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Scholars Journal of Applied Medical Sciences | Volume-4 | Issue-02
To establish the role of HRCT in the early diagnosis of pulmonary disease in symptomatic HIV sero-positive patients with normal chest radiograph
Dr. Sudeena. D, Dr. Ramaswamy, Dr. S.B. Lal
Published: Feb. 29, 2016 | 57 46
DOI: 10.36347/sjams.2016.v04i02.057
Pages: 609-613
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Abstract
The present study aimed to establish the role of HRCT in early diagnose of pulmonary disease in symptomatic HIV seropositive patients with normal chest radiograph. A Total of 352 cases with HIV infection and pulmonary complaints have been screened between January 2013 to January 2014 attending the pulmonary medicine OP/WARD , govt general hospital , Vijayawada . 34 patients have pulmonary complaints with normal chest radiograph, out of which 31 patients were investigated. 3 patients did not turn up for follow up and investigation. Only 31 are included in present study. In our study 1 case showed ground glass appearance in HRCT. The main complaint is this patient being dyspnoea. In 3 cases (9.67 %), bacterial pneumonia was diagnosed based on the clinical features, HRCT and sputum cultures. In 19 found patients normal chest x – ray and HRCT, the respiratory complaints might be due to upper respiratory infections or obstructive air way disease. They are treated symptomatically and they respond to treatment. This highlights the importance of early diagnosis and treatment in symptomatic HIV seropositive patients with normal chest x-ray findings in India, where TB contributes the major share for the morbidity and mortality of HIV infection.