HIV AIDS chest x ray: Difference between revisions

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__NOTOC__
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{{AIDS}}
{{AIDS}}
{{CMG}}; '''Associate Editors-in-Chief:''' [[User:Ujjwal Rastogi|Ujjwal Rastogi, MBBS]] [mailto:urastogi@perfuse.org]
{{CMG}}; '''Associate Editor-in-Chief:'''{{SSK}}
==Overview==
==Overview==
Chest X-ray is an extremely common procedure done to evaluate the organs located in the chest area i.e. [[lungs]], [[heart]], and [[chest wall]].  It also helps in diagnosing the cause of various symptoms. (for example persistent [[cough]], [[shortness of breath]], [[chest pain]] or [[injury]], and [[fever]])
Chest X-ray findings in HIV/AIDS are related to the development of opportunistic lung infections. They include ground-glass infiltrates suggestive of ''Pneumocystis jirovecii'' pneumonia, lobar consolidation, pleural effusions, loculated empyemas, and lymphadenopathy.
==Chest X Ray==
==Chest X Ray Findings==
HIV-infected patient presenting with unexplained [[pulmonary]] or constitutional symptoms should have a chest x ray as pulmonary manifestation is a complication increasing the morbidity and mortality of the patient.
Chest X-ray findings in HIV/AIDS are related to the development of opportunistic lung infections. Common findings include:<ref name="pmid20981180">{{cite journal| author=Allen CM, Al-Jahdali HH, Irion KL, Al Ghanem S, Gouda A, Khan AN| title=Imaging lung manifestations of HIV/AIDS. | journal=Ann Thorac Med | year= 2010 | volume= 5 | issue= 4 | pages= 201-16 | pmid=20981180 | doi=10.4103/1817-1737.69106 | pmc=PMC2954374 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20981180  }} </ref>
===Pneumocystis Pneumonia===
*'''Diffuse ground-glass infiltrates'''
The disease [[PCP]] is relatively rare in people with normal immune systems, but common among people with weakened [[immune system]]s, such as premature or severely [[malnourish]]ed children, the elderly, and especially persons living with HIV/AIDS, in whom it is most commonly observed.<ref name=Sherris>{{cite book | author = Ryan KJ; Ray CG (editors) | title = Sherris Medical Microbiology | edition = 4th | publisher = McGraw Hill | year = 2004 | isbn = 0838585299 }}</ref> PCP can also develop in patients who are taking [[Immunosuppressive drug|immunosuppressive medications]]. [[Chest x-ray]] shows widespread pulmonary infiltrates.
:* Suggestive of ''Pneumocystis jirovecii'' pneumonia
*'''Nodular infiltrates'''
:* Suggestive of bacterial or fungal pneumonia
*'''Lobar/segmental consolidation'''
:* Suggestive of bacterial or fungal pneumonia
*'''Pleural effusion'''
:* Suggestive of empyema, parapneumonic effusion, tuberculous effusion, and malignant effusion
*'''Lobar consolidation'''
:* Suggestive of bacterial or fungal pneumonia
*'''Hilar lymphadenopathy'''
:* Suggestive of tuberculosis, malignancy, or may be secondary to HIV induced lymphadenopathy
*'''Cavitation'''
:* Suggestive of tuberculosis, fungal infection, or necrotizing pneumonia
*'''Mass lesion'''
:* Suggestive of malignancy, tuberculosis, or fungal infection


<gallery perRow="3">  Image:PCPxray.jpg|'''X-ray of Pneumocystis jirovecii pneumonia''' There is increased white (opacity) in the lower lungs on both sides, characteristic of ''Pneumocystis'' pneumonia   </gallery>
[[File:Pneumocystis_jirovecii_pneumonia_CXR.png|thumb|none|500px|Chest X-ray of an individual with ''Pneumocystis jirovecii'' pneumonia<ref name="pmid22096390">{{cite journal| author=Castro JG, Morrison-Bryant M| title=Management of Pneumocystis Jirovecii pneumonia in HIV infected patients: current options, challenges and future directions. | journal=HIV AIDS (Auckl) | year= 2010 | volume= 2 | issue= | pages= 123-34 | pmid=22096390 | doi= | pmc=PMC3218692 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22096390  }} </ref>]]
 
===Bacterial infection===
*It may be asymptomatic or show consolidation in the chest xray indicating pneumonia
*In bacterial bronchiolitis , chest xray may be normal or can show lower lobar bronchial wall thickening which may be bilateral and symmetrical which gives the appearance of tram tracks or ring shadows.
*[[Parapneumonic effusions]] can be found as opaque shadows in xray
*[[Empyema]] might be noted


==References==
==References==
{{reflist|2}}
{{reflist|2}}
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Latest revision as of 22:11, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-in-Chief:Serge Korjian M.D.

Overview

Chest X-ray findings in HIV/AIDS are related to the development of opportunistic lung infections. They include ground-glass infiltrates suggestive of Pneumocystis jirovecii pneumonia, lobar consolidation, pleural effusions, loculated empyemas, and lymphadenopathy.

Chest X Ray Findings

Chest X-ray findings in HIV/AIDS are related to the development of opportunistic lung infections. Common findings include:[1]

  • Diffuse ground-glass infiltrates
  • Suggestive of Pneumocystis jirovecii pneumonia
  • Nodular infiltrates
  • Suggestive of bacterial or fungal pneumonia
  • Lobar/segmental consolidation
  • Suggestive of bacterial or fungal pneumonia
  • Pleural effusion
  • Suggestive of empyema, parapneumonic effusion, tuberculous effusion, and malignant effusion
  • Lobar consolidation
  • Suggestive of bacterial or fungal pneumonia
  • Hilar lymphadenopathy
  • Suggestive of tuberculosis, malignancy, or may be secondary to HIV induced lymphadenopathy
  • Cavitation
  • Suggestive of tuberculosis, fungal infection, or necrotizing pneumonia
  • Mass lesion
  • Suggestive of malignancy, tuberculosis, or fungal infection
Chest X-ray of an individual with Pneumocystis jirovecii pneumonia[2]

References

  1. Allen CM, Al-Jahdali HH, Irion KL, Al Ghanem S, Gouda A, Khan AN (2010). "Imaging lung manifestations of HIV/AIDS". Ann Thorac Med. 5 (4): 201–16. doi:10.4103/1817-1737.69106. PMC 2954374. PMID 20981180.
  2. Castro JG, Morrison-Bryant M (2010). "Management of Pneumocystis Jirovecii pneumonia in HIV infected patients: current options, challenges and future directions". HIV AIDS (Auckl). 2: 123–34. PMC 3218692. PMID 22096390.

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