Pictorial review of post tuberculosis sequelae after treatment completion and bacteriological cure on conventional radiograph and computed radiography.

Congress:

ECR 2019

Poster Number:

C-3051

Type:

Educational Exhibit

Keywords:

Outcomes, Infection, Laboratory tests, Complications, CT-High Resolution, CT, Conventional radiography, Respiratory system, Mediastinum, Lung

Authors:

R. Khan¹, N. I. Malik², A. Razaque²; ¹Karachi, Si/PK, ²Karachi/PK

DOI:

10.26044/ecr2019/C-3051

DOI-Link:

https://dx.doi.org/10.26044/ecr2019/C-3051

Table 1: Table 1. Categorization of complications of pulmonary tuberculosis

Fig. 2: Tuberculoma in left upper lobe

Fig. 3: Bilateral cysts with largest thin walled cyst in the right upper lobe

Fig. 4: Chest X ray shows loss of lung volume with multicystic area on the left along...

Learning objectives

To understand what is meant by post tuberculosis sequelae To see the residual radiological changes of tuberculosis in the lung after treatment completion and bacteriological cure.

Background

Worldwide, tuberculosis (TB) is one of the top 10 causes of death, and the leading cause from a single infectious agent.Pakistan has an overwhelming burden of this disease and despite continuous efforts for early detection and treatment, TB still remains one of the major health hazards for majority of the rural population. Lung continues to be the most common site of involvement and even after completion of treatment residual changes remain which can affect the quality of life. HOW COMMON IS POST TB SEQUELAE? An...

Findings and procedure details

WHAT IS POST TB SEQUELAE? These are the radiological changes in the chest which are secondary to complications of primary or secondary pulmonary TB. These changes may vary from mild to severe. Complications of TB after treatment completion can often be misinterpreted for another active disease so it is important that we recognize and understand the radiologic manifestations of the thoracic sequelae. Some residual changes can be compatible with life and not cause any symptoms such as calcified mediastinal lymph nodes and mild pleural fibrosis,...

Conclusion

Post TB sequelae can either be symptomatic or asymptomatic but it is imperative to be able to detect these residual changes so as to rule out other active diseases.

Personal information

Contact details: Dr. Rafeah Khan Department of Radiology, The Indus Hospital, Korangi Crossing, Karachi, 75190. Email: [email protected] Dr. Abdul Razaque Department of Radiology, The Indus Hospital, Korangi Crossing, Karachi, 75190. Email: [email protected] Dr. Nuzhat Irfan Malik Department of Radiology, The Indus Hospital, Korangi Crossing, Karachi, 75190. Email: [email protected]

References

World Health Organisation. Global Tuberculosis Report 2018. Geneva: WHO; 2018. Ravimohan S, Kornfeld H, Weissman D, Bisson GP. Tuberculosis and lung damage: from epidemiology to pathophysiology.Eur Respir Rev. 2018 Mar 31;27(147). Haque AK. The pathology and pathophysiology of mycobacterial infections. J Thoracic Imaging 1990;5:8-16. NA Knechel. Tuberculosis: pathopysiology, clinical features and diagnosis. Crit Care Nurse. 2009 Apr;29(2):34-43. Menon B, Nima G, Dogra V, Jha S. Evaluation of the radiological sequelae after treament completion in new cases of pulmonary, pleural, and mediastinal tuberculosis. Lung India. 2015...