Comparison the Radiologic Findings of Pulmonary Tuberculosis Among HIV-Seropositive With HIV-Seronegative Patients

Fatmeh Ahmadi; Shokrollah Salmanzadeh; Mehdi Kimyai

doi:10.5812/jjm.3536

Jundishapur Journal of Microbiology

Ahvaz Jundishapur University of Medical Sciences

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https://doi.org/10.5812/jjm.3536

Comparison the Radiologic Findings of Pulmonary Tuberculosis Among HIV-Seropositive With HIV-Seronegative Patients

Author(s):

Fatmeh Ahmadi

^{1, 2,*},

Shokrollah Salmanzadeh¹,

Mehdi Kimyai³

1Razi Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran

2Research Center of Infectious Diseases and Tropical Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran

3Emergency Department, Razi Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran

Jundishapur Journal of Microbiology:Vol. 5, issue 2; 421-423

Published online:Apr 30, 2012

Article type:Research Article

Received:Jun 01, 2010

Accepted:Nov 01, 2011

How to Cite:Fatmeh AhmadiShokrollah SalmanzadehMehdi KimyaiComparison the Radiologic Findings of Pulmonary Tuberculosis Among HIV-Seropositive With HIV-Seronegative Patients.Jundishapur J Microbiol.2012;5(2):421-423.https://doi.org/10.5812/jjm.3536.

Abstract

Background: Approximately 1.8 million of the world’s population is infected with both M.tuberculosis (TB) and HIV. HIV-seropositive patients with TB may have radiographically atypical presentations.
Objectives: This study aimed to determine whether there was any difference in radiological presentation of pulmonary TB between HIV-seropositive and HIV-seronegative patients.
Patients and Methods: Information on 204 patients who were admitted with a diagnosis of pulmonary TB to the infectious ward of Razi Hospital, Ahvaz, between 2004 and 2008 was obtained from their records. They were divided into HIV-seropositive and HIV-seronegative groups. All clinical signs and symptoms and radiological findings were extracted from each patient file and recorded in a questionnaire.
Results: Normal thoracic radiography, pleural effusion, milliary pattern, and hilar and mediastinal lymphadenopathy were more common in the HIV-seropositive group. Pulmonary infiltration and cavitary lesions in Chest X-ray (CXR) were more frequent in the HIV-seronegative group. The prevalence of fibrosis in HIV-seronegative patients was higher than in HIV-seropositive subjects. Upper lobe pulmonary involvement in HIV-seropositive patients was less frequent than HIV-seronegative persons due to their immunodeficiency.
Conclusions: Radiological presentation of pulmonary TB differs between HIV-seropositive and HIV-seronegative patients due to progressive immunodeficiency from HIV infection.

Keywords

Tuberculosis

HIV-seropositive

Radiological Health

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Author(s):

Fatmeh Ahmadi:[PubMed][Scholar]
Shokrollah Salmanzadeh:[PubMed][Scholar]
Mehdi Kimyai:[PubMed][Scholar]