Tuberculosis and AIDS - Thoracic Imaging


Title: Thoracic Imaging - Tuberculosis and AIDS
Diagnosis: Tuberculosis and AIDS
Author: Martins Martina
Comment: Howarth Nigel
Hospital: HUG
Department: Département de Radiologie
State: Terminée
Date: 21.03.2003
: 3445
KeyWords: Tuberculosis; pulmonary infection
Anatomy: Thorax
Chapter: Infectious pneumopathy
ACR: 2313


Clinical Presentation: Female patient, HIV-positive and relativelypreserved cellular
immunity.
Comment: Radiological findings associated with tuberculosis inAIDS patients
depend on their immune status. Diffuse parenchymalopacities, miliary dissemination,
massive adenopathy and pleuraleffusion are seen as immunity declines. Lymph node
necrosis occursonly if cellular immunity is relatively preserved.
Description: The frontal chest X-ray shows marked enlargement ofthe right hilum.
CT images show nodular consolidation in theanterior segment of the right upper lobe, with
hilar andmediastinal adenopathy, with a low density centre, indicative ofnecrosis. Left
perihilar consolidation is alsopresent.


Order: 0
Dislocation: 0
Polytrauma: 0
Open: 0
Pathologic: 0
Operation: 00.00.00
Graft: 0


References: Leung AN. Pulmonary tuberculosis: the essentials.Radiology 1999;
210:307-322. Pozniak A. Mycobacterial diseases andHIV. J HIV Ther. 2002;7:13-16.
Leung AN, Brauner MW, Gamsu G,Mlika-Cabanne N, Ben Romdhane H, Carette MF,
Grenier P. Pulmonarytuberculosis: comparison of CT findings in HIV-seropositive
andHIV-seronegative patients. Radiology 1996;198:687-91.

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