Chest Radiograph Interpretation of Pneumocystis carinii Pneumonia, Bacterial Pneumonia, and Pulmonary Tuberculosis in HIV-Positive Patients
| Autor: | Robert C. Lange, Irena Tocino, Andrew S. Pumerantz, Peter A. Selwyn, Regina J. Hooley, Phillip M. Boiselle, Vladimir P. Neklesa |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Tuberculosis Sensitivity and Specificity Diagnosis Differential Radiologic sign Internal medicine HIV Seropositivity Pneumonia Bacterial medicine Humans Radiology Nuclear Medicine and imaging Tuberculosis Pulmonary Retrospective Studies Observer Variation AIDS-Related Opportunistic Infections medicine.diagnostic_test business.industry Pneumonia Pneumocystis Respiratory disease Bacterial pneumonia Retrospective cohort study medicine.disease respiratory tract diseases Surgery Radiography Pneumonia Pneumocystis carinii Chest radiograph business |
| Zdroj: | Journal of Thoracic Imaging. 12:47-53 |
| ISSN: | 0883-5993 |
| DOI: | 10.1097/00005382-199701000-00007 |
| Popis: | The purpose of this study was to assess the accuracy of chest x-ray (CXR) interpretation in the diagnosis of pneumocystis carinii pneumonia (PCP), bacterial pneumonia (BP), and pulmonary tuberculosis (TB) in human immunodeficiency virus (HIV)-positive patients and to identify the frequency with which these infections mimic one another radiographically. The admitting CXRs of 153 HIV-positive patients with laboratory proven BP (n = 71), PCP (n = 73), and TB (n = 9) and those of 10 HIV-positive patients with no active disease were reviewed retrospectively and independently by three radiologists who were blinded to clinical and laboratory data. Median percent accuracies were as follows: TB, 84%; PCP, 75%; BP, 64%; and no active disease, 100%. Fifteen of 153 cases (9.8%) were shown to mimic other infections radiographically. A confident and accurate diagnosis can be made radiographically in the majority of cases of PCP, BP, and TB in HIV-positive patients at the time of hospitalization. In approximately 10% of cases, these infections may mimic one another radiographically. |
| Databáze: | OpenAIRE |
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