PMID: 9440843Jan 24, 1998Paper

Radiographic findings and patterns in multidrug-resistant tuberculosis

Journal of Thoracic Imaging
J E FishmanJ Otten

Abstract

Multidrug-resistant tuberculosis (MDR TB) is prevalent in urban areas with large HIV-positive populations. We retrospectively evaluated the chest radiographs of MDR TB patients at presentation and compared them to patients with drug-sensitive tuberculosis (DS TB). Although the overall radiographic findings and patterns of MDR TB and DS TB were similar, there were significant differences among the MDR TB patients depending on how MDR TB was acquired. Patients who developed MDR TB during an outbreak showed noncavitary consolidations, pleural effusions, and a primary radiographic pattern (70%). On the other hand, patients who acquired MDR TB due to noncompliance with antituberculous therapy often had cavitary consolidations (50%) and generally demonstrated a postprimary radiographic pattern. Cavitation occurred equally in patients with MDR TB who are HIV positive regardless of CD4 cell count. Chest radiographic findings and patterns in MDR TB are most accurately interpreted in conjunction with clinical history, specifically prior TB treatment. Nevertheless, approximately one-third of patients did not show the "expected" radiographic pattern.

Citations

Aug 3, 2001·AIDS Patient Care and STDs·G AviramM Sagar
Aug 22, 2008·AJR. American Journal of Roentgenology·Yeon Joo Jeong, Kyung Soo Lee
Jul 31, 2007·Future Microbiology·Biswajit Chakrabarti, Peter D O Davies
Jan 5, 2011·Indian Journal of Pediatrics·Varinder Singh, Satnam Kaur
May 5, 2009·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Jihoon ChaMyung Jin Chung
May 8, 2016·Radiologic Clinics of North America·Carlos Santiago RestrepoAmy Mumbower
Nov 27, 2009·Journal of Computer Assisted Tomography·Jeong A YeomYeong Dae Kim
Jan 17, 2008·Respirology : Official Journal of the Asian Pacific Society of Respirology·Wing Wai Yew, Chi Chiu Leung
Feb 6, 2002·Journal of Thoracic Imaging·Daniel P SaurbornPhillip M Boiselle
Oct 20, 2019·Respiratory Research·Wan-Mei SongHuai-Chen Li

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