Chest Radiograph Interpretation of Pneumocystis carinii Pneumonia, Bacterial Pneumonia, and Pulmonary Tuberculosis in HIV-Positive Patients

Boiselle, Phillip M.; Tocino, Irena; Hooley, Regina J.; Pumerantz, Andrew S.; Selwyn, Peter A.; Neklesa, Vladimir P.; Lange, Robert

doi:10.1097/00005382-199701000-00007

Cited by 81 publications

(50 citation statements)

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“…bacterial infection 20% cases were diagnosed to be suffering from bacterial infection. The most common HRCT finding in bacterial infection was lobar consolidation seen in 66.6% patients, Magnenat et al, and Boiselle et al, reported that focal consolidation was observed in approximately 45-60% of patients with pyogenic infection [20,21].…”

Section: Spectrum Of Pulmonary Diseasesmentioning

confidence: 99%

High Resolution Computed Tomography Lung Spectrum in Symptomatic Adult HIV-Positive Patients in South-East Asian Nation

Atwal

Puranik

Madhav

et al. 2014

JCDR

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Background: Pulmonary infections remain a leading cause of morbidity and mortality and one of the most frequent causes of hospital admission in HIV infected people worldwide. HRCT may be useful in the evaluation of patients with suspected pulmonary disease.The aim of given study was to determine the High Resolution Computed Tomography spectrum of lung parenchymal and interstitial imaging findings in HIV infected patients presented with chest symptoms. Materials and Methods:This study was conducted in a tertiary health care centre, New Delhi, India. The study consisted of 45 patients. A thorough clinical history of all the HIV positive patients presenting with suspicion of pulmonary disease was taken. General physical and respiratory system examination of all patients was done HRCT scans of the chest were done in all the cases taken in the study.Results: Maximum number of patients was in age group 31-40 years (24 cases). Out of 45 patients included in our study, 32 (71%) were male and 13 (29%) were female.In our series of 45 patients, 62.2% of patients were diagnosed as having pulmonary tuberculosis, followed by bacterial infection in 20% cases and Pneumocystis jiroveci pneumonia (PJP) in 8.9% patients, while 8.9% of the study did not reveal any significant abnormality.Maximum number (22/28) of patients with pulmonary tuberculosis were indentified to have nodular opacities.The most common HRCT finding in bacterial infection was lobar consolidation.The most common HRCT finding in patients with PCP was diffuse ground glass opacities in mosaic pattern of distribution. Conclusion:HRCT is a highly sensitive tool for detecting lung parenchymal and interstitial lesions and allows better characterization of the lesions.HRCT findings should always be correlated with clinical findings,

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Section: Spectrum Of Pulmonary Diseasesmentioning

confidence: 99%

High Resolution Computed Tomography Lung Spectrum in Symptomatic Adult HIV-Positive Patients in South-East Asian Nation

Atwal

Puranik

Madhav

et al. 2014

JCDR

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“…However, patients with higher CD4 cell counts are more likely to present with a typical clinical picture, in contrast, patients with low CD4 cell count often present an atypical clinical picture (Madeddu et al, 2010). The most common radiographic pattern in bacterial pneumonia is focal consolidation, which typically presents in either a segmental or lobar distribution (Boiselle et al, 1997;Gold et al, 2002;Kuhlman, 1999;Selwyn et al, 1998;Sider et al 1993). In two studies of HIV-infected individuals with bacterial pneumonia, focal consolidation was observed in approximately 45-60% of patients (Boiselle et al, 1997;Magnenat et al, 1991).…”

Section: Bacterial Infectionsmentioning

confidence: 99%

“…The most common radiographic pattern in bacterial pneumonia is focal consolidation, which typically presents in either a segmental or lobar distribution (Boiselle et al, 1997;Gold et al, 2002;Kuhlman, 1999;Selwyn et al, 1998;Sider et al 1993). In two studies of HIV-infected individuals with bacterial pneumonia, focal consolidation was observed in approximately 45-60% of patients (Boiselle et al, 1997;Magnenat et al, 1991). Most persons with S. pneumoniae or Haemophilus pneumonia present with unilateral, focal, segmental or lobar consolidation.…”

Section: Bacterial Infectionsmentioning

confidence: 99%

AIDS and Opportunistic Infections

Çiledağ¹,

Karnak²

2011

Microbes, Viruses and Parasites in AIDS Process

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“…The imaging features of HIV-PCP have been reported worldwide in the literature, [8][9][10][11][12][13][14][15] but that of renal transplantation induced-PCP was seldom reported, [15,16] being either isolated cases or reports of small numbers. The purpose of this study is to emphasize the imaging characteristics that could suggest that the diagnosis of PCP followed renal transplantation.…”

Section: Introductionmentioning

confidence: 99%

Imaging Characteristics ofPneumocystis pneumoniaafter Renal Transplantation

et al. 2010

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Identification of Pneumocysis pneumonia (PCP) after renal transplantation has a great impact on early diagnosis and therapy, which could decrease its mortality. Due to a lack of characteristic clinical symptoms, imaging modalities became very important in the diagnosing PCP. Thirteen PCP patients after renal transplantation were reviewed. They underwent a series of chest radiographs and chest high-resolution CT scans. The common radiological presentations were bilateral diffuse symmetrical ground-glass and consolidation opacities, followed by pneumoceles or air-filled cysts or linear or reticular shadows. Groundglass attenuations were showed clearly on HRCT in 13 patients, while only 6 on CXR. Pneumoceles or cysts (n = 8) were seen only on HRCT. Air-filled cysts or pneumoceles within bilateral diffuse symmetrical ground-glass and consolidation opacities may be the characteristic of this disease. If combined with clinical data, the diagnosis of PCP could be established.

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Chest Radiograph Interpretation of Pneumocystis carinii Pneumonia, Bacterial Pneumonia, and Pulmonary Tuberculosis in HIV-Positive Patients

Cited by 81 publications

References 0 publications

High Resolution Computed Tomography Lung Spectrum in Symptomatic Adult HIV-Positive Patients in South-East Asian Nation

High Resolution Computed Tomography Lung Spectrum in Symptomatic Adult HIV-Positive Patients in South-East Asian Nation

AIDS and Opportunistic Infections

Imaging Characteristics ofPneumocystis pneumoniaafter Renal Transplantation

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