Year : 2020 | Volume
: 27 | Issue : 1 | Page : 27--32
Chest radiographic findings of pulmonary tuberculosis in human immunodeficiency virus-seropositive patients in a teaching hospital in Kano Northwest, Nigeria
Mohammed Sani Umar1, Sunday Victory Daniel1, Mohammed Abba Suwaid1, Geofrey Luntsi2, Jibrin Yusuf3, Joseph Dlama Zira3, Auwal Abubakar2, Charbel Saade4, Mustapha Barde1
1 Department of Radiology, Aminu Kano Teaching Hospital/Bayero University Kano, Kano, Nigeria
2 Department of Medical Radiography, University of Maiduguri, Maiduguri, Borno, Nigeria
3 Department of Internal Medicine/Radiology, Abubakar Tafawa Balewa University Teaching Hospital Bauchi, Bauchi State, Nigeria
4 Department of Medical Imaging Services, American University of Beirut, Beirut, Lebanon
Background: Tuberculosis (TB) is one of the most common infections to occur in the course of human immunodeficiency virus (HIV) infection and remains a global emergency despite substantial investment in health services.
Aim: This study aims to determine the spectrum of chest X-ray findings in patients with HIV/TB coinfection.
Materials and Methods: A retrospective cross-sectional study of the clinical and radiographic features of pulmonary TB (PTB) in 244 confirmed HIV-seropositive patients aged 9 months to 80 years. Descriptive statistics was employed in analyzing mean percentages and frequencies. Level of statistical significance between clinical findings, radiographic findings, age group, and gender was determined using z-test. Statistical significance was set atP ≤ 0.05.
Results: The study constituted of 104 (42.62%) males and 140 (57.38%) females with mean age of 31.62 ± 16.93 years. The major clinical features among HIV-related PTB patients in this study are cough in 56.6% patients, chest pain in 11.44% patients, weight loss in 10.26% patients,P < 0.05. Chest X-rays with normal findings were found in 60.0% patients, while primary patterns of PTB such as reticulonodular opacities occurred in 16.61% patients, typical post primary patterns such as background cystic/fibrotic changes were found in 3.39% patients, and miliary pattern in 2.73% patients. The age group 26–38 years was frequently involved in TB coinfections in both sexes,P < 0.001. The percentages of males and females with TB infection were 40.98% and 56.15%, respectively.
Conclusions: Normal chest X-rays constitute the major findings; primary and postprimary patterns of PTB account for the least findings with the age group 26–38 years as the most occurring (91, 37.30%). Females were more frequently involved in TB coinfection. The preponderance of normal radiographs does not exclude the presence of TB coinfection.
Mr. Mohammed Sani Umar
Department of Radiology, Aminu Kano Teaching Hospital/Bayero University Kano, Kano
|How to cite this article:|
Umar MS, Daniel SV, Suwaid MA, Luntsi G, Yusuf J, Zira JD, Abubakar A, Saade C, Barde M. Chest radiographic findings of pulmonary tuberculosis in human immunodeficiency virus-seropositive patients in a teaching hospital in Kano Northwest, Nigeria.West Afr J Radiol 2020;27:27-32
|How to cite this URL:|
Umar MS, Daniel SV, Suwaid MA, Luntsi G, Yusuf J, Zira JD, Abubakar A, Saade C, Barde M. Chest radiographic findings of pulmonary tuberculosis in human immunodeficiency virus-seropositive patients in a teaching hospital in Kano Northwest, Nigeria. West Afr J Radiol [serial online] 2020 [cited 2020 May 28 ];27:27-32
Available from: http://www.wajradiology.org/article.asp?issn=1115-3474;year=2020;volume=27;issue=1;spage=27;epage=32;aulast=Umar;type=0