感染人类免疫缺陷病毒/获得性免疫综合征（HIV/AIDS）患者合并肺结核时的胸部X光检查结果

Chest radiographic findings in patients with HIV/AIDS and pulmonary tuberculosis.

作者信息

de Albuquerque Yvana Maria Maia, Lima Ana Luiza Magalhães de Andrade, Brandão e Silva Ana Carolina, de Albuquerque Filho Eolo Santana, Falbo Ana Rodrigues, Magalhães Vera

机构信息

Tropical Medicine Post-graduation, Universidade Federal de Pernambuco - UFPE, Recife-PE, Brasil.

出版信息

Int J STD AIDS. 2013 Dec;24(12):951-6. doi: 10.1177/0956462413484010. Epub 2013 Jul 19.

DOI:10.1177/0956462413484010

PMID:23970596

Abstract

The study describes the main chest radiographic changes in people living with HIV/AIDS and pulmonary tuberculosis, confirmed by sputum culture. This was a descriptive study involving a total of 42 sputum tests from 42 people living with HIV/AIDS and a clinical suspicion of pulmonary tuberculosis. All patients attended two referral hospitals in Recife-PE, Brazil, between August 2009 and January 2012. The most common isolated radiological change was parenchymal consolidation, encountered in six (14.3%) patients, followed by patterns of interstitial infiltrate, diffuse micronodular (miliary), and an association between interstitial infiltrate and parenchymal consolidation, each being encountered in five (11.9%) patients. No statistically significant difference was observed between the radiological findings and CD4 T-cell counts, p = 0.680.

摘要

该研究描述了经痰培养确诊的HIV/AIDS合并肺结核患者的主要胸部X光片变化。这是一项描述性研究，共对42例临床怀疑患有肺结核的HIV/AIDS患者进行了42次痰检。2009年8月至2012年1月期间，所有患者均前往巴西累西腓市的两家转诊医院就诊。最常见的影像学改变是实质实变，6例（14.3%）患者出现此情况，其次是间质浸润、弥漫性微结节（粟粒状）以及间质浸润与实质实变并存的情况，各有5例（11.9%）患者出现。影像学检查结果与CD4 T细胞计数之间未观察到统计学显著差异，p = 0.680。