Unusual Radiographic Features of Primary Pulmonary Tuberculosis in Adults
Küçük Resim Yok
Tarih
2001
Yazarlar
Dergi Başlığı
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Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Primer akciğer tüberkülozunun üç atipik radyolojik görünümünün insidansını belirlemek: (1)40 yaş ve üzerindeki olgularda izole tek taraflı plevral effüzyon,(2)izole hiler adenopati,(3)normal akciğer grafisi. Tasarım: ilk defa aktif akciğer tüberkülozu (TB) tanısı konulan erişkin hastaların (18 yaş üstü) dosya kayıtlarının ve akciğer grafilerinin geriye dönük analizi. Ortam: Üniversiteye bağlı bir Göğüs Hastalıkları Kliniği. Hastalar ve yöntemler: 1995-1996 yılları arasında (12 ay) aktif akciğer tüberkülozu tanısı konulan olgular çalışma kapsamına alındı.Çalışmaya alınma ölçütleri (1) daha önce geçirilmiş TB öyküsünün olmaması ve (2)TB'nin bakteriyolojik ve/veya histopatolojik olarak doğrulanması şeklinde belirlendi.Olguların ilk başvuru akciğer grafileri iki bağımsız araştırıcı tarafından değerlendirildi. Radyolojik bulgular (1) postprimer TB için tipik görünüm,(2) primer TB için tipik görünüm ve (3) primer TB için atipik görünüm şeklinde sınıflandırıldı. Sonuçlar: Değerlendirilen 157 hastadan 110 (%70)'unda postprimer TB için tipik radyolojik görünüm,47 (%30)'sinde ise primer TB için tipik veya atipik görünüm vardı. Primer TB için atipik görünüm olguların %9.6'sında bulundu. (15/157 ); en sık saptanan radyolojik görünüm 40 yaş ve üzerindeki olgularda izole tek taraflı effüzyondu (%7). İki olguda (% 1.3)izole iki taraflı plevral effüzyon, iki olguda (%1.3) ise izole hiler adenopati vardı. Akciğer grafisi normal olan hiçbir hasta saptanmadı. Yorum: Sonuç olarak,40 yaş ve üzerindeki hastaların akciğer grafilerinde izole tek taraflı plevral effüzyon saptanması halinde ayırıcı tanıda öncelikle tüberküloz plörezi dikkate alınmalıdır.Ayrıca,akciğer grafisi normal olan tüberkülozlu olgularda ilk radyolojik tanının atlanabileceği kanısındayız.Bu nedenle, klinisyenler bu atipik radyolojik görünüm ile karşılaştıklarında dikkat olmalıdırlar.
Study objective: To determine the incidence of three unusual radiographic features of primary tuberculosis : (1) isolated unilateral pleural effusion in patients \geq 40 years of age , (2) isolated hilar adenopathy, and 13) negative chest radiograph. Design: The medical records and admission chest radiographs of adult patients (older than 18 years) with newly diagnosed active pulmonary tuberculosis (TB) were retrospectively assessed. Setting: A university respiratory disease clinic. Patients and methods: During a 12 - month period from 1995 to 1996, patients diagnosed with active pulmonary TB were included in this study. Inclusion criteria were (1) absence of prior history of TB, (2) bacteriologic and/or histopathologic evidence of TB. Admission chest radiographs were assessed independently by two observers. The radiographic findings were categorized as follows: (1)usual features of postprimary TB;(2)usual features of primary TB;(3) unusual features of primary TB, Results: Of the 157 patients, 110 (70%) presented with usual radiographic features of postprimary TB, 47 (30%) with usual or unusual features of primary TB. Unusual features of primary TB were present in 9.6% of all patients ( 15/157). The most frequent feature was isolated unilateral pleural effusion in 11 patients \geq 40 years of age ( 7% ). Two patients (f1.3%) had isolated bilateral pleural effusion. Isolated hilar adenopathy was present in two patients (1.3%). No cases with negative chest radiograph were seen. Conclusions: A high level of suspicion for tuberculous pleurisy must be maintained in patients \geq 40 years of age, whose chest radiograph demonstrates isolated unilateral pleural effusion. Also, we believe that tuberculosis patients with negative chest radiograph can escape initial radiographic diagnosis. Therefore, clinicians should be aware of this unusual radiographic feature .
Study objective: To determine the incidence of three unusual radiographic features of primary tuberculosis : (1) isolated unilateral pleural effusion in patients \geq 40 years of age , (2) isolated hilar adenopathy, and 13) negative chest radiograph. Design: The medical records and admission chest radiographs of adult patients (older than 18 years) with newly diagnosed active pulmonary tuberculosis (TB) were retrospectively assessed. Setting: A university respiratory disease clinic. Patients and methods: During a 12 - month period from 1995 to 1996, patients diagnosed with active pulmonary TB were included in this study. Inclusion criteria were (1) absence of prior history of TB, (2) bacteriologic and/or histopathologic evidence of TB. Admission chest radiographs were assessed independently by two observers. The radiographic findings were categorized as follows: (1)usual features of postprimary TB;(2)usual features of primary TB;(3) unusual features of primary TB, Results: Of the 157 patients, 110 (70%) presented with usual radiographic features of postprimary TB, 47 (30%) with usual or unusual features of primary TB. Unusual features of primary TB were present in 9.6% of all patients ( 15/157). The most frequent feature was isolated unilateral pleural effusion in 11 patients \geq 40 years of age ( 7% ). Two patients (f1.3%) had isolated bilateral pleural effusion. Isolated hilar adenopathy was present in two patients (1.3%). No cases with negative chest radiograph were seen. Conclusions: A high level of suspicion for tuberculous pleurisy must be maintained in patients \geq 40 years of age, whose chest radiograph demonstrates isolated unilateral pleural effusion. Also, we believe that tuberculosis patients with negative chest radiograph can escape initial radiographic diagnosis. Therefore, clinicians should be aware of this unusual radiographic feature .
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp
Kaynak
Journal of Ankara Medical School
WoS Q Değeri
Scopus Q Değeri
Cilt
23
Sayı
2
Künye
Zamani, A., Ödev, K., Kalem, A., (2001). Unusual Radiographic Features of Primary Pulmonary Tuberculosis in Adults. Journal of Ankara Medical School, 23(2), 117-121.
