multiple clear fluid-filled lesions for 3 months. He was initially being treated for primary bullous pemphigoid but lesions recurred. On a chest X-ray, he was found to have a right hilar mass, and contrast-enhanced computed tomography of the chest revealed a right lung mass lesion wit...
A 59-year-old hypertensive woman presented with a year-long history of cough, expectoration, and progressive breathlessness, recently complicated by hemoptysis and significant weight loss. Initial investigations, including a chest x-ray and contrast-enhanced computed tomography (CECT) of the thorax, suggested an infective pathology. Despite negativ...
A male in his early 50s with no comorbidities presented with a weeklong history of left-sided chest pain, breathlessness, and cough with yellow–green expectoration. Over 4 months, he reported a 5 kg weight loss and decreased appetite. Investigations revealed mild anemia, electrolyte imbalances, elevated erythrocyte sedimentation rate, and alkaline...
Obstructive sleep apnoea (OSA) is the major underlying co-morbidity in many of the non-communicable diseases (NCD) due to obesity as a common risk factor. Incidence and prevalence of OSA is on the constant rise ever since this entity came to forefront three decades ago. Precise treatment of underlying OSA is extremely important in major NCDs like d...
Malignant central airway obstruction refers to the obstruction of the trachea, and right or left main bronchus due to neoplastic growth. The airway is generally compromised by ∼50% at presentation when the patient develops symptoms. Diagnosis is done by flexible bronchoscopy and imaging. However, treatment is challenging due to recurrence, and incr...
Chronic obstructive pulmonary disease (COPD) is the world's third leading cause of death, posing a significant public health challenge. Heart failure is an important milestone in the natural history of this disease's ever-decreasing course. Cor pulmonale alone is sometimes insufficient to explain the scenario, as many heart failures are refractory...
A boy in his late adolescence, with no history of airway disease or medication use, presented with acute history of non-exertional chest pain increased on coughing and deep inspiration accompanied by dysphonia and odynophagia in the last 1 day. He had a notable history of viral fever with non-productive cough 2 weeks prior, which resolved spontaneo...
A 48-year-old male, a known case of seizure disorder, presented with complaints of cough for four months, which increased for two weeks, fever for two weeks and weight loss. Computed tomography (CT) scan of the thorax showed multiple heterogeneously enhancing lesions of bilateral lung fields predominantly in peribronchovascular distribution with en...
A young adult male with no previous comorbidities presented with complaints of fever since 10 days and right cheek swelling since one week duration. Ultrasonography (USG) guided fine needle aspiration cytology (FNAC) of intraparotid lymph node showed ‘reactive lymphadenitis’. He was started on antibiotics and symptomatic treatment. He later develop...
A young adult male with no previous comorbidities presented with complaints of fever since 10 days and right cheek swelling since one week duration. Ultrasonography (USG) guided fine needle aspiration cytology (FNAC) of intraparotid lymph node showed ‘reactive lymphadenitis’. He was started on antibiotics and symptomatic treatment. He later develop...
An elderly man without history of travel presented with complaints of intermittent fever for 2 months, cough with scanty expectoration for 15 days and history of weight loss of 5 kg in 1 year. The chest X-ray and CT scan of the thorax showed dispersed centrilobular nodules and patchy subpleural consolidation in both lungs with mediastinal lymphaden...
Sarcoidosis is a systemic granulomatous disease of unknown etiology. It primarily affects the lungs and lymphatics; however, the presentation is not always pulmonary. Uveitis is the presenting symptom in 5% of patients, predominantly in females. Cystoid macular edema is the most important sight-threatening sequela of ocular sarcoidosis. Histopathol...
COVID-19 has a broad spectrum of cardiac manifestations, and cardiac tamponade leading to cardiogenic shock is a rare presentation. A 30-year-old man with a history of COVID-19-positive, reverse transcription polymerase chain reaction (RT-PCR) done 1 week ago and who was home-quarantined, came to the emergency department with palpitations, breathle...
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has various known complications in its natural course of the illness. Pneumothorax is one of the emerging complications in coronavirus disease 2019 (COVID-19)-positive patients, not initiated on invasive mechanical ventilation. Case studies and autopsy reports across the globe s...
Foreign body aspiration (FBA) can be potentially fatal if the object is large enough to cause nearly complete obstruction of the upper airway. The object causing obstruction beyond the carina can result in less severe clinical presentation. FBA is rare in adults than in children. If the clinical history is not suggestive of FBA, then a high index o...
Thoracic endometriosis is a rare entity, wherein thoracic endometrial tissue deposition occurs. Recurrent pleural effusion is one of its manifestations. Diagnosis and treatment are often challenging, owing to the rarity of the condition and recurrences. We present an interesting case of a young woman of childbearing age who presented with recurrent...
Tuberculosis can involve most of the body parts, and tubercular lymphadenitis is common. But isolated involvement of mediastinal lymph nodes without lung parenchymal involvement is rare in adults. A 45-year-old lady presented with subcarinal lymph node enlargement. A conventional transbronchial needle aspiration done at a local hospital was inconcl...
Narcolepsy, a sleep disorder, has its onset in childhood and early adulthood but rarely in older adults. This case report focuses on a man in his late fifties who was noticed to have excessive daytime sleepiness during his stay in our hospital for an unrelated medical ailment. He was further evaluated with overnight polysomnography and next day mul...
Melioidosis is an endemic infection in Southeast Asia and Northern Australia commonly manifesting with pneumonia and localized skin infection. Though most exposures do not lead to severe illness, a fulminant infection can occur among patients with risk factors. A 59-year-old male presented with cough with expectoration and fever for 1 week. He had...
Citations
... The most important particularity of our case is the association between colonization with Aspergillus and two synchronous tumors. After reviewing the scientific literature, we found several cases of associations between pulmonary aspergillosis and carcinoid tumors, as well as pulmonary aspergillosis and pulmonary adenocarcinoma [27][28][29][30][31]. However, we have not discovered any cases that linked all three diseases. ...
... This index was used for decades to diagnose and stratify the severity of OSA, however, despite its widespread use, research has shown that the AHI has a poor correlation with the OSA symptoms, morbidity and mortality, in other words, it represents a simplification of a complex and diverse process [6]. It equates episodes of apnea and hypopnea, considering them as equal events, and does not take into account their duration or the level of desaturation [7]. Also, an additional characteristic of this index is that it does not adequately correlate with the symptom severity, as patients with a high AHI may have mild symptoms and vice versa, which may be explained by differences in individual sensitivity to the systemic effects of OSA [8]. ...
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... graphical model to segment the aorta, pulmonary artery, myocardium, left and right ventricles, and left and right atria of the heart and then performed similarity shape analysis for image comparison. In recent years, researchers have successfully implemented deep learning (DL) for brain (Zhuang et al., 2022), ear (Xu et al., 2019), liver (Fogarollo et al., 2023), spleen (Sharbatdaran et al., 2022), lung (Johny et al., 2021), kidney , and multi-organ (N. Shen, et al., 2023) segmentation. ...
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... Among the infections exacerbated by DM include those caused by Chlamydophila pneumoniae, Haemophilus influenzae, Streptococcus pneumoniae, Legionella pneumoniae, Mycobacterium tuberculosis, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), Influenza A virus, Hepatitis B virus and Burkholderia pseudomallei [7,8]. It has been reported that approximately 46% of patients infected with B. pseudomallei have a history of diabetes [9,10] of which, approximately 40% are of the type 2 diabetes mellitus (T2DM)-melioidosis comorbidity [8,11]. However, under-diagnosis or under-reporting of melioidosis-diabetes comorbidity does influence the statistical representation of the true prevalence of this comorbidity. ...
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