CT Findings of Pulmonary Tuberculosis in the Patients with HIV Infection and AIDS
10.3969/j.issn.1002-1671.2009.12.011
- VernacularTitle:HIV感染者和AIDS患者并发肺结核的CT表现
- Author:
Bihua CHEN
;
Jinxin LIU
;
Xiaoping TANG
;
Songfeng JIANG
;
Lieguang ZHANG
;
Deyang HUANG
- Publication Type:Journal Article
- Keywords:
lung;
human immunodeficiency virus(HIV);
acquired immunodeficiency syndrome(AIDS);
pulmonary tuberculosis;
tomography;
X-ray computed
- From:
Journal of Practical Radiology
2009;25(12):1730-1733
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate CT features of pulmonary tuberculosis in the patients with HIV infection and AIDS(HIV/AIDS).Methods CT findings of pulmonary tuberculosis were retrospectively analyzed in 48 patients with HIV/AIDS.Results The CT features of pulmonary tuberculosis in HIV/AIDS included: secondary pulmonary tuberculosis in 19 cases(39.6%), mostly showing patchings shadows,10 cases with large confluent consolidation; hematogenous pulmonary tuberculosis in 17 cases(35.4%), including 7 cases of acute miliary tuberculosis(showing miliary lesions evenly distributed in both lungs), and 10 cases of sub-acute disseminated tuberculosis(showing nodular patterns diffusely distributed in both lungs, asymmetrical in size and distribution); complex lesions in 10 cases(20.8%, showing patchy, nodular and miliary lesions). Among all the patients, 36 (75.0%) showed enlarged mediastinal lymphnodes, 13(27.1%) pleural effussion, 10(20.8%) pericardial effusion.Conclusion The characteristics of pulmonary tuberculosis in the patients with HIV/AIDS were mostly diffuse distribution.
