Learning objectives
Learning objectives
To analyze the radiological features on chest X-ray (CXR) and computed tomography (CT) of primary and post-primary presentation patterns of pulmonary tuberculosis (TB),
and to assess the role of each technique in diagnosis and patient management.
To review the thoracic sequelae and complications from pulmonary tuberculosis.
Background
Background
Tradicionally,
primary and post-primary tuberculosis are considered two different forms of the disease on the basis of time of exposure.
Clinically and radiologically their features can overlap,
and nowadays,
the most important factor to determine the radiological appearance is the immune state.
We review the role of imaging in the diagnosis and follow-up of the different forms of the disease,
in the knowledge that immunocompromised patients tend to present with a primary pattern,
whereas immunocompetent patients tend to present with a post-primary pattern.
Chest...
Findings and procedure details
TB is a common worldwide infection,
which has made a resurgence in recent years in non-endemic populations due to immigration from endemic areas and high prevalence of Human Immunodeficiency Virus (HIV) infection and multidrug – resistant (MDR) strains (1).
EPIDEMIOLOGY:
TB is a curable and preventable disease.
An early detection and correct treatment enable patients,
to quickly become non-infectious and eventually cured (2).
In 2015,
10.4 million people suffered TB and 1.8 million died from the disease (including 0.4 million among people with HIV).
Over...
Conclusion
Conclusion:
The objective is to get an early diagnosis of tuberculosis,
bearing in mind that there are different presentation and resolution patterns and imaging assessment is important in establishing the diagnosis and follow-up of the disease,
in order to start the appropriate treatment.
References
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Imaging Manifestations of Thoracic Tuberculosis.
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Radiographic appearance of pulmonary tuberculosis: dogma disproved.
AJR Am J Roentgenol....