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[Pulmonary tuberculosis among hospitalized patients in Brazzaville: impact of late diagnosis of HIV infection on radiographic abnormalities].

作者信息

Bemba Esthel Lee Presley, Bopaka Régis Gothard, Moyikoua Régis, Ossibi-Ibara Rolland, Ebenga-Somboko Norela Bibiane, Toungou Syn Nerval, Matondot Paunel God'hervé, Ossale-Abacka Boris Kevin, Okemba-Okombi Franck Hardain, Mboussa Joseph

机构信息

Faculté des Sciences de la Santé, Université Marien NGOUABI, Congo; Service de Pneumologie, CHU de Brazzaville-Congo.

Service de Pneumologie, CHU de Brazzaville-Congo.

出版信息

Pan Afr Med J. 2016 Jul 20;24:259. doi: 10.11604/pamj.2016.24.259.9456. eCollection 2016.

DOI:10.11604/pamj.2016.24.259.9456
PMID:27800112
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5075471/
Abstract

The aim was to describing the different radiographic features of pulmonary tuberculosis according to the degree of immunosuppression in HIV patients. We report a retrospective study of 80 untreated HIV-positive patients with pulmonary tuberculosis hospitalized in the Pneumo-Phthisiology Department in Brazzaville from January 2013 to January 2014. Our sample consisted of 44 women (55%) and 36 men (45%), the sex ratio was 0.81. The average age was 37.5 ± 9.17 years, the average CD4 count was 153.13 ± 86,6 cell/mm3. Sputum smear microscopy to detect acid-fast bacilli was positive in 75% of patients with CD4 cell count >200 cell/mm. Mediastinal adenopathies, middle and lower lung field involvement and miliary were more frequent in patients with CD4 cell count < 200 cell/mm. Severe immunosuppression is significantly associated with atypical radiographic presentation of tuberculosis.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9b5/5075471/a8827719555e/PAMJ-24-259-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9b5/5075471/57e832145f07/PAMJ-24-259-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9b5/5075471/a8ee66dccd09/PAMJ-24-259-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9b5/5075471/67a1f3ad797c/PAMJ-24-259-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9b5/5075471/a8827719555e/PAMJ-24-259-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9b5/5075471/57e832145f07/PAMJ-24-259-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9b5/5075471/a8ee66dccd09/PAMJ-24-259-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9b5/5075471/67a1f3ad797c/PAMJ-24-259-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9b5/5075471/a8827719555e/PAMJ-24-259-g004.jpg

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