HIV-Tuberculosis: A Study of Chest X-Ray Patterns in Relation to CD4 Count

Padyana, Mahesha; Bhat, Raghavendra; Dinesha, M; Nawaz, Alam

doi:10.4103/1947-2714.95904

Cited by 52 publications

(59 citation statements)

References 4 publications

(5 reference statements)

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“…Similarly a study done by Padyana et al .,[12] at a tertiary care hospital of South India, among 200 HIV positive patients, showed that 54 (27%) patients had HIV/TB co-infection and remaining 146 (73%) were HIV positive alone. Another study done by Kebede and Wabe[13] in South West Ethiopia, among 296 patients on concomitant tuberculosis and antiretroviral therapy at hospital treatment center, of them only 24 (8.1%) were co-infected by HIV and TB.…”

Section: Discussionmentioning

confidence: 62%

Prevalence of pulmonary tuberculosis among HIV positive patients attending antiretroviral therapy clinic

2013

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Background:Tuberculosis (TB) is the most common serious opportunistic infection in HIV positive patients and is the manifestation of AIDS in more than 50% of cases in developing countries. TB can occur at any time during the course of HIV infection.Aim:To describe the socio-demographic profile and prevalence of pulmonary tuberculosis (HIV/TB co-infection) among HIV positive patients been attended at the antiretroviral therapy clinic (ART) clinic at tertiary care teaching hospital of western Maharashtra, India.Materials and Methods:A cross-sectional study was carried out at the ART clinic of Pravara Rural Hospital, Loni, from June 2011 to May 2012. A total of 1012 HIV positive patients, who attended ART clinic, receiving ART treatment during the study period, were included in the analysis. The statistical analysis was performed using SPSS software (Version 17.0).Results:This study showed 1012/172 (17%) prevalence of pulmonary tuberculosis among HIV positive patients, of which 87 (50.58%) were males and 85 (48.42%) were females. Low CD4 count (< 50/μl) had statistically significant association with HIV/TB co-infection as compared to HIV infection only (P < 0.0001).Conclusion:The study showed that 17% of HIV infected persons had tuberculosis co-infection. More strategic preventive measures that enhance body immunity among HIV patients are highly needed as early as possible before they develop active tuberculosis.

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Section: Discussionmentioning

confidence: 62%

Prevalence of pulmonary tuberculosis among HIV positive patients attending antiretroviral therapy clinic

2013

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“…The present study at Al-Ameen Medical college Hospital at Bijapur, Southern India, shows 16.66% prevalence of tuberculosis infection among HIV positive patients, which is lower compared to other south Indian studies done by Padyana et al and Shrivastava et al Padyana et al [18] at a tertiary care hospital of South India, among 200 HIV positive patients, showed that 54 (27%) patients had HIV/TB co-infection. Shrivastava et al [19] demonstrated a prevalence of 20% among 305 HIVseropositive patients referred from Integrated Counselling and Treatment Center to TB clinic of Southern India.…”

Section: Graph 1: Tb Status Among Hiv Positive Patientscontrasting

confidence: 44%

Pulmonary Tuberculosis Co - Infection Among Hiv Infected Patients: A Hospital Based Study From Bijapur, Southern India

Jamadar¹,

K²

2015

jemds

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“…[1234] TB of the spine is one of the oldest demonstrated diseases of mankind and is the common extrapulmonary form of TB. The morbidity and mortality rate due to spinal TB is higher than other infections in developing countries with dense population.…”

Section: Introductionmentioning

confidence: 99%

Pott′s spine: Diagnostic imaging modalities and technology advancements

et al. 2013

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Spinal tuberculosis (TB) or Pott's spine is the commonest extrapulmonary manifestation of TB. It spreads through hematogenous route. Clinically, it presents with constitutional symptoms, back pain, tenderness, paraplegia or paraparesis, and kyphotic or scoliotic deformities. Pott's spine accounts for 2% of all cases of TB, 15% of extrapulmonary, and 50% of skeletal TB. The paradiscal, central, anterior subligamentous, and neural arch are the common vertebral lesions. Thoracic vertebrae are commonly affected followed by lumbar and cervical vertebrae. Plain radiographs are usually the initial investigation in spinal TB. For a radiolucent lesion to be apparent on a plain radiograph there should be 30% of bone mineral loss. Computed tomographic scanning provides much better bony detail of irregular lytic lesions, sclerosis, disc collapse, and disruption of bone circumference than plain radiograph. Magnetic resonance imaging (MRI) is the best diagnostic modality for Pott's spine and is more sensitive than other modalities. MRI frequently demonstrates disc collapse/destruction, cold abscess, vertebral wedging/collapse, marrow edema, and spinal deformities. Ultrasound and computed tomographic guided needle aspiration or biopsy is the technique for early histopathological diagnosis. Recently, the coexistence of human immunodeficiency virus infections and TB has been increased globally. In recent years, diffusion-weighted MRI (DW-MRI) and apparent diffusion coefficient values in combination with MRI are used to some extent in the diagnosis of spinal TB. We have reviewed related literature through internet. The terms searched on Google scholar and PubMed are TB, extrapulmonary TB, skeletal TB, spinal TB, Pott's spine, Pott's paraplegia, MRI, and computed tomography (CT).

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HIV-Tuberculosis: A Study of Chest X-Ray Patterns in Relation to CD4 Count

Cited by 52 publications

References 4 publications

Prevalence of pulmonary tuberculosis among HIV positive patients attending antiretroviral therapy clinic

Prevalence of pulmonary tuberculosis among HIV positive patients attending antiretroviral therapy clinic

Pulmonary Tuberculosis Co - Infection Among Hiv Infected Patients: A Hospital Based Study From Bijapur, Southern India

Pott′s spine: Diagnostic imaging modalities and technology advancements

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