Tiouiri H, Louzir B, Ben Salem N, Beji M, Kilani B, Gastli M, Daghfous J, Zribi A
Services des Maladies Infectieuses, CHU La Rabta, Tunis, Tunisie.
Rev Pneumol Clin. 1995;51(6):321-4.
Aspects of tuberculosis on the standard chest X-ray in a population of 18 AIDS patients in Tunisia were examined. The diagnosis of pulmonary tuberculosis was confirmed in all cases with bacteriology tests. Diffuse lesions of the parenchyma predominated contrasting with the exceptional nature of cavernous formations. Localized infiltrations were infrequent and intrathoracic node enlagement was rare. Cases with no abnormal radiological signs were also seen in advanced HIV infection. Such atypical cases, in agreement with data in the literature, would be explained by immunoradiologic correlation. Thus it is necessary to search for the tuberculosis bacilli in all patients with HIV infection whatever the aspect on the standard chest X-ray.
对突尼斯18名艾滋病患者的标准胸部X光片上的肺结核情况进行了检查。所有病例均通过细菌学检测确诊为肺结核。实质的弥漫性病变占主导,与空洞形成的罕见情况形成对比。局限性浸润不常见,胸内淋巴结肿大也很少见。在晚期HIV感染中也发现了无异常放射学征象的病例。与文献数据一致,这些非典型病例可以通过免疫放射学相关性来解释。因此,无论标准胸部X光片表现如何,对所有HIV感染患者都有必要进行结核杆菌检测。