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

Author(s):
Fatmeh AhmadiFatmeh AhmadiFatmeh Ahmadi ORCID1, 2,*, Shokrollah SalmanzadehShokrollah Salmanzadeh1, Mehdi KimyaiMehdi 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
*Corresponding Author: Fatmeh Ahmadi, Razi Hospital, Ahvaz Jundishapur University of medical sciences, Ahvaz, IR Iran. Tel: +98-6113335935; Fax: +98-6115551757, E-mail: Email: [email protected]

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:Ahmadi F, Salmanzadeh S, Kimyai M. Comparison the Radiologic Findings of Pulmonary Tuberculosis Among HIV-Seropositive With HIV-Seronegative Patients. Jundishapur J Microbiol. 2012;5(2):. doi: 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.

 

 

Copyright © 2012 Kowsar Corp. All rights reserved.

 

 

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© 2012, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.

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