The Effect of Low CD4 Lymphocyte Count on the Radiographic Patterns of HIV Patients with Pulmonary Tuberculosis among NigeriansReportar como inadecuado




The Effect of Low CD4 Lymphocyte Count on the Radiographic Patterns of HIV Patients with Pulmonary Tuberculosis among Nigerians - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Tuberculosis Research and TreatmentVolume 2013 2013, Article ID 535769, 4 pages

Clinical Study

Department of Family Medicine, Ambrose Alli University, PMB 8, Ekpoma, Edo state, Nigeria

Department of Family Medicine, University of Benin Teaching Hospital, Benin, Edo State, Nigeria

Department of Surgery, Ambrose Alli University, PMB 8, Ekpoma, Edo state, Nigeria

Department of Internal Medicine, Ambrose Alli University, PMB 8, Ekpoma, Edo state, Nigeria

Department of Obstetrics and Gynaecology, Ambrose Alli University, PMB 8, Ekpoma, Edo state, Nigeria

Received 5 June 2012; Accepted 13 December 2012

Academic Editor: W. N. Rom

Copyright © 2013 Christopher Affusim et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. To assess the radiographic features in patients with Human Immunodeficiency Virus HIV complicated by pulmonary tuberculosis PTB, and the association with CD4 lymphocyte count and sputum smear. Method. A prospective study was carried out on 89 HIV positive patients with PTB. The demographics, smoking history, sputum smear result, chest radiographic findings and CD4 lymphocyte count were documented. Results. Out of the 89 patients recruited in the study, 41 were males and 48 were females. Eighteen 18 patients had typical radiographic features, 60 patients had atypical radiographic features while only 11 of them had normal radiographic films. Sixty eight 68 patients had CD4 count <200 cells-mm

, 19 patients had CD4 count between 200–499 cells-mm

, while only 2 patients had CD4 count from 500 cells-mm

upwards. The association between low CD4 count and radiographic finding was statistically significant, value . Sixty 60 patients had negative sputum smear for Acid and Alcohol Fast Bacilli AAFB, while the remaining 29 patients had positive smear. The association between low CD4 count and negative smear was statistically significant value . Conclusion. The radiographic pattern and the result of the sputum smear for AAFB has a significant relationship and association with the immune status of patients with Human Immunodeficiency Virus HIV complicated by pulmonary tuberculosis.





Autor: Christopher Affusim, Vivien Abah, Emeka B. Kesieme, Kester Anyanwu, Taofik A. T. Salami, and Reuben Eifediyi

Fuente: https://www.hindawi.com/



DESCARGAR PDF




Documentos relacionados