RADIOGRAPHIC FINDINGS IN PULMONARY TUBERCULOSIS - THE INFLUENCE OF HUMAN-IMMUNODEFICIENCY-VIRUS INFECTION

被引：11

作者：

GUTIERREZ, J ^{[1
]}

MIRALLES, R ^{[1
]}

COLL, J ^{[1
]}

ALVAREZ, C ^{[1
]}

SANZ, M ^{[1
]}

RUBIESPRAT, J ^{[1
]}

机构：

[1] UNIV AUTONOMA BARCELONA,HOSP MAR,DEPT MED,PASEO MARITIMO 25-29,E-08003 BARCELONA,SPAIN

来源：

EUROPEAN JOURNAL OF RADIOLOGY | 1991年 / 12卷 / 03期

关键词：

THORAX; TUBERCULOSIS; RADIOGRAPHY; AIDS; INFLUENCE OF HIV;

D O I：

10.1016/0720-048X(91)90079-B

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

The chest radiographs and medical records of 166 patients diagnosed as having clinically active pulmonary tuberculosis were reviewed. Forty-nine patients (group I) were seropositives to human immunodeficiency virus (HIV), and 117 patients (group II) did not have known risk factors for HIV infection. Roentgenographic abnormalities were analysed in the two groups, according to nine different radiographic patterns previously defined. The seropositive group had a significantly higher proportion of hilar and/or mediastinal adenopathy (P < 0.001), infiltrates confined to the lower lung fields (P < 0.05), and miliary tuberculosis (P < 0.005). Otherwise, single cavitation and destructive pattern were more frequent in the group II. These data suggest that patients with pulmonary tuberculosis and HIV infection are much more likely to have atypical radiographic findings.

引用

页码：234 / 237

页数：4

共 14 条

[1] Reichman, Felton, Edsall, Drug dependence, a possible new risk factor for tuberculosis disease, Arch Intern Med, 139, pp. 337-339, (1979)
[2] Sunderam, McDonald, Maniatis, Oleske, Kapila, Reichman, Tuberculosis as a manifestation of the acquired immunodeficiency syndrome (AIDS), JAMA, 256, pp. 362-366, (1986)
[3] Handwerger, Mildvan, Senie, McKinley, Tuberculosis and the acquired immunodeficiency syndrome at a New York City hospital: 1978–1985, Chest, 91, pp. 176-180, (1987)
[4] Pitchenik, Burr, Suarez, Fertel, Gonzalez, Moas, Human T-cell lymphotropic virus-III (HTLV-III) seropositivity and related disease among 71 consecutive patients in whom tuberculosis was diagnosed, Am Rev Respir Dis, 135, pp. 875-879, (1987)
[5] Gatell, Soriano, Mallolas, Mariscal, Tuberculosis and the new CDC case definition for AIDS, Lancet, 1, (1988)
[6] Alvarez, McCabe, Extrapulmonary tuberculosis revisited: a review of experience at Boston city and other hospitals, Medicine (Balt), 63, pp. 25-55, (1984)
[7] Chaisson, Schecter, Theuer, Rutherford, Echenberg, Hopewell, Tuberculosis in patients with the acquired immunodeficiency syndrome, Am Rev Respir Dis, 136, pp. 570-574, (1987)
[8] Pitchenik, Rubinson, The radiographic appearance of tuberculosis in patients with the acquired immune deficiency syndrome (AIDS) and pre-AIDS, Am Rev Respir Dis, 131, pp. 393-396, (1985)
[9] Louie, Rice, Holzman, Tuberculosis in non-Haitian patients with acquired immunodeficiency syndrome, Chest, 90, pp. 542-545, (1986)
[10] Woodring, Vandiviere, Fried, Dillon, Williams, Melvin, Update: the radiographic features of pulmonary tuberculosis, AJR, 146, pp. 497-506, (1986)

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