Unusual radiological findings of adult-onset pulmonary tuberculosis

1987 ◽  
Vol 23 (3) ◽  
pp. 378
Author(s):  
Y C Lee ◽  
J B Lee ◽  
S H Kim
Keyword(s):  
Pulmonary Tuberculosis ◽  
Adult Onset ◽  
Radiological Findings

scholarly journals Radiological Findings of Pulmonary Tuberculosis in Patients with and Without HIV Infections

2017 ◽  
Vol 16 (1) ◽  
Author(s):  
Radhiana binti Hassan ◽  
Haziq Hussaini bin Fauzi ◽  
Kamil Irsyad bin Yusoff ◽  
Muhammad Faizol bin Mohd Satar ◽  
Hafizah bt Pasi
Keyword(s):  
Pulmonary Tuberculosis ◽  
Chest Radiograph ◽  
Chest Radiographs ◽  
Mediastinal Lymphadenopathy ◽  
Hiv Positive ◽  
Sputum Smear ◽  
P Value ◽  
Radiological Findings ◽  
Radiological Manifestation ◽  
Hiv Negative

Introduction: Radiological manifestation of pulmonary tuberculosis in HIV positive patients is different with HIV negative patients. We aim to determine the differences in chest radiological findings of Pulmonary Tuberculosis among HIV and non-HIV infected patients in HTAA. Materials and method: A retrospective study was conducted in Chest Clinic, Hospital Tunku Ampuan Afzan, Kuantan Pahang. There were 101 chest radiographs with sputum smear-positive retrieved and reviewed. Socio-demographic status and chest radiographs findings were documented and analyzed. Results: Of the 101 patients, 12 patients were HIV positive. Of the 89 HIV negative patients, 96% had consolidation change on chest radiograph, in contrast with HIV positive patients, only 4% among them had this appearance and this is statistically significant (p value less than 0.05). Mediastinal lymphadenopathy is significantly higher (17%) in HIV positive patients compared to HIV negative patients (1%). Normal chest radiographs were more common in HIV positive patients (33%) as compared to HIV negative patients (2%). Conclusion: HIV positive patients with pulmonary tuberculosis exhibit different radiological manifestation on chest radiograph when compared to HIV negative patients.

scholarly journals The coexistence of pulmonary tuberculosis and adult-onset Henoch–Schönlein purpura

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Adnan N Kiani ◽  
Sharon E Nunez ◽  
Frank O’Sullivan ◽  
M Muruganandum ◽  
Nicole S Emil
Keyword(s):  
Pulmonary Tuberculosis ◽  
Adult Onset ◽  
Henoch Schonlein Purpura ◽  
Schonlein Purpura ◽  
Henoch Schönlein Purpura

scholarly journals A Novel Mutation in the Adult-Onset Alexander’s Disease GFAP Gene

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Dhillon B. Zaver ◽  
Nathan T. Douthit
Keyword(s):  
Genetic Analysis ◽  
Literature Search ◽  
Novel Mutation ◽  
Adult Onset ◽  
Radiological Findings ◽  
Radiologic Findings ◽  
Alexander's Disease ◽  
The Face ◽  
Broad Variety ◽  
Caucasian Female

The case describes a 25-year-old Caucasian female diagnosed with Alexander’s disease (AxD) as an outpatient after extensive inpatient workup. Her presenting complaints included incontinence, clumsiness, seizures, dysphagia, and dysarthria. She was also found to have pancytopenia and dysautonomia. A full neurologic and hematologic workup yielded very little results, until a thorough literature search of her presenting complaints and radiologic findings pointed to adult-onset Alexander’s Disease. Alexander’s disease is a rare genetic leukodystrophy with a broad variety of presentations. Despite its infrequency in adults and the difficulty in diagnosis, the prevalence of AxD has been increasing due to ease of genetic analysis and identification of key clinical and radiological findings. This case illustrates the necessity of vigilance and persistence in the face of unusual patient presentations; occasionally, the sound of hoofbeats is zebras.

scholarly journals Pulmonary tuberculosis: relationship between sputum bacilloscopy and radiological lesions

2003 ◽  
Vol 45 (5) ◽  
pp. 275-281 ◽  
Author(s):  
Mauro Gomes ◽  
Roberto Saad Jr. ◽  
Roberto Stirbulov
Keyword(s):  
Pleural Effusion ◽  
Pulmonary Tuberculosis ◽  
Medical Record ◽  
X Rays ◽  
Radiological Findings ◽  
Pulmonary Lesions ◽  
Acid Fast Bacilli ◽  
Pulmonary Cavity ◽  
Anti Hiv ◽  
Radiological Manifestation

OBJECTIVES: To determine the frequency of radiological manifestations of chest tuberculosis among the tuberculosis outpatients at the Santa Casa de Misericórdia de São Paulo Hospital, and to correlate these radiological findings with the sputum bacilloscopy. SAMPLE AND METHODS: A review was made of the medical record cards and chest X-rays of all patients attended between January 1996 and December 1998. Patients with a diagnosis of tuberculosis who presented intrathoracic manifestations of the disease and negative anti-HIV serology were selected. RESULTS: The selection included 153 patients, with an average age of 37.5 years, who were predominantly male (60.8%) and white (56.9%). Pulmonary lesions were present in 121 (79.9%) and extrapulmonary lesions in 32 (20.1%). Parenchymal-infiltrate lesions appeared in 56 patients (36.6%), cavity lesions in 55 (36.0%), pleural effusion in 28 (18.3%), isolated nodules in 6 (3.9%), mediastinal enlargement in 4 (2.6%) and miliary pattern in 4 (2.6%). Cavities were present in 45.5% of the patients with pulmonary lesions, generally in association with the parenchymal-infiltrate lesions. Parenchymal infiltrate was present in 86.8% of the patients with pulmonary lesions. There was significant presence of alcohol-acid resistant bacillus in the sputum of patients with cavities (76.4%), in comparison with those without cavities (50%) (p = 0.003). CONCLUSIONS: Parenchymal-infiltrate lesions are the most frequent radiological manifestation of pulmonary tuberculosis, and they are generally associated with cavities. There is a relationship between the presence of acid fast bacilli in sputum and pulmonary cavity lesions.

Adult-onset pulmonary tuberculosis.

Radiology ◽  
1983 ◽  
Vol 148 (2) ◽  
pp. 357-362 ◽  
Author(s):  
P L Choyke ◽  
H D Sostman ◽  
A M Curtis ◽  
C E Ravin ◽  
J T Chen ◽  
...  
Keyword(s):  
Pulmonary Tuberculosis ◽  
Adult Onset

scholarly journals Adult-onset pulmonary tuberculosis: findings on chest radiographs and CT scans.

1993 ◽  
Vol 160 (4) ◽  
pp. 753-758 ◽  
Author(s):  
K S Lee ◽  
K S Song ◽  
T H Lim ◽  
P N Kim ◽  
I Y Kim ◽  
...  
Keyword(s):  
Pulmonary Tuberculosis ◽  
Chest Radiographs ◽  
Ct Scans ◽  
Adult Onset

scholarly journals Radiological findings of pulmonary tuberculosis in indigenous patients in Dourados, MS, Brazil

2015 ◽  
Vol 48 (5) ◽  
pp. 275-281 ◽  
Author(s):  
Tatiana Lachi ◽  
Mauro Nakayama
Keyword(s):  
Pulmonary Tuberculosis ◽  
Left Lung ◽  
Single Type ◽  
Imaging Findings ◽  
Radiological Findings ◽  
Radiographic Images ◽  
Genetically Determined ◽  
The City ◽  
Pleural Involvement ◽  
Age And Sex

AbstractObjective:To describe the radiological findings of pulmonary tuberculosis in indigenous patients from the city of Dourados, MS, Brazil, according to age and sex.Materials and Methods:Chest radiographic images of 81 patients with pulmonary tuberculosis, acquired in the period from 2007 to 2010, were retrospectively analyzed by two radiologists in consensus for the presence or absence of changes. The findings in abnormal radiographs were classified according to the changes observed and they were correlated to age and sex. The data were submitted to statistical analysis.Results:The individuals' ages ranged from 1 to 97 years (mean: 36 years). Heterogeneous consolidations, nodules, pleural involvement and cavities were the most frequent imaging findings. Most patients (55/81 or 67.9%) were male, and upper lung and right lung were the most affected regions. Fibrosis, heterogeneous consolidations and involvement of the left lung apex were significantly more frequent in males (p < 0.05). Presence of a single type of finding at radiography was most frequent in children (p < 0.05).Conclusion:Based on the hypothesis that indigenous patients represent a population without genetically determined resistance to tuberculosis, the present study may enhance the knowledge about how the pulmonary form of this disease manifests in susceptible individuals.

scholarly journals Clinical features of atypical tuberculosis mimicking bacterial pneumonia

Open Medicine ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. 1608-1615
Author(s):  
Min Qi ◽  
Pei-Jun Li ◽  
Ye Wang ◽  
Zong-An Liang
Keyword(s):  
Multivariate Analysis ◽  
Pulmonary Tuberculosis ◽  
Clinical Features ◽  
Bacterial Pneumonia ◽  
Common Symptom ◽  
Imaging Features ◽  
Radiological Findings ◽  
Pulmonary Atelectasis ◽  
Radiological Features ◽  
Radiological Pattern

Abstract Objectives The aim of this study is to investigate clinical features of atypical pulmonary tuberculosis (aPTB) mimicking bacterial pneumonia, determine imaging features with the highest degree of correlation, and identify predictors for acid-fast bacilli (AFB) positivity. Methods The clinical data of 259 patients considered as aPTB were retrospectively analyzed. The correlation of CT patterns was evaluated with Spearman analysis, and the predictors for AFB positivity were assessed with the multivariate analysis. Results The most common symptom of aPTB was cough (84.6%), followed by fever and anorexia (47.1 and 41.7%, respectively). Infiltrated patchy was the most common radiological pattern (84.9%), followed by nodules (3–10 mm), micronodules (<3 mm), and consolidation (79.2, 78.8, and 66.0%, respectively). Nodules (3–10 mm) and micronodules (r = 0.988, p < 0.001), consolidation and air bronchogram (r = 0.590, p < 0.001), and pulmonary atelectasis and consolidation (r = 0.323, p < 0.001) showed high correlation. In the multivariate analysis, hyperpyrexia (OR, 2.29; 95% CI, 1.22–4.29) and bronchiectasis (OR, 2.06; 95% CI, 1.04–4.06) were the predictors of AFB-smear positivity, while bulla (OR, 0.22; 95% CI, 0.05–0.97) was the predictor of AFB-smear negativity. Conclusion This study demonstrated the clinical and radiological features of aPTB mimicking pneumonia. Several paired radiological findings may guide us to the diagnosis of aPTB. Hyperpyrexia and bronchiectasis may be helpful for predicting AFB positivity, and bulla may be a predictive sign of AFB negativity.

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