Evaluating the images of pneumonia on CT Scan in HIV- infected children
Main Article Content
Abstract
Objective: The purpose of this study is to evaluate the pulmonary lesions on CT of pneumonia in HIV infected children
and causing agents.
Material and methods: Fifty HIV infected children with pneumonia was selected over a 10-month period at the Chilren
Hospital N1. All patients were indicated the chest radiogram, the CT with constrate media and the nasotreacheal aspiration
to exame microbiology included bacteria, BK, fungus and Pneumocystis jiroveci.
Results: Of 50 patients, 62% is baterial pneumonia, PCP 29% and tuberculosis 18%. Lesions on CT included alveolar
condensation account for 88%, ground glass 30%, bronchial syndrome 20% and lymphadenopathy 20%. The ground glass
lesion present in all PCP, 100%. Eighty percent of tuberculosis children have lymphadenopathy with central necrosis and
peripheral enhancement. These two kinds of lesions present a little in bacterial pneumonia group.
Conclusion: Ground glass images on chest CTscans may allow confident diagnosis for PCP in HIV infected children. To
diagnose thoracic tuberculosis, CT scans are useful to detect the typic tuberculous lymphadenopathies.
Article Details
Keywords
HIV, pneumonia, children, PCP
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