Diagnostic value of FASH ultrasound and chest X-ray in HIV-co-infected patients with abdominal tuberculosis

T. Heller; S. Goblirsch; S. Bahlas; M. Ahmed; M. T. Giordani; C. Wallrauch; E. Brunetti

doi:10.5588/ijtld.12.0679

Diagnostic value of FASH ultrasound and chest X-ray in HIV-co-infected patients with abdominal tuberculosis

T. Heller, S. Goblirsch, S. Bahlas, M. Ahmed, M. T. Giordani, C. Wallrauch, E. Brunetti

IRCCS Fondazione Policlinico San Matteo

Research output: Contribution to journal › Article

Abstract

In human immunodeficiency virus (HIV) co-infected tuberculosis (TB) patients with negative acid-fast bacilli smears, chest radiography (CXR) is usually the first imaging step in the diagnostic work-up. Ultrasound, also in the form of focused assessment with sonography for TB-HIV (FASH), is an additional imaging modality used to diagnose extra-pulmonary TB (EPTB). Findings from 82 patients with abdominal TB diagnosed by ultrasound were analysed and compared with CXR results. Enlarged abdominal lymph nodes were seen in 75.6% of the patients, spleen abscesses in 41.2% and liver lesions in 30.6%. CXR showed a miliary pattern in 21.9% of the patients; 26.8% of the CXR had no radiological changes suggestive of pulmonary TB. This patient group would benefit from ultrasound in diagnostic algorithms for HIV-associated EPTB.

Original language	English
Pages (from-to)	342-344
Number of pages	3
Journal	International Journal of Tuberculosis and Lung Disease
Volume	17
Issue number	3
DOIs	https://doi.org/10.5588/ijtld.12.0679
Publication status	Published - Mar 1 2013

Keywords

CXR
EPTB
FASH
HIV
Ultrasound

ASJC Scopus subject areas

Pulmonary and Respiratory Medicine
Infectious Diseases

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Heller, T., Goblirsch, S., Bahlas, S., Ahmed, M., Giordani, M. T., Wallrauch, C., & Brunetti, E. (2013). Diagnostic value of FASH ultrasound and chest X-ray in HIV-co-infected patients with abdominal tuberculosis. International Journal of Tuberculosis and Lung Disease, 17(3), 342-344. https://doi.org/10.5588/ijtld.12.0679

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AU - Giordani, M. T.

AU - Wallrauch, C.

AU - Brunetti, E.

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