Quieffin J, Bazot M, Compagnucci A, Buy JN, Rochemaure J; International Conference on AIDS.
Int Conf AIDS. 1993 Jun 6-11; 9: 433 (abstract no. PO-B17-1789).
Department of respiratory medicine, Hotel Dieu Hospital, Paris, France.
OBJECTIVE: To compare chest CTS findings between PCP and other chest diseases in HIV patients. METHODS: Identification of all chest CTS of HIV patients with respiratory symptoms performed between 7-88 to 12-92 2) Blinded interpretation of CTS. 3) Retrospective review of clinical charts. RESULTS: 93 chest CTS were performed .37 were excluded (26 follow-up scans, 8 with diseases of unknown origin, 3 multifactorial etiology) 56 corresponded to initial onset of disease: 22 PCP, 8 Mycobacterial, 7 Kaposi sarcoma, 2 lymphom 1 LIP and 11 non HIV related diseases. 6 PCP had prior aerosolized Pentamidina prophylaxy (A/P). The most striking findings in PCP versus other diseases were: 1) involvement of the upper and middle zones of the lung with relative sparing of the lower zones (83% vs 0%), 2) bilateral and symetric infiltrates (75% vs 12%), 3) ground glass pattern (91% vs 6%), 4) pneumatocele and subpleural bulla more frequent in A/P (31% vs 9%), 5) mild pleural effusion in PCP CONCLUSION: PCP presents with highly suggestive CTS findings. The infiltrates were mostly localized in the up per and/or middle zones without correlation to prior A/P Ground glass pattern is almost always present in typical forms of PCP whereas it is rare in atypical forms. Mild pleural effusion was frequently found in PCP.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- HIV Infections
- HIV Seropositivity
- Humans
- Lung
- Lung Diseases
- Pleural Effusion
- Sarcoma, Kaposi
- Thoracic Diseases
- Tomography, X-Ray Computed
- diagnosis
- radiography
Other ID:
UI: 102204746
From Meeting Abstracts