Spectrum of High-Resolution Computed Tomography Lung Parenchymal Changes in Symptomatic Adult Hiv-Seropositive Patients in Correlation With Cd 4 Count

Abstract

We aimed to determine the HRCT spectrum of lung parenchymal ndings in adult HIV-infected patients presented with chest symptoms. Objective: To determine the spectrum of lung parenchymal ndings on HRCT in HIV seropositive adult patients with chest symptoms on basis of Location, Extent, Characterization of the lesion and correlate imaging ndings with CD 4 count. A cross-sectional study was carried out Methods: on 30 adult HIV-infected patients who presented with chest symptoms and fullled the inclusion criteria of our study. They underwent HRCT using a 128 slices Philips ingenuity CT scanner in SMS Medical College, Jaipur. Most of the patients belonging to the age group 31-40 years Results: with a mean age of 38.7 years out of which 24 were male and 6 were females. The different aetiologies for imaging manifestations in HIV infected patients with respiratory symptoms were found to be tuberculosis (54%), fungal infection (13%), bacterial infection (7%), and so on, in that order. Conclusion: Pulmonary tuberculosis was the most common pulmonary manifestation in HIV patients followed by pneumocystis jiroveci pneumonia (PCP) and bacterial pneumonia. So, we recommend HRCT in diagnosis, treatment and follow up of HIV/AIDS patients with pulmonary manifestations. Its non-invasive nature and relatively quicker time of scan make it a suitable choice for these patients.