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[A case of AIDS with miliary tuberculosis]
Y Sasaki1, F Yamagishi, K Suzuki
1Department of Respiratory Medicine, National Chiba Higashi Hospital, Japan.
Kekkaku : [Tuberculosis]
|August 1, 1996
Summary
This case highlights an atypical presentation of miliary tuberculosis in an HIV-positive patient. Chest X-ray findings showed uneven nodular distribution, differing from typical miliary tuberculosis patterns.
Area of Science:
- Medicine
- Infectious Diseases
- Radiology
Background:
- A 22-year-old Thai male presented with chest pain and dyspnea.
- The patient had a history of head and arm injury with a blood transfusion in 1989.
- Laboratory tests revealed Human Immunodeficiency Virus (HIV) seropositivity and a CD4+ T lymphocyte count of 17/microliter.
Observation:
- Chest X-ray revealed bilateral diffuse nodular shadows, indicative of miliary tuberculosis.
- Specific findings included rough, partly influent shadows in the right upper-middle lung fields.
- The left lung displayed smaller, evenly distributed nodular shadows.
Findings:
- The observed difference in nodular shadow distribution between the right and left lungs was atypical for miliary tuberculosis.
- The patient was diagnosed with miliary tuberculosis co-occurring with Acquired Immunodeficiency Syndrome (AIDS).
Implications:
- This case underscores the importance of considering atypical presentations of opportunistic infections like miliary tuberculosis in immunocompromised individuals.
- Radiological findings in patients with HIV/AIDS may deviate from classic patterns, necessitating careful interpretation and clinical correlation.
- Understanding atypical radiological manifestations is crucial for timely diagnosis and management of tuberculosis in the context of HIV infection.