Early detection of pleuro‐pulmonary tuberculosis by bedside lung ultrasound: A case report and review of literature

Cocco, Giulio; Boccatonda, Andrea; Rossi, Ilaria; D’Ardes, Damiano; Corvino, Antonio; Pizzi, Andrea Delli; Ucciferri, Claudio; Falasca, Katia; Vecchiet, Jacopo

doi:10.1002/ccr3.5739

Cited by 6 publications

(6 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…On the other hand, our work underlines some advantages of LUS that are widely useful for radiologists and clinicians: it is widely available, is safer and cheaper compared with CT and can be easily performed in every hospital and health facility, in low- to middle-income countries as well [ 31 , 32 ]. Moreover, LUS does not require any patient transport because it is a bedside exam, nor does it require the presence of expensive CT scanners or dedicated technicians [ 33 , 34 , 35 ]. An interesting emerging field of study could be the introduction of new Artificial Intelligence (A.I.)…”

Section: Discussionmentioning

confidence: 99%

Parenchymal Cavitations in Pulmonary Tuberculosis: Comparison between Lung Ultrasound, Chest X-ray and Computed Tomography

Cozzi,

Bartolucci,

Giannelli

et al. 2024

Diagnostics

View full text Add to dashboard Cite

This article aims to detect lung cavitations using lung ultrasound (LUS) in a cohort of patients with pulmonary tuberculosis (TB) and correlate the findings with chest computed tomography (CT) and chest X-ray (CXR) to obtain LUS diagnostic sensitivity. Patients with suspected TB were enrolled after being evaluated with CXR and chest CT. A blinded radiologist performed LUS within 3 days after admission at the Infectious Diseases Department. Finally, 82 patients were enrolled in this study. Bronchoalveolar lavage (BAL) confirmed TB in 58/82 (71%). Chest CT showed pulmonary cavitations in 38/82 (43.6%; 32 TB patients and 6 non-TB ones), LUS in 15/82 (18.3%; 11 TB patients and 4 non-TB ones) and CXR in 27/82 (33%; 23 TB patients and 4 non-TB ones). Twelve patients with multiple cavitations were detected with CT and only one with LUS. LUS sensitivity was 39.5%, specificity 100%, PPV 100% and NPV 65.7%. CXR sensitivity was 68.4% and specificity 97.8%. No false positive cases were found. LUS sensitivity was rather low, as many cavitated consolidations did not reach the pleural surface. Aerated cavitations could be detected with LUS with relative confidence, highlighting a thin air crescent sign towards the pleural surface within a hypoechoic area of consolidation, easily distinguishable from a dynamic or static air bronchogram.

show abstract

Section: Discussionmentioning

confidence: 99%

Parenchymal Cavitations in Pulmonary Tuberculosis: Comparison between Lung Ultrasound, Chest X-ray and Computed Tomography

Cozzi,

Bartolucci,

Giannelli

et al. 2024

Diagnostics

View full text Add to dashboard Cite

show abstract

“…Pulmonary tuberculosis can present with a variety of mediastinal, pleural, and pulmonary changes, such as pleural effusion and rupture of the visceral pleura with subpleural consolidations and the formation of cavities or abscesses [ 64 ]. Tuberculosis lesions are often irregularly delineated with a homogeneously hypoechoic texture [ 64 ]. Miliary tuberculosis is characterized by ultrasound by multiple small hypoechoic subpleural nodules (<5 mm) [ 65 ].…”

Section: Pulmonary Tuberculosismentioning

confidence: 99%

Infectious Pneumonia and Lung Ultrasound: A Review

Boccatonda¹,

Cocco

D’Ardes

et al. 2023

JCM

Self Cite

View full text Add to dashboard Cite

The application of thoracic ultrasound examination has not long been developed because ultrasound’s interaction with the lung does not generate an anatomical image but an artifactual one. Subsequently, the evaluation of pulmonary artifacts and their correlation to specific diseases allowed the development of ultrasound semantics. Currently, pneumonia still represents one of the main causes of hospitalization and mortality. Several studies in the literature have demonstrated the ultrasound features of pneumonia. Although ultrasound cannot be considered the diagnostic gold standard for the study of all lung diseases, it has experienced an extraordinary development and growth of interest due to the SARS-CoV-2 pandemic. This review aims to provide essential information on the application of lung ultrasound to the study of infectious pneumonia and to discuss the differential diagnosis.

show abstract

“…9,12 When there is a critical reduction of alveolar air, the portion of pathological lung parenchyma acquires such a density as to be seen on ultrasound as a solid parenchyma, defined as the consolidation or hepatization process. 9,[13][14][15] The semiotics of LUS is mainly based on the study of alveolar-interstitial and pleural pathologies. 16 Hence, the reason why lung pathologies of vascular etiology cannot be evaluated by LUS, as they appear on ultrasound imaging as diffuse A-line pattern.…”

Section: Basics Of Lung Ultrasoundmentioning

confidence: 99%

The Diagnostic Role of Lung Ultrasound and Contrast-Enhanced Ultrasound in Pulmonary Embolism

Boccatonda,

Andreetto,

Vicari

et al. 2023

Semin Thromb Hemost

Self Cite

View full text Add to dashboard Cite

The diagnosis of pulmonary embolism (PE) relies essentially on a probabilistic approach that requires careful clinical assessments, targeted laboratory tests, and the use of appropriate imaging tools. Nowadays, the diagnostic gold standard is computed tomographic pulmonary angiography. Lung ultrasound (LUS) can play a role in the diagnosis of PE mainly by allowing the visualization of peripheral lung infarctions. Hypoechoic, pleural-based parenchymal consolidation is the most typical and common finding of pulmonary infarction. More than 85% of infarct lesions are wedge-shaped, extending to the pleural surface and are localized to where the patient complains of pleuritic chest pain. Contrast-enhanced ultrasound can be performed in addition to basic ultrasound examination to ascertain nonvascularization of the consolidation, thus confirming that the lesion is an infarct. The aim of this narrative review is to summarize the latest evidence on the application of LUS to the diagnosis of PE, focusing purely on thoracic/lung signs.

show abstract

Early detection of pleuro‐pulmonary tuberculosis by bedside lung ultrasound: A case report and review of literature

Cited by 6 publications

References 27 publications

Parenchymal Cavitations in Pulmonary Tuberculosis: Comparison between Lung Ultrasound, Chest X-ray and Computed Tomography

Parenchymal Cavitations in Pulmonary Tuberculosis: Comparison between Lung Ultrasound, Chest X-ray and Computed Tomography

Infectious Pneumonia and Lung Ultrasound: A Review

The Diagnostic Role of Lung Ultrasound and Contrast-Enhanced Ultrasound in Pulmonary Embolism

Contact Info

Product

Resources

About