Imaging findings of disseminated pulmonary tuberculosis in patients with acquired immunodeficiency syndrome
10.3760/cma.j.issn.1005-1201.2013.01.004
- VernacularTitle:艾滋病并发肺结核播散的影像表现
- Author:
Wenyan SONG
;
Zuqi ZHAO
;
Dawei ZHAO
;
Jinxin LIU
;
Wanhua GUAN
;
Yi LIANG
;
Cuiyu JIA
;
Ruichi ZHANG
- Publication Type:Journal Article
- Keywords:
Tuberculosis,Pulmonary;
Acquired Immunodeficiency Syndrome;
Tomography,X-ray computed
- From:
Chinese Journal of Radiology
2013;(1):13-17
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the imaging findings of disseminated pulmonary tuberculosis in patients with acquired immunodeficiency syndrome (AIDS).Methods X-ray and multi-slice CT (MSCT)data from 33 AIDS patients with disseminated pulnonary tuberculosis confirmed by clinical manifestations and laboratory tests were analyzed retrospectively.Results Thirty patients underwent initial chest radiography examination,29 patients showed abnormal appearances,including bilateral disseminations in 21 patients and unilateral multiple disseminations in 8 patients.All patients underwent MSCT examination,26 patients showed bilateral disseminations and 7 patients showed unilateral multiple disseminations.The abnormal pulmonary appearances included nodule (n =25),miliary nodule (n =22),air-space consolidation (n =22),cavity (n =11),fibrosis (n =7),ground-glass opacity (n =7),pneumatocele (n =4),calcification (n =2).There were 20 patients with more than 3 abnormal appearances and 13 patients with one or two abnormal appearances.The extra-pulmonary tuberculosis included pleural effusion (n =33),lymphadenopathy (n =30),intestinal tuberculosis (n =3),splenic tuberculosis (n =1) and cerebral tuberculosis (n =1).Conclusion Disseminated pulmonary tuberculosis should be highly suspected in AIDS patients with diffused nodules,miliary nodules,air-space consolidations or multiple cavities,accompanied with pleural effusion and lymphadenopathy.
