Miliary Tuberculosis: a Comparison of CT Findings in HIV-seropositive and HIV-seronegative Patients

Overview

Journal Br J Radiol

Publisher Oxford University Press

Specialty Radiology

Date 2010 Mar 4

PMID 20197435

Citations 13

Authors

J Y Kim

Y J Jeong

K-I Kim

I S Lee

H K Park

Y D Kim

H Seok I

Affiliations

Soon will be listed here.

Abstract

The aim of this study was to determine the differences in CT findings of miliary tuberculosis in patients with and without HIV infection. Two radiologists reviewed retrospectively the CT findings of 15 HIV-seropositive and 14 HIV-seronegative patients with miliary tuberculosis. The decisions on the findings were reached by consensus. Statistical analysis was performed using the chi2 test, Mann-Whitney U-test and Fisher's exact test. All of the HIV-seropositive and -seronegative patients had small nodules and micronodules distributed randomly throughout both lungs. HIV-seropositive patients had a higher prevalence of interlobular septal thickening (p = 0.017), necrotic lymph nodes (p = 0.005) and extrathoracic involvement (p = 0.040). The seropositive patients had a lower prevalence of large nodules (p = 0.031). In conclusion, recognition of the differences in the radiological findings between HIV-seropositive and -seronegative patients may help in the establishment of an earlier diagnosis of immune status in patients with miliary tuberculosis.

Citing Articles

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Miliary tuberculosis: A new look at an old foe.

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