scholarly journals Baseline chest radiographic findings among HIV positive adults in a poor resource economy

2021 ◽  
Vol 12 (7) ◽  
pp. 52-57
Author(s):  
Faruk Kabir Umar ◽  
Sule Ahmed Saidu ◽  
Sadisu Ma'aji ◽  
Muhammad Danfulani ◽  
Garba Haruna Yunusa ◽  
...  

Background: Human Immunodeficiency Virus (HIV) infection has been known to pose one of the most formidable challenges to progress and development. It is a public health burden associated with high morbidity. Chest radiograph is an important tool in manifesting some of the findings associated with HIV. Aims and Objectives: To determine the baseline chest radiographic findings among HIV positive adults in a poor resource economy. Materials and Methods: 140 Newly diagnosed adult HIV positive, HAART naïve, participants were recruited in the Radiology Department of Usmanu Danfodiyo University Teaching Hospital (UDUTH) Sokoto and had their chest radiograph done using Silhoutte VR System GE diagnostic x-ray equipment. The processed radiographs were viewed using an illuminated viewing box and then reported by the investigator and cross-checked by another consultant Radiologist. Data collated was analysed using SPSS version 23. Results: The study showed female to male ratio of 2.2: 1. Normal chest radiographic finding was found in 67(47.9%) participants. Pulmonary consolidation 32 (22.9%) constituted the highest abnormal chest finding. The least of the abnormal radiographic findings were emphysematous bullae 1(0.7%) and plate atelectasis 1(0.7%). Majority of the lesions were in the upper zone, 43(30.7%) and on the right side. Conclusion: The study provides baseline data on the chest radiographic patterns among the HAART naïve HIV positive adult patients in a poor resource economy.

2010 ◽  
Vol 61 (4) ◽  
pp. 233-240 ◽  
Author(s):  
Alexandre Semionov ◽  
Cécile Tremblay ◽  
Louise Samson ◽  
Martin Chandonnet ◽  
Jean Chalaoui ◽  
...  

Objective To describe chest radiographic findings in patients with isolated and complicated acute novel influenza A (H1N1) virus infection. Methods Retrospective study of 147 patients (64 men, mean age 41) with reverse-transcriptase polymerase chain reaction confirmed acute influenza A (H1N1) infection, who also had a chest radiograph <72 hours of viral specimen collection. Radiographs were analysed for acute findings. A correlation with bacterial cultures results was performed. The unpaired 2-sample equal-variance Student t test was applied to continuous variables and the Pearson χ2 test of association to discrete variables. Results In 71% of cases, chest radiograph was normal. The presence of acute imaging findings was associated with older age ( P < .05), increased number of comorbidities (most commonly, chronic obstructive pulmonary disease, diabetes, asthma) ( P < .05), higher rate of hospitalization ( P < .05) and intensive care unit admission, and increased mortality. Predominant acute radiographic finding in isolated influenza A (H1N1) was alveolar opacity (88%), either unifocal or multifocal, most often in the lower lobes. In the subgroup of patients with positive imaging findings and for whom nonviral microbiologic data was available, 62% had superimposed bacterial or fungal infection. Conclusion In the majority of patients with acute influenza A (H1N1) infection, the chest radiograph is normal. Acute imaging findings are associated with older age, an increased number of comorbidities, and a higher rate of complications and mortality. The predominant radiographic finding of isolated primary influenza A (H1N1) infection is alveolar opacity. Superimposed bacterial infection is frequent and must be excluded in patients with abnormal imaging.


2008 ◽  
Author(s):  
Christina S. Meade ◽  
Nathan B. Hansen ◽  
Arlene Kochman ◽  
Kathleen J. Sikkema

2020 ◽  
Vol 48 (3) ◽  
pp. 647-653 ◽  
Author(s):  
Jun Zhou ◽  
Heath P. Melugin ◽  
Rena F. Hale ◽  
Devin P. Leland ◽  
Christopher D. Bernard ◽  
...  

Background: Radiography is the initial imaging modality used to evaluate femoroacetabular impingement (FAI), and diagnostic radiographic findings are well-established. However, the prevalence of these radiographic findings in patients with hip pain is unknown. Purpose: The purpose was 3-fold: (1) to determine the overall prevalence of radiographic FAI deformities in young patients presenting with hip pain, (2) to identify the most common radiographic findings in patients with cam-type FAI, and (3) to identify the most common radiographic findings in patients with pincer-type FAI. Study Design: Cross-sectional study; Level of evidence, 3. Methods: A geographic database was used to identify patients aged 14 to 50 years with hip pain between the years 2000 to 2016. The following were evaluated on radiographs: cam type: typical pistol grip deformity, alpha angle >55°; pincer type: crossover sign (COS), coxa profunda or protrusio acetabuli, lateral center edge angle (LCEA) ≥40°, Tönnis angle <0°; and mixed type: both cam- and pincer-type features. Posterior wall sign (PWS) and ischial spine sign (ISS) were also evaluated. The prevalence of each was determined. Descriptive statistics were performed on all radiographic variables. Results: There were 1893 patients evaluated, and 1145 patients (60.5%; 1371 hips; 374 male and 771 female; mean age, 28.8 ± 8.4 years) had radiographic findings consistent with FAI. Of these hips, 139 (10.1%) had cam type, 245 (17.9%) had pincer type, and 987 (72.0%) had mixed type. The prevalence of a pistol grip deformity and an alpha angle >55° was 577 (42.1%) and 1069 (78.0%), respectively. The mean alpha angle was 66.9°± 10.5°. The prevalence of pincer-type radiographic findings was the following: COS, 1062 (77.5%); coxa profunda, 844 (61.6%); ISS, 765 (55.8%); PWS, 764 (55.7%); Tönnis angle <0°, 312 (22.8%); LCEA ≥40°, 170 (12.4%); and protrusio acetabuli, 7 (0.5%). Conclusion: The overall prevalence of radiographic findings consistent with FAI in young patients with hip pain was 60.5%. Radiographic findings for mixed-type FAI were the most prevalent. The most common radiographic finding for cam-type FAI was an alpha angle >55°. The most common radiographic finding for pincer-type FAI was the COS.


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