Respiratory Medicine & TB

List of Publications

  • 148 Lung India • Vol 30 • Issue 2 • Apr - Jun 2013 of decreased appetite and loss of weight. There was no history of dyspnea, chest pain, or vomiting. There was no history of trauma or preexisting respiratory or cardiac disease. There was no history of any procedure in the past. Clinical examination of the patient showed stable vitals. Pulse rate was 102/min and was regular, synchronous, and good volume. BP was 110/70 mm of Hg and temperature was 99.2°F with a respiratory rate of 20/min. Oral sores were present. Chest examination revealed bilateral coarse crepitations in bilateral infra-clavicular and mammary areas. Cardiac examination was normal. There was no murmur and there were no signs of cardiac tamponade. Routine laboratory investigations were within normal limits. Erythrocyte sedimentation rate (ESR) was 98 mm in first hour. Sputum examination was positive for acid fast bacilli (AFB). Electrocardiogram (ECG) showed normal sinus rhythm. X-ray chest revealed patchy infiltration in bilateral upper zones. A thin hyper-lucent line was present lining the lateral cardiac borders suggesting possibility of pneumopericardium [Figure 1]. The air or gas in X-ray chest did not rise above the upper level of pericardium in standing erect position differentiating it from pneumothorax and pneumomediastinum. There was no evidence of cardiomegaly. Computed tomography (CT) scan of the chest confirmed the presence of pneumopericardium [Figure 2]. There was no peumomediastinum or pericardial effusion. It also showed a well-defined thick walled cavity with necrotic areas in apicoposterior segment of left upper lobe and bilateral infiltration with minimal bronchiectatic changes [Figure 3]. INTRODUCTION Pneumopericardium is defined as a collection of air or gas in the pericardial cavity. Pneumopericardium most commonly results from trauma (in approximately 60% of the reports).[1] Other reported causes can be noniatrogenic or iatrogenic. It is a rare entity and spontaneous pneumopericardium is even rarer.[1] Development of spontaneous pneumopericardium is a very rare complication of tuberculosis with coexisting human immunodeficiency virus (HIV) infection.[1] To the best of our knowledge only three cases of pneumopericardium with pulmonary tuberculosis concomitant with HIV infection[1-3] have been reported so far. CASE REPORT A 30-year-old HIV-positive male smoker on antiretroviral therapy (ART) presented with complaints of cough
  • Sarkar P, Biswas D, Sindhwani G, Rawat J, Kotwal A, Kakati B. Application of lipoarabinomannan antigen in tuberculosis diagnostics: current evidence. Postgrad Med J. 2014 Mar; 90(1061):155-63
  • Dua R, vijjan V, Sindhwani G, Rawat J. Renal tumour leading to ARDS. A rare occurrence. Int. J. medical update 2014 vol.9(2).
  • . Atif Beg M A , Dhasmana D C , Kalra J , Rawat J. comparative evaluation of moderate dose inhalational corticosteroid (ICS) fluticasone with the combination of low dose fluticasone and montelucast in moderate persistent bronchial asthma. International Journal of Medical Science and Public Health,2014,3(3)
  • Beg M.A. , Dhasmana D. C. , Kalra J. , Rawat J . Comparision of addition of low dose theophyllin to low dose inhaled corticosteroid fluticasone with moderate dose of fluticasone in moderate persistent bronchial asthma. Journal of Advance Researches in Biological Sciences, 2013, 5 (1) 49-54.
  • G. Sindhwani, J. Rawat, Smita Chandra, Anuradha Kusum and Manvinder Rawat. Transbronchial needle aspiration with rapid on-site evaluation: a prospective study on efficacy, feasibility and cost effectiveness. Indian J chest dis allied sci 2013; 55: 141-144.
  • Tiwana M, Lee H Saini S, Rawat J, Sindhwani G. Outcomes of patients with unresected stage III and stage IV non-small cell lung cancer: A single institution experience. Lung India 2013; 30: 187-192.
  • : Mehra D, Kaushik RM, Kaushika R, Rawat J and Kakkara R. Initial default among sputum-positive pulmonary TB patients at a referral hospital in Uttarakhand, India. Trans R Soc Trop Med Hyg. 2013 Sep;107(9):558-65.
  • Bopen S, Biswas D, Rawat J , Gupta SK, Sindhwani G, Patras A, Suraj Devrani. Ethnicity-tailored selection of a novel set of ESAT-6 peptides for the immunological differentiation between active and latent Tuberculosis in a North Indian population: Tuberculosis 2013.
  • : Rawat J, Biswas D, Sindhwani G. Diagnostic role of micro-MGIT culture of BAL samples in sputum smear-negative pulmonary tuberculosis. Indian J tuberculosis 2013; 60: 77-82.
  • Sindhwani G, Rawat J, Gupta M, Chandra S. Lung cancer in True tracheal bronchus - a rare co-incidence. Journal of Bronchology and Interventional Pulmonology 2012; 19(4):340-342.
  • Sindhwani G, Rawat J, Kesarwani V. Role of endobronchial electrocautery in management of neoplastic central airway obstruction: Initial experience with seven cases. Indian J Chest Dis Allied Sci 2012; 54:
  • Sindhwani G, Rawat J, Chauhan Neena, Mishra S. Tracheal polyp treated with endobronchial electrocautery. Indian J Chest Dis Allied Sci 2012; 54:123-125
  • Rawat J, Sindhwani G, Biswas D, Dua R. Role of BiPAP applied through endotracheal tube in unconscious patients suffering from acute exacerbation of COPD: A Pilot study” International Journal of COPD 2012:7 321–325.
  • Rawat J, Biswas D, Sindhwani G. Diagnostic Defaulters: An overlooked aspect in the Indian Revised National Tuberculosis Control Program .J Infect Dev Ctries 2012; 6(1):20-22
  • Jethani S, Semwal J, Kakkar R, Rawat J. Study of epidemiological correlates of tuberculosis. Indian journal of community health (IJCH); 2012: vol 24 no.4
  • Rawat J , Saini S, Raghuvanshi S, Sindhwani G. Intrapulmonary teratoma presenting with tricoptysis: a case report and review of the literature. Indian J Chest Dis Allied Sci 2011; 53:237-239
  • Sindhwani G, Verma A, Biswas D, Rawat J A pilot study on Domiciliary Pulmonary Rehabilitation Program in the management of severe COPD. Singapore Med J2011;52(9) : 689-693.
  • Rawat J, Sindhwani G, Biswas D. Effect of age on presentation with diabetes: Comparison of nondiabetic patients with new smear-positive pulmonary tuberculosis patients. Lung India 2011; 28:187-90.
  • Rawat J, Sindhwani G, Biswas D. Effect of age on presentation with diabetes: Comparison of nondiabetic patients with new smear-positive pulmonary tuberculosis patients. Lung India 2011; 28:187-90.
  • Beg M.A. , Dhasmana D. C. , Kalra J. , Rawat J.COMPARATIVE STUDY OF EFFICACY,SAFETY AND COST-EFFECTIVENESS OF INHALED CORTICOSTEROID (CICLESONIDE AND FLUTICASONE) IN MODERATE PERSISTENT BRONCHIAL ASTHMA Journal of Advance Researches in Biological Sciences, 2011, 3 (2) 71-78
  • Rawat J, Biswas D, Sindhwani G. An alternative 1-day smears microscopy protocol for the diagnosis of pulmonary tuberculosis .Respirology2010; 15( 7): 1127–113. 20. Biswas D, Agarawal S, Sindhwani G, Rawat J. fungal colonization in patients with chronic respiratory diseases from Himalayan region of India. Ann Clin Microbial Antimicrobial. 2010 Sep 20; 9(1):28
  • Dua R, Sindhwani G, Rawat J. Exfoliative dermatitis to all four first line oral Anti-tubercular drugs. Indian J Tuberc 2010; 57: 53-56
  • Sindhwani G, Rawat J, Dua R Mediastinum Hydatid cyst: A case report. Internet journal of medical update 2009:4; 42-44.
  • Rawat J, Sindhwani G, Juyal R. Five year trends of acquired drug resistance tuberculosis in patient attending a tertiary care hospital at Dehradun. . Lung India.2009:26; 106-108
  • Rawat J, Sindhwani G, Gaur D, Dua R, Saini S. Clinico-pathological profile of lung cancer in Uttarakhand. Lung India.2009:26; 74-76.
  • Gaur DS, Rawat J, Gaur KGBS, Pathak VP. Profile of lung cancer in Garhwal, Uttarakhand from a tertiary care hospital. Indian medical gazette 2009; cxIIIno.6:207-211.
  • . Rawat J, Sindhwani G and Dua R. Primary multi – drug resistant tubercular lymphadenitis in a HIV infected patient. Indian J Tuberc 2009; 56:157-159.
  • Rawat J, Sindhwani G and Dua R .Isolated tuberculous Perianal ulcer in immunocompetent patient. Indian J Tuberc 2009; 56: 229-231.
  • Sahu SK, Rawat J, Sindhwani G et al. Primary cold abscess of the anterior abdominal wall. An unusual site of presentation. The internet journal of surgery.2008; 163.
  • Rawat J, Sindhwani G,Juyal R. Clinico-radiological profile of new smear positive pulmonary tuberculosis cases among young adult and elderly people in a tertiary care hospital at Dehradun (Uttarakhand) Indian J Tuberc 2008;55:84-90.
  • . Sindhwani G, Whig J, Gupta A, Rawat J. Tuberculosis in congenital abdominal malformation. A rare presentation. Lung India 2007; 24:148-149.
  • Sindhwani G, Rawat J. An unusual occurrence of Allergic Broncho Pulmonary Aspergillosis (ABPA) in a family. J Indian Med Assoc 2007; 105:188-91.
  • Rawat J , Sindhwani G, Saini S, Kishore S, Kusum A. Usefulness and cost effectiveness of bronchial washing in diagnosing endobronchial malignancies. Lung India2007; 24:139-141.
  • Rawat J, Sindhwani G, Gaur S, Singh V. Intrapleural streptokinase in management of multiloculated uraemic pleural effusion. A case report. Lung India 2006; 23:87-89.
  • Sindhwani G, Rawat J. Ventilator dependence: Role of nutrition and airway clearance therapy. Lung India 2006; 23:39-41.
  • Gupta P, Rawat J, Sindhwani G, Ramjee P, Talker M.HIV Sero-prevalence and Tuberculosis in Uttaranchal. Indian J Tuberc 2006; 53:96-100.
  • . Surya Kant, Rawat J.A new hope for tuberculosis control. Journal of the IMA academy of medical specialties.2003; 14:18-26.
  • Surya Kant, Rawat J. Yield of different bronchoscopic procedure in bronchogenic carcinoma. Abstract published in Bronchocon 2003.