Radiologic Pattern of Sputum-positive Pulmonary Tuberculosis (PTB) among Immunocompetent Patients in Gwagwalada, Nigeria
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2016, Vol 16, Issue 10
Abstract
Background: The radiologic knowledge of tuberculosis-associated lung disease is an essential tool in the clinical diagnosis and management of tuberculosis, a disease that is still a big challenge to Nigeria and Africa at large. Chest radiogram is cheap and readily available, and usually the first imaging modality for the evaluation of patients with sputum positive pulmonary tuberculosis. Objective: To determine the radiologic pattern of sputum-positive PTB among immunocompetent patients in Gwagwalada, Nigeria. Methods: A cross-sectional study spanned sixteen months, involving one hundred adult patients recently clinically diagnosed of pulmonary tuberculosis were recruited and underwent chest radiographic examination with 14 × 17-inch or 17 × 17-inch image sizes for evaluation of pulmonary tuberculosis. Results: Of the 100 patients that underwent chest radiographs, ten patients (10.0%) had normal chest radiographs while varying degree of abnormal chest radiographic findings were seen in the remaining 90 (90%) patients. Fibrotic lesion were present in 45 (45.0%) of patients. There were 60 male and 40 female patients with eight males with normal chest radiogram. Fibrosis was the predominant radiological feature with 45 (45.0%) of all the patients examined in this study. The prevalence of other findings was: consolidation, 11 (11.0%); lung collapse, (11.0%); cavitation, (11.0%); pleural effusion, (7.0%) and lung infiltrate, (5.0%). Multiple lung cavities and military lesions were not observed in any patient. Cavities were present in 11 (11.0%) and all were solitary and located in the upper lung zone(s). Conclusion: Pulmonary tuberculosis is endemic in our environment and evaluation of radiology features in immunocompetent individual is encouraged in developing countries. Sequelae of tuberculosis such as fibrosis was frequently seen in this study which points to late presentation, therefore more public health advocacy are needed against pulmonary tuberculosis.
Authors and Affiliations
Kolade-Yunusa Hadijat Oluseyi, Bibiana Nonye Egenti
Keywords
Related Articles
- EP ID EP341174
- DOI 10.9734/BJMMR/2016/25347
- Views 58
- Downloads 0
A Controlled Trial of Oral Rifampin in Chronic Plaque Psoriasis
Group A Streptococcal infection in the throat is responsible for causing initial and recurrent attacks of acute guttate psoriasis (AGP). Up to 70% of these AGP patients go on to develop chronic plaque psoriasis (CPP). We...
The Deterioration of Spatial Memory and the Role of the Masticatory Function during Aging: A Brief Literature Review
This article reviews the current state of scientific information on the relationship between the deterioration of spatial memory and the role of the masticatory function, both of which are primarily examined during the a...
Comparison of the Number of Daily Servings from Different Food Groups in Metabolic Syndrome Patients with the Control Groups
Aims: This study aimed to compare the number of daily servings intake from different food groups in metabolic syndrome (MetS) patients with the control groups. Study Design: Case control, comparative cross-sectional stud...
Danazol-induced Acute Pulmonary Fibrosis in a Patient with Idiopathic Thrombocytopenic Purpura: Could Anti Fibrosant Therapy be Useful?
Introduction: Danazol is frequently used in the treatment of idiopathic thrombocytopenic purpura (ITP). Very occasionally are described in the elderly fatal respiratory complications related to this drug such as acute pu...
Early Intervention in Audiology: Exploring the Current Status from a Developing Country Context
Aims: Analysis of the current audio logical management protocols for children with hearing impairment in South Africa’s Gauteng state hospitals was investigated in this study. Study Design and Methods: A retrospective r...