Effect of HIV status on chest radiographic and CT findings in patients with tuberculosis

Haramati, Linda B.; Jenny-Avital, Elisabeth R.; Alterman, Daniel D.

doi:10.1016/s0009-9260(97)80302-9

Cited by 54 publications

(25 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the past two decades, a resurgence of tuberculosis (TB) has been seen worldwide, including a number of developing countries in which the disease had been on the decline for many decades. This increase in TB is largely related to cases in AIDS patients [38,39]. Infection will depend on the patient9s immune status and the risk of opportunistic infections will also change over time [39].…”

Section: Acquired Immune Deficiency Syndromementioning

confidence: 99%

Imaging of pneumonia: trends and algorithms

2001

View full text Add to dashboard Cite

Pneumonia is one of the major infectious diseases responsible for significant morbidity and mortality throughout the world. Imaging plays a crucial role in the detection and management of patients with pneumonia. This review article discusses the different imaging methods used in the diagnosis and management of suspected pulmonary infections. The imaging examination should always begin with conventional radiography. When the results of routine radiography are inconclusive, computed tomography is mandatory. A combination of pattern recognition with knowledge of the clinical setting is the best approach to the pulmonary infectious processes.A specific pattern of involvement can suggest a likely diagnosis in many instances. In acquired immune deficiency syndrome patients, diffuse ground-glass and interstitial infiltrates are most commonly present in Pneumocystis carinii pneumonia whereas in the nonimmunosuppressed patients, a segmental lobar infiltrate is suggestive of a bacterial pneumonia. Round pneumonia is most often encountered in children than adults and is most often caused by Streptococcus pneumoniae. Different combinations of parenchymal and pleural abnormalities may be suggestive for additional diagnoses.When an infectious pulmonary process is suspected, knowledge of the varied radiographic manifestations will narrow the differential diagnosis, helping to direct additional diagnostic measures, and serving as an ideal tool for follow-up examinations.

show abstract

Section: Acquired Immune Deficiency Syndromementioning

confidence: 99%

Imaging of pneumonia: trends and algorithms

2001

View full text Add to dashboard Cite

show abstract

“…Mediastinal lymphadenopathy is more commonly seen in HIV-positive patients as compared to HIV-negative patients who present more commonly with lung parenchymal opacities and cavitations [17]. In the study by Feng et al, the presence of lymphadenopathy was a significant finding in which lymphadenopathy could be observed in 44 (77.2%) of 57 patients with TB [15].…”

Section: Spectrum Of Pulmonary Diseasesmentioning

confidence: 99%

High Resolution Computed Tomography Lung Spectrum in Symptomatic Adult HIV-Positive Patients in South-East Asian Nation

Atwal

Puranik

Madhav

et al. 2014

JCDR

View full text Add to dashboard Cite

Background: Pulmonary infections remain a leading cause of morbidity and mortality and one of the most frequent causes of hospital admission in HIV infected people worldwide. HRCT may be useful in the evaluation of patients with suspected pulmonary disease.The aim of given study was to determine the High Resolution Computed Tomography spectrum of lung parenchymal and interstitial imaging findings in HIV infected patients presented with chest symptoms. Materials and Methods:This study was conducted in a tertiary health care centre, New Delhi, India. The study consisted of 45 patients. A thorough clinical history of all the HIV positive patients presenting with suspicion of pulmonary disease was taken. General physical and respiratory system examination of all patients was done HRCT scans of the chest were done in all the cases taken in the study.Results: Maximum number of patients was in age group 31-40 years (24 cases). Out of 45 patients included in our study, 32 (71%) were male and 13 (29%) were female.In our series of 45 patients, 62.2% of patients were diagnosed as having pulmonary tuberculosis, followed by bacterial infection in 20% cases and Pneumocystis jiroveci pneumonia (PJP) in 8.9% patients, while 8.9% of the study did not reveal any significant abnormality.Maximum number (22/28) of patients with pulmonary tuberculosis were indentified to have nodular opacities.The most common HRCT finding in bacterial infection was lobar consolidation.The most common HRCT finding in patients with PCP was diffuse ground glass opacities in mosaic pattern of distribution. Conclusion:HRCT is a highly sensitive tool for detecting lung parenchymal and interstitial lesions and allows better characterization of the lesions.HRCT findings should always be correlated with clinical findings,

show abstract

“…2011 Jan/Fev;44(1): [13][14][15][16][17][18][19] (34.3%) of the 35 patients presented ill defined nodules with centrilobular distribution, and 4 (40%) of the 10 patients presented such tomographic finding.…”

Section: Ill Defined Nodules With Centrilobular Distribution (Figure 5)mentioning

confidence: 99%

“…Lee Radiol Bras. 2011 Jan/Fev;44(1): [13][14][15][16][17][18][19] et al (12) have investigated the usefulness of computed tomography (CT) in the differentiation between active and inactive tuberculosis. Pereira et al (13) have described the tomographic findings of primary pulmonary tuberculosis initially manifested as lobar consolidation.…”

Section: Introductionmentioning

confidence: 99%

“…Comparative studies evaluating tomographic findings of pulmonary tuberculosis in both HIV-positive and HIV-negative patients are not so frequently found in the literature (18)(19)(20) . As compared with the HIVnegative population, AIDS patients present greater probability of ganglia involvement, bronchial dissemination, miliary disease, extrapulmonary disease, and normal plain chest radiography (21) .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Aspectos tomográficos da tuberculose pulmonar em pacientes adultos com AIDS

et al. 2011

View full text Add to dashboard Cite

Objective: The present study is aimed at describing computed tomography findings pulmonary tuberculosis in adult AIDS patients assisted at a radiology unit of a reference infectious diseases hospital, in an attempt to establish the association between such findings and CD4 count. Materials and Methods: Forty-five patients were evaluated by chest computed tomography over a four-year period. Results: Mediastinal and/or hilar lymph node enlargement was found in 31 (68.8%) cases, pleural effusion in 29 (64.4%), centrilobular nodules with segmental distribution in 26 (57.7%), consolidation in 24 (53.3%), confluent micronodules in 17 (37.7%), poorly defined nodules with centrilobular distribution in 16 (35.5%), tree-in-bud pattern in 13 (28.9%), bronchial wall thickening in 12 (26.6%), thick-walled cavity in 10 (22.2%), miliary nodules in 9 (20%), and cylindrical bronchiectasis in 6 (13.3%). Among the 45 patients, 35 (77.8%) presented CD4 count < 200 cel/mm 3 and 10 (22.2%) presented CD4 count ≥ 200 cel/mm 3 . Conclusion: Differently from reports in the literature, the authors conclude that mediastinal and/or hilar lymph node enlargement and consolidation were significantly most frequent in patients with CD4 count ≥ 200 cel/mm 3 . However, lymph nodes with hypodense center were most often observed in severely immunosuppressed patients with CD4 count < 200 cel/mm 3 . Keywords: Tuberculosis; Tomography; Chest; HIV; AIDS; SIDA.Objetivo: Este trabalho tem como finalidade descrever os achados tomográficos da tuberculose pulmonar em pacientes adultos com AIDS atendidos no serviço de radiologia de um hospital de referência em doenças infecciosas, procurar associações desses achados e a contagem de CD4. Materiais e Métodos: Foram estudados 45 pacientes por meio de tomografia computadorizada de tórax durante quatro anos. Resultados: Foram encontrados linfonodomegalia mediastinal e/ou hilar em 31 (68,8%) dos casos, derrame pleural em 29 (64,4%), nódulos centrolobulares de distribuição segmentar em 26 (57,7%), consolidação em 24 (53,3%), confluência de micronódulos em 17 (37,7%), nódulos mal definidos com distribuição centrolobular em 16 (35,5%), padrão de "árvore em brotamento" em 13 (28,9%), espessamento de parede brônquica em 12 (26,6%), cavidade de parede espessa em 10 (22,2%), nódulos miliares em 9 (20%) e bronquiectasias cilíndricas em 6 (13,3%). Dos 45 pacientes, 35 (77,8%) apresentaram CD4 < 200 cel/mm 3 e 10 (22,2%) apresentaram CD4 ≥ 200 cel/mm 3 . Conclusão: Concluímos que neste estudo, diversamente do descrito na literatura, linfonodomegalia mediastinal e/ou hilar e consolidação foram significativamente mais frequentes em pacientes com CD4 ≥ 200 cel/mm 3 . No entanto, linfonodos com centro hipodenso foram mais frequentemente observados em pacientes com severa imunodepressão, ou seja, CD4 < 200 cel/mm 3 . Unitermos: Tuberculose; Tomografia; Tórax; HIV; AIDS; SIDA. AbstractResumo

show abstract

Effect of HIV status on chest radiographic and CT findings in patients with tuberculosis

Cited by 54 publications

References 14 publications

Imaging of pneumonia: trends and algorithms

Imaging of pneumonia: trends and algorithms

High Resolution Computed Tomography Lung Spectrum in Symptomatic Adult HIV-Positive Patients in South-East Asian Nation

Aspectos tomográficos da tuberculose pulmonar em pacientes adultos com AIDS

Contact Info

Product

Resources

About