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Papers by Suranjan Mukherjee

Breathe, Sep 1, 2014

A 22-year-old male patient presented with a fever for the previous 10 days, breathlessness with d... more A 22-year-old male patient presented with a fever for the previous 10 days, breathlessness with dry cough for the previous 3 days and decreased urine output since the morning of admission. His history was unremarkable. He denied any history of joint pain, rashes, eye symptoms, haemoptysis or sinus disease and there was no history of illicit drug abuse. He was a nonsmoker with no history of alcohol intake and was not on any regular medications. Clinical examination revealed icterus, blood pressure of 130/85 mmHg, tachycardia (130 beats?min-1), tachypnoea (30 breaths?min-1) and a temperature of 39uC. His upper airways were normal on examination and there were reduced breath sounds and crackles at the

To describe the different aspects of lung biopsy. To discuss the role of lung biopsy in the manag... more To describe the different aspects of lung biopsy. To discuss the role of lung biopsy in the management of diffuse parenchymal lung disease.

Clinical Medicine, Apr 1, 2017

We present the case of a 26-year-old Indian male who developed pleural effusion while undergoing ... more We present the case of a 26-year-old Indian male who developed pleural effusion while undergoing treatment for tuberculous lymphadenitis. We describe the work-up for his condition and how he was managed. The possibility of development of a paradoxical reaction in the form of pleural effusion after initiation of anti-tuberculous therapy has to be kept in mind while treating such patients.

Background: Poor adherence to asthma medications remains a major problem and improved patient adh... more Background: Poor adherence to asthma medications remains a major problem and improved patient adherence may lead to improved asthma control and quality of life[1]. Objectives: To understand the reason for non-compliance and whether it's related to socio-economic status and asthma education received. Methods: Asthma patients visiting the outpatient department completed questionnaires that included demographics, socio-economic condition, inhalers usage, asthma education received and reasons for non-compliance. Results: Two hundred and forty two patients(133 males) participated in the study. Twenty-six percent patients were non-compliant with inhalers. Reasons for non-compliance included fear of side effects(38%), inhaler cost(30%), concerns about habit formation(12.7%), as advised by family members(11%) and as advised by physician(22%). Non-compliance was higher with usage of metered dose inhaler without spacer compared to other devices (p=0.00). Non-adherence to treatment was significantly higher in low-income and lower education groups (p<0.05). Compliance was higher when physician was directly involved in asthma education and inhaler technique demonstration compared to other health professionals/non-medical persons (p=0.004). Conclusions: Non-adherence to asthma medications was significant in the survey with significant variations related to socio-economic or educational status. Compliance improved when the physician was directly involved in asthma education and inhaler technique demonstration. References: 1.Bender BG, Bender SE. Patient-identified barriers to asthma treatment adherence: responses to interviews, focus groups and questionnaires. Immunol Allergy Clin North Am 2005;25(1):107-130.

Chest, Nov 1, 2006

version of the article. The stepwise analysis was not performed mechanistically on the whole set ... more version of the article. The stepwise analysis was not performed mechanistically on the whole set of 10 variables. Instead, smaller sets of variables were selected for separate analysis, based on clinical needs and common sense. The models were compared with the 2 test. The best performing model was then selected and presented in the published article.

A 45-year diabetic male with a history of COVID-19(April,2021) was referred to our Centre for rec... more A 45-year diabetic male with a history of COVID-19(April,2021) was referred to our Centre for recurrent hemoptysis with suspected aspergilloma in upper lobe of the left lung. He was being managed with antifungal medication along with panel of investigations for surgical planning. CT thorax image was suggestive of aspergilloma, but bronchoscopic biopsy revealed no fungal element. Fungal biomarkers were negative for aspergillosis. Then we planned for surgical resection of the lesion but ended up with upper lobectomy because of macroscopic involvement of the surrounding lung parenchyma. Final histopathology report of the surgical specimen came out to be invasive aspergillosis. The patient was discharged on postoperative day eight with uneventful postoperative period.

Breathe, 2014

Clinical Medicine, 2017

1.6 General Practice and Primary Care, 2015

ABSTRACT The aim of our study is to analyze the hospital data on AECOPD in patients with special ... more ABSTRACT The aim of our study is to analyze the hospital data on AECOPD in patients with special reference to the pathogens involved and their antibiotic susceptibility pattern of Kolkata, India. 50 patients were included in the study. The sputum specimen was collected using sterile sputum cups and subjected to Gram's stain, culture and biochemical reactions. Our study showed 21 positive sputum cultures and 76.20% were males and 23.80% were females. The prevalence of Gram negative bacteria was 71.42% and Gram positive bacteria were 28.58%. Klebsiells pneumoniae was the commonest bacteria isolated (33.33%) followed by P. aeruginosa (19.05%) and Staphylococcus aureus (14.30%). In a developing country like India AECOPD is more common in adults more than 55 years of age due to smoking habits and high indoor pollution. AECOPD cases are a major cause of hospital admission and health care utilization.

CHEST Journal, 2003

seemed to have previous experience of ski and physical activity at high altitude (Ն 3,000 m) in t... more seemed to have previous experience of ski and physical activity at high altitude (Ն 3,000 m) in the Italian series. In our case series, most patients had no specific physical training and started physical activities the same day or the day after their arrival at the ski resorts. In any case, these discrepancies between different experiences from different countries emphasize the need for more epidemiologic studies on HAPE.