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milliary tuberculosis

C S Kosack, S Spijker, J Halton, M Bonnet, S Nicholas, K Chetcuti, A Mesic, W E Brant, E Joekes, S Andronikou
AIM: To assess the impact of introducing a chest radiograph reading and recording system (CRRS) with a short training session, on the accuracy and inter-reader variability of tuberculosis (TB) interpretation of chest radiographs (CXRs) by a group of non-expert readers in a human immunodeficiency virus (HIV)-positive cohort. MATERIALS AND METHODS: A set of 139 CXRs was reviewed by a group of eight physicians pre- and post-intervention at two clinics in Shan State, Myanmar, providing HIV/TB diagnosis and treatment services...
June 2017: Clinical Radiology
Adriana G López Daneri, Alicia Arechavala, Cristina A Iovannitti, María Teresa Mujica
A retrospective study was carried out on 171 cases of disseminated histoplasmosis diagnosed in HIV/AIDS patients during the period 2009-2014. Although HIV diagnosis rates remained stable over the study period, a sensible increase in the number of histoplasmosis cases was observed in the last three years. Disseminated histoplasmosis was prevalent in males with an average age of 37.8 years. At diagnosis, only 54/171 (31.6%) were receiving HAART, and CD4+ T-lymphocyte counts ranged from 4 to 264 cells/upsilon...
2016: Medicina
S Dhariya, M Yeolekar, S Sukumaran
No abstract text is available yet for this article.
January 2016: Journal of the Association of Physicians of India
A A Olatunji, P O Olatunji, A A Salako
INTRODUCTION: The study was undertaken to assess chest radiographic features and lymphocyte counts among HIV-positive patients with TB coinfection. MATERIALS AND METHOD: We reviewed the chest radiographs of all newly diagnosed, treatment-naïve HIV-positive patients attending the Treatment Centre at the Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria. The radiographs were examined for presence or absence of features of tuberculosis and pneumonia. Those with tuberculosis were further evaluated for presence of cavities and milliary appearance...
April 2016: Indian Journal of Tuberculosis
Iñigo Corral, Carmen Quereda, Fernando Dronda, Enrique Navas, José Manuel Hermida, Carmen Moreno, Juan Martínez-San-Millán
No abstract text is available yet for this article.
December 2015: Journal of Neurovirology
Henry J Feldman, Melek Somai, Ezra Dweck
BACKGROUND: In 2012 the World Health Organization reported 8.7 million new cases of Tuberculosis worldwide, causing 1.4 million deaths (1). Despite modern drug therapy, this disease continues to present in novel ways and mimic other diseases causing misdiagnosis. AIM: We report this case to educate on the reason to suspect atypical Tuberculosis presentation, even if a common disease is diagnosed, when Tuberculosis remains in the differential. We also demonstrate that with globalization and patient moving between countries, that these presentations can occur in locations, where such atypical manifestations are very uncommon...
January 2014: La Tunisie Médicale
Felix C Fredy, Frans Liwang, Rudy Kurniawan, Anna Uyainah Nasir
AIM: to find whether there is a correlation between CD4+ count and TB form in TB-HIV Coinfected patients in Indonesia. METHODS: this is a cross-sectional study of the TB-HIV patients at National HIV Center POKDISUS, Cipto Mangunkusumo Hospital in 2008-2011. We classified TB form as pulmonary TB, extrapulmonary TB, milliary TB, and combination form. The data were analyzed by Spearman and lambda correlation test. We also did partial correlation test to eliminate some counfounding factors, including demography and clinical characteristics, that had been determinated before...
April 2012: Acta Medica Indonesiana
Liaqat Ali Chaudhry, Ebtesam Ba-Essa, Shehab Al-Solaiman
Milliary Tuberculosis (TB) occurs through lymphohaematogenous dissemination of M. tuberculosis and paradoxical response (PR) is a recognized feature. Respiratory failure, choroid tubercles and brain tuberculomas are some of the complications. Brain tuberculomas mainly occur in the cerebrum, cerebellum, where as involvement of the brainstem is rare. A 31 years old female presented with history of ill health, easy fatigability, excessive sweating and fever of one month duration, dry cough for one week and shortness of breath for 3 days...
January 2012: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Joana Atxotegi Sáenz de Buruaga, Mariví Montejo Olivares, Alberto Alonso Ruiz, Jesús Gardeazabal García, Elena Urra Zalbidegoitia, Pilar Manrique Martínez
We present the case of a patient with type T non-Hodgkin lymphoma, in clinical remission after treatment with chemo and radiotherapy, who was hospitalized due to hemorrhagic and necrotic skin lesions on his right hand and a clinical suspicion of paraneoplasic vasculitis. Nonetheless, study of the patient and complementary testing led to the diagnosis of disseminated tuberculosis with skin and lung involvement (cutaneous milliary tuberculosis). Anti-tuberculosis treatment was initiated with a satisfactory resolution of symptoms and signs...
July 2007: Reumatología Clinica
Alok Umredkar, Sandeep Mohindra, Rajesh Chhabra, Rahul Gupta
Vertebral body tuberculosis has numerous forms of presentations. We present two patients of Pott's disease, in whom vertebral body hyperostosis was the radiological presentation. Both the patients had massive hyperostosis of vertebral bodies leading to the obliteration of the spinal canal and neurological deficits. The first case had associated lupus vulgaris, while the second patient had milliary mottling of lungs and calcified bilateral psoas muscles. Surgical decompression, followed by full-dose chemotherapy, remains the hallmark of management of this disease...
January 2010: Neurology India
Meriem Serghini, Sami Karoui, Mayssoun Meknini, Samira Matri, Lamia Kallel, Monia Fekih, Jalel Boubaker, Azza Filali
BACKGROUND: Infliximab has been an effective chimerical monoclonal antibody in Crohn's disease. Infliximab is available in Tunisia for a few years. AIMS: To determine the results of the treatment of Crohn's disease by infliximab. METHODS: We undertook a retrospective study relating to all the Crohn's disease patients and treated by infliximab. For all the patients, we specified the indication of the treatment, the result of the induction treatment, the recourse or not to a sequential treatment and the adverse effects of the treatment...
September 2009: La Tunisie Médicale
Setareh Davoudi, Mehrnaz Rasoolinegad, Masoud Younesian, Mahboubeh Hajiabdolbaghi, Abdolreza Soudbakhsh, Sirous Jafari, Hamid EmadiKouchak, Morteza Mehrpouya, Hossein Lotfi
Tuberculosis is the prototype of infections that require a cellular immune response for their control. It has been shown that CD4+ T-lymphocytes are most important in the protective response against Mycobacterium tuberculosis. CD8+ T-lymphocytes are also important for effective T-cell immune response. This study compares CD4+ and CD8+ baseline values in patients with different manifestations of tuberculosis. CD4+ and CD8+ in three groups of patients with tuberculosis (pulmonary, lymphadenitis, meningitis/milliary involvement) and a group of healthy volunteers were enumerated using flowcytometry...
December 2008: Brazilian Journal of Infectious Diseases
Pascale Cowppli-Bony, Dominique N'Dri Oka, Ange Datie, Christian Napon, Ernest Beugré Kouassi
UNLABELLED: Tuberculosis remains a public health problem in Côte-d'Ivoire, a sub-saharan region country, where infection with a prevalence of 2-10% increase tuberculosis incidence assesed to 290 per 100,000 habitants. Authors report a case of a ischemic stroke (IS) and unknown HIV and tuberculosis infection; discuss these infections responsibility in the occurrence of this IS and past neurological signs. The patient presented with a left hemiparesis without infectious sign nor drowsiness...
July 2005: Santé: Cahiers D'étude et de Recherches Francophones
Virginia Pomar, Gemma Carrera, Roger Paredes, Pere Domingo
No abstract text is available yet for this article.
March 2005: Lancet Infectious Diseases
Zahiruddin Mohammad, Nyi Nyi Naing
To characterize the demographic profiles, clinical features, radiological patterns and outcomes of treatment of HIV-infected TB patients, a descriptive study was carried out on 149 HIV-infected TB cases diagnosed from 1998 through 2001 at Kota Bharu Hospital, Kelantan, Malaysia. The majority of the patients were males (94.6%), single (45.0%), ethnic Malay (94.0%) with a mean age of 34 years (standard deviation 7.8, range 18-76). The most common HIV transmission category was through injecting drug use (73.8%) and being the inmates or former inhabitants of drug rehabilitation centers and prisons were the commonest high-risk groups...
March 2004: Southeast Asian Journal of Tropical Medicine and Public Health
R Xie, X Zhou, J Chen
OBJECTIVE: To analyze CT findings of hepatospleeno-tuberculosis and to explore the characteristics for diagnosis and differential diagnosis of the disease. METHODS: CT scans were performed in fifteen patients. There were nine men and six women, the age ranging from 18 to 60 years old. All patients were diagnosed clinically, one of which was confirmed by pathology after surgery, two of which were confirmed by pathology through CT-guided biopsy. RESULTS: All cases were concurrent with two or more other tuberculosis...
April 1999: Chinese Journal of Tuberculosis and Respiratory Diseases
M J Hervas Laguna, J A Nieto Rodríguez, M P Geijo Martínez, M D Ruiz Ribo, S Borregón
PML affects 4% of patients with AIDS and there is no effective treatment. Five cases of PML-AIDS have been described, showing clinical and radiological improvement after treatment with C-ara. We describe the case of a 33-year-old woman, addict to heroin, her clinical record including VIH infection, pneumonia by P. carinii, milliary tuberculosis, infection by virus B and C and treatment with AZT and tuberculostatics since January, 1992. In May, she began to develop a cerebellar syndrome. Images obtained with nuclear magnetic resonance were typical of PML...
May 1994: Anales de Medicina Interna: Organo Oficial de la Sociedad Española de Medicina Interna
V Vargas, J D Pedreira, J Vilaseca, F Ramos, M J Rodrigo, J Guardia
Two cases of transitory IgM monoclonal gammopathy associated with infectious disease are presented. One patient was a 29 year-old woman with acute brucellosis; electrophoresis showed a homogeneous spike of slow gamma mobility constituted of IgM lambda. The second case was a 52 year-old male with milliary tuberculosis, in whom a homogenous spike of rapid gamma mobility constituted of IgM kappa was found. The monoclonal component disappeared in both cases after treatment of the infections; at 2 and 21/2 months respectively...
October 10, 1981: Medicina Clínica
T Hagihara, J Yamato, C Suguro, A Sumiyoshi, A Aoyagi
No abstract text is available yet for this article.
August 1973: Kekkaku: [Tuberculosis]
C Miquel-Collell, J Rubiés-Prat, A Caralps, M T Vidal, A Mirada
Necrotizing angiitis or vasculitis exhibits a wide clinical spectrum characterized by many different cutaneous manifestations. Diagnosis must be confirmed by histopathology. We studied in retrospect 25 patients whose conditions had been diagnosed by skin biopsy. Histologic examination revealed infiltration by polynuclear cells and fibrinoid necrosis of the walls of the blood vessels in the skin. The great variety of clinical manifestations and etiologies stands out in a review of the records of these patients...
February 25, 1979: Medicina Clínica
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