Diagnostica per immagini della tubercolosi polmonare attuale. Significato clinico dei quadri di presentazione e aspetti particolari nei soggetti HIV positivi e HIV negativi

Translated title of the contribution: Imaging of current pulmonary tuberculosis. Clinico-radiologic correlations and peculiar patterns in HIV+ and HIV- patients

Paolo Diotallevi, Massimo Cristofaro, Luigi Natale, Massimo Scano, Salvatore Geraci, Francesco Montella, Giovanni Serra

Research output: Contribution to journalArticle

Abstract

Purpose. We compared two groups of risk patients to try to identify different radiologic patterns in pulmonary tuberculosis. Materials and methods. 74 subjects, divided into two groups (HTV+:27: HTV-:47) were included since 1993. The patients were examined with chest X-ray (CXR) and CT. Results. In the HIV+ group we observed 40 radiologic alterations, with 6 cases of bilateral lung involvement and 9 of atypical localizations; particularly: 11 consolidations, 8 cavitations, 5 miliary diseases, 9 hilar or mediastinal adenopathies, 3 extrapulmonary localizations and 4 negative CXRs. In the HIV- group we found 53 radiologie alterations, with 6 cases of bilateral lung involvement and 3 of atypical localizations; particularly: 12 consolidations, 25 cavitations. 5 nodular patterns, 1 miliary disease, 5 nodal disease, 4 pleural diseases and 1 negative CRX. Discussion and conclusions. In HIV- patients lung consolidations and tysiogen patterns are significantly prevalent, while miliary diseases, mediastinal diseases and atypical localizations and negative CRXs are more frequent in HIV+ patients. We found miliary diseases, mediastinal diseases and extrapulmonary localizations also in HIV- patients with heavily impaired social, economic and sanitary conditions. This alterations indicate compromised host resistance, independent of the causes and modalities of immunodeficiency. The distinction between primary and secondary tuberculosis is currently not mandatory.

Translated title of the contributionImaging of current pulmonary tuberculosis. Clinico-radiologic correlations and peculiar patterns in HIV+ and HIV- patients
Original languageItalian
Pages (from-to)55-61
Number of pages7
JournalRadiologia Medica
Volume96
Issue number1-2
Publication statusPublished - Jul 1998

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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