Computed Tomography of the Lungs in Acquired Immunodeficiency Syndrome

Autor: Jørgen Skov Jensen, V. Faber, J. Gaub, L. Ingemann Jensen, H. Hartelius
Rok vydání: 1988
Předmět:
Zdroj: Acta Radiologica. 29:641-644
ISSN: 1600-0455
0284-1851
DOI: 10.1177/028418518802900605
Popis: Computed tomography of the chest was performed on 42 occasions as part of the diagnostic work-up in 26 homosexual men with, or suspected of the acquired immunodeficiency syndrome (AIDS). In 17 cases both the chest radiographs and the lung scans were abnormal, and bronchoscopy and/or lung biopsy established an etiologic diagnosis in the majority of these cases. In 9 cases CT of the lungs revealed unequivocal interstitial infiltration in the presence of a normal chest radiograph, and subsequently an etiologic agent was demonstrated in all these cases. In 9 cases, patients with symptoms indicative of pulmonary infection had both a normal chest radiograph and a normal lung scan, and in none of these cases did the clinical course or additional diagnostic procedures indicate the presence of current opportunistic lung infection. CT of the lungs seems to identify accurately those patients with severe HIV-related diseases in whom invasive diagnostic procedures such as bronchoalveolar lavage and/or lung biospy should be done.
Databáze: OpenAIRE