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Updated: Apr 27, 2026

The MODS method for diagnosis of tuberculosis and multidrug resistant tuberculosis
Published on: August 11, 2008
High resolution computed tomography findings in smear-negative pulmonary tuberculosis patients according to their
Tayfun Caliskan1, Tuncer Ozkisa1, Serkan Aribal1
11 Department of Pulmonary Medicine, Gulhane Military Medical Academy Haydarpasa Training Hospital, Istanbul, Uskudar, Turkey ; 2 Department of Pulmonary Medicine, Gulhane Military Medical Academy, Ankara, Etlik, Turkey ; 3 Department of Radiology, Gulhane Military Medical Academy Haydarpasa Training Hospital, Istanbul, Uskudar, Turkey ; 4 Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy Haydarpasa Training Hospital, Istanbul, Uskudar, Turkey.
Objective:
The aim of this study was to assess the clinical features and high resolution computed tomography (HRCT) findings in smear-negative pulmonary tuberculosis (PTB) and to evaluate the correlation between these parameters and the culture results.
Methods:
We retrospectively studied 78 active smear-negative PTB patients. They were divided into two groups according to their culture results. The HRCT findings and clinical features at the beginning of the antituberculosis treatment were reviewed.
Results:
The mean age was 22.48±3.18 years. Micronodules (87%), large nodules (63%) and centrilobular nodules (62%) were the most common HRCT findings. HRCT findings were observed in the right upper (72%), left upper (56%), right lower (32%), and left lower lobes (29%). Cough (37%) and chest pain (32%) were the most frequent symptoms at presentation.
Conclusions:
There were no significant differences in the HRCT findings and clinical features between the two groups. Thus, in cases of smear-negative and culture-negative PTB, the patient with compatible clinical and radiological features should be considered for tuberculosis treatment.
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