CT in detection and diagnosis of thoracic conditions in symptomatic HIV patients

Authors

  • Madhav Hegde Dr.B.R.Ambedkar Medical College,Bengaluru.
  • Chanabasappa V Chavadi Kasturba Medical College,Mangaluru.

DOI:

https://doi.org/10.7439/ijbr.v6i8.2341

Keywords:

Immediate release, polymers, superdisintegrant.

Abstract

Thoracic manifestations of HIV positive patients have undergone a gradual metamorphosis due to more awareness about the disease and prolonged longevity of the patients due to better treatment options available now, therefore it is necessary for the radiologist to be aware of changing trends in disease prevalence, epidemiology and the possible pathology. Present study was conducted at Sassoon General Hospital, Pune. Twenty five seropositive patients (ELISA positive) showing signs/ symptoms like fever, cough, breathlessness, hemoptysis, dull note on percussion, lymphadenopathy etc are included in the study. CT sections of thorax were taken at 10mm intervals before and after intravenous contrast administration using spiral mode. We concluded that M. tuberculosis infection was the commonest opportunistic agent in HIV positive patients, however, community acquired bacterial pneumonia was the most frequent cause of pneumonia in HIV infected patients. We concluded that CT is the most important imaging modality used to evaluate chest in HIV positive patients. Contrast enhanced spiral CT is needed to adequately demonstrate lymphadenopathy and HRCT shows distinct advantage in terms of delineation of parenchymal changes.

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References

Pastores S.M., Naidich D.P., Aranda C.P. et al : Intrathoracic adenopathy associated with pulmonary tuberculosis in patients with human immunodeficiency virus infection. Chest. 1993; 103; 1433-1437.

Greenberg S.D., Frager D. et al : Active pulmonary tuberculosis in patients with AIDS. Spectrum of radiographic findings. Radiology; 1994; 193(1); 6 : 115-119.

Goodman P.C. ; Myobacterial disease in AIDS. J. Thorac. Imaging. 1991; 6 : 22-27.

Pombo F., Rodriguez, Mato J. et al : Patterns of contrast enhancement of tuberculosis lymph nodes demonstrated on computed tomography. Clin. Radiol. 1992; 46 (1) : 13-17.

Fishman J.E., Sagar M. : Thoracic lymphadenopathy in HIV patients : Spectrum of disease and differentiated diagnosis. AIDS Patient Care STDS. 1999 Nov; 13(11) : 645-9.

Amorosa J.K., Nahass R.G., Nosger J.L. et al : Radiologic distinction of pyogenic pulmonary infection from pneumocystis carinii pneumonia in AIDS patients. Radiology. 1990; 175 : 721.

Mayaud C., Fartoukh M., Parrot A. : Pneumonia in immunocompromised patients. Revprat. 2003, Nov 30; 53(18) : 1983-8.

Polskey B. et al : Bacterial pneumonia in patients with the acquired immunodeficiency syndrome. Ann. Intern. Med. 1986; 104 : 38.

Venot P, Catonese V, Kuchly B, Lemesle F, Delille F, Runge 1 : pneumococcal pneumonia in a patient with HIV infection, Development to excavation. Rev Pneumol Clin. 1996; 52 (1) : 29-32.

Simon F, koninck J.C. et al : Thoracic nocardiasis associated with macrophage activation syndrome. Rev Mal Respir 2001 Feb ; 18 (1) : 59-62.

Heussel C.P., Ullmann A.J., Kauczor H.U. : Fungal pneumonia : Radiologe. 2000 Jun; 40(6) ; 518-29.

Franquet T., Lee K.S., Muller N.l. : Thin-section CT findings in 32 immunocompromised patients with cytomegalovirus pneumonia who do not have AIDS. AJR Am. J. Roentgenol; 2003, Oct, 181(4) : 1059-63.

Chow C.C., Kotlyarov E.V., Fantry G.T., Pichney L.S. : Ga-67 citrate in diagnosing tracheoesophageal fistula in a patient with AIDS Case Report. Clin Nucl. Med. 1992 Feb; 17(2) : 103-5.

Kang E.Y., Staples C.A. et al : Detection and differential diagnosis of pulmonary infections and tumours in patients with AIDS. Value of chest radiography versus CT. Am. J. Roentgenol. 1996 Jan; 166(1) : 15-19.

Castaner E., Gallardo X, Mata J.M., Esteba L. : Radiologic approach to the diagnosis of infectious pulmonary diseases in patients infected with the human immunodeficiency virus. Eur. J. Radiol. 2004 Aug; 51(2); 114-29.

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Published

2015-08-17

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Section

Original Research Articles

How to Cite

1.
CT in detection and diagnosis of thoracic conditions in symptomatic HIV patients. Int Jour of Biomed Res [Internet]. 2015 Aug. 17 [cited 2024 Oct. 18];6(8):554-8. Available from: https://ssjournals.co.in/index.php/ijbr/article/view/2341

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