A Study on Chest X-Ray Patterns in Relation to CD4 Count in patients with HIV

Abstract

Background: Fight against human immunodeficiency virus (HIV) is incomplete without addressing problems associated with difficult diagnosis of tuberculosis in HIV-Tuberculosis coinfected patients. Chest X-ray is a primary tool to evaluate tuberculosis in HIV. Aim: To assess and compare various radiological patterns of pulmonary tuberculosis in HIV patients and compare these patterns in relation to CD4 counts. Materials and Methods: Prospective cohort study was conducted in a tertiary hospital in South India from September 2016 to July 2017 with 100 HIV positive patients. WHO guidelines were used for diagnosis of HIV and tuberculosis. Results: 27% of the patients had sputum positive pulmonary tuberculosis, with higher incidence (33%) among CD4 less than 100 as compared to CD4 more than 100(14%). Infiltration (39%) followed by consolidation (30%), cavity (11%), and lymphadenopathy (9%) seen with CD4 less than Infiltration (37.5%) followed by cavity (25%) and miliary (25%) with CD4 above 100. Bilateral (68.5%) and mid and lower zones or all zone involvement more commonly seen. Conclusion: In patients with CD4 lower than 100 noncavitory infiltration and consolidation predominated. Involvement of lungs was atypical; diffuse or mid and lower zone involvement than classical upper lobe involvement. A high index of suspicion is necessary for the accurate and timely diagnosis of tuberculosis in HIV positive patients.

Authors and Affiliations

Dr T Lalwani Shyam

Keywords

Related Articles

A Study on Association of Multiple Myeloma with Past Medical and Family History – A Hospital Based Study at A Government Medical College, Guwahati, Assam

Multiple myeloma is a clonal plasma cell malignancy characterized by the proliferation of neoplastic plasma cells. Its Incidence rates increase with age, particularly after age 40, and are higher in men. More important...

Evaluation of Antiulcerogenic Activity of Bacopa Monnieri (LINN.) on Ethanol-Induced Gastric Injury In Mice

Bacopa monnieri (L) is a renowned medicinal plant for its numerous therapeutic activities against a number of ailments. Bangladeshi species of B. monnieri has been previously reported for its anti-inflammatory activities...

A Comparative Study to Evaluate the Effects of Addition of Intrathecal Fentanyl with Clonidine To 0.5% Levo-Bupivacaine for Patients Undergoing LSCS.

Aim: To evaluate the effects of fentanyl and Clonidine added to levo-bupivacaine, for caesarean section in spinal Anaesthesia 2. To evaluate the duration of analgesia by comparing two groups. 3. To evaluate the hemodyna...

Efficacy of different doses of Dexmedetomidine on hemodynamic response during laparoscopic cholecystectomy under general anaesthesia: A prospective analytical study.

Laparoscopy or keyhole surgery became the gold standard since the introduction of laparoscopic cholecystectomy in mid-eighties, in managing the symptomatic gall stone diseases. Early mobilization, reduced hospital stay a...

Prevalence of Diabetic Retinopathy in Known Diabetics with Macro Vascular Complications

Patients with macrovascular complications were included for the study. 44 individuals were positive for diabetic retinopathy and 56 individuals had no evident retinopathy. Of 16 diabetic patients 2 had diabetic retinopat...

Download PDF file
  • EP ID EP506048
  • DOI -
  • Views 112
  • Downloads 0

How To Cite

Dr T Lalwani Shyam (2018). A Study on Chest X-Ray Patterns in Relation to CD4 Count in patients with HIV. International Journal of Medical Science and Innovative Research (IJMSIR), 3(5), 109-113. https://europub.co.uk/articles/-A-506048