Open AccessGambaran Radiografi Toraks Pasien HIV Dengan Tuberkulosis Paru Berdasarkan Nilai CD4 Di Rumah Sakit Umum Arifin Achmad Provinsi Riau
Author(s) -
Jendriella Jendriella,
Dian Yazmiati,
Andreas Makmur,
Azizman Saad
Publication year - 2019
Publication title -
jurnal ilmu kedokteran /jurnal ilmu kedokteran
Language(s) - English
Resource type - Journals
eISSN - 2715-4467
pISSN - 1978-662X
DOI - 10.26891/jik.v13i1.2019.36-43
Subject(s) - tuberculosis , medicine , human immunodeficiency virus (hiv) , sputum , gastroenterology , pulmonary tuberculosis , pathology , immunology
Diagnosis of tuberculosis in HIV-Tuberculosis coinfected patients is difficult. Thorax x-ray is a primary tool to evaluatetuberculosis in HIV. The purpose of this cross-sectional study was to assess and compare various radiologicalpatterns of pulmonary tuberculosis in HIV patients with CD4 counts. This study conducted in Arifin Achmad HospitalRiau province from December 2016-December 2018 with 55 HIV-tuberculosis coinfected patients. WHO guidelineswere used for diagnosis of HIV and tuberculosis. 100% of the patients had sputum positive pulmonary tuberculosis,with higher incidence (83,6%) among CD4 less than 200 as compared to CD4 more than 200 (16,4%). Infiltration (32,7%)followed by normal (18,2%), and fibrosis (11%) seen with CD4 less than 200. Infiltration (9,2%) followed by normal(3,6%) and fibrosis (1,8%) with CD4 above 200. Mid and lower zone (50%) more commonly seen in CD4 200 upper zones more commonly seen. Most lesions were found in mid zone of lung. There were significantdifferences in radiological patterns of pulmonary tuberculosis in HIV according to CD4 counts.