Aspects of thoracic radiography of patients with tuberculosis and HIV infection in Ivory Coast

The aim of this prospective study was to investigate the main features of standard chest X-ray in patients with concomitant tuberculosis and HIV infection. From 21 December 1992 to 21 February 1993, we compared 45 chest X-rays of HIV+patients with pulmonary tuberculosis with those of 73 HIV negative...

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Bibliographic Details
Published inRevue de pneumologie clinique Vol. 50; no. 6; p. 317
Main Authors N'Dhatz, M, Domoua, K, Coulibaly, G, Traore, F, Kanga, K, Konan, J B, Beugre, L K, Doulhourou, C, Yapi, A
Format Journal Article
LanguageFrench
Published France 1994
Subjects
Adult
Aged
AIDS-Related Opportunistic Infections - diagnostic imaging
AIDS-Related Opportunistic Infections - epidemiology
Cote d'Ivoire - epidemiology
Female
HIV Infections - complications
HIV Seronegativity
HIV Seroprevalence
Humans
Male
Middle Aged
Prospective Studies
Radiography, Thoracic
Tuberculosis - diagnostic imaging
Tuberculosis - epidemiology
Tuberculosis, Pulmonary - diagnostic imaging
Tuberculosis, Pulmonary - epidemiology
Comparative Studies
Africa
Viral Diseases
Infections
French Speaking Africa
Hiv Infections
Ivory Coast
Research Methodology
Examinations And Diagnoses
Diseases
Studies
Western Africa
Tuberculosis
Physical Examinations And Diagnoses
Signs And Symptoms
Research Report
Developing Countries
Africa South Of The Sahara
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Summary:The aim of this prospective study was to investigate the main features of standard chest X-ray in patients with concomitant tuberculosis and HIV infection. From 21 December 1992 to 21 February 1993, we compared 45 chest X-rays of HIV+patients with pulmonary tuberculosis with those of 73 HIV negative patients with pulmonary tuberculosis. Our results revealed that extrapulmonary thoracic localizations were remarkably frequent in HIV+tuberculosis patients (57.8% versus 22% in HIV-patients; P < 0.05). Extrapulmonary localizations were frequently mediastinal lymph nodes (82.7%). Parenchymal involvement was often extensive including frequent miliary images (20% versus 38.3% in HIV-patients). Thus despite the lack of CD4 counts in our study, we were able to observe that about one half the co-infected tuberculosis patients had reached the stage of AIDS as defined by the CDC in 1987. These findings are in agreement with those reported in the literature and would suggest that thoracic manifestations of tuberculosis is a good marker of the state of immunodepression.
ISSN:0761-8417