TY - JOUR
T1 - Chest radiograph interpretation of Pneumocystis carinii pneumonia, bacterial pneumonia, and pulmonary tuberculosis in HIV-Positive patients
T2 - Accuracy, distinguishing features, and mimics
AU - Boiselle, Phillip M.
AU - Tocino, Irena
AU - Hooley, Regina J.
AU - Pumerantz, Andrew S.
AU - Selwyn, Peter A.
AU - Neklesa, Vladimir P.
AU - Lange, Robert C.
PY - 1997/1
Y1 - 1997/1
N2 - The purpose of this study was to assess the accuracy of chest x-ray (CXR) interpretation in the diagnosis of Pneumocystis carinii pneumonia (PCP), bacterial pneumonia (BP), and pulmonary tuberculosis (TB) in human immunodeficiency virus (HIV)-positive patients and to identify the frequency with which these infections mimic one another radiographically. The admitting CXRs of 153 HIV-positive patients with laboratory proven BP (n = 71), PCP (n = 73), and TB (n = 9) and those of 10 HIV-positive patients with no active disease were reviewed retrospectively and independently by three radiologists who were blinded to clinical and laboratory data. Median percent accuracies were as follows: TB, 84%; PCP, 75%; BP, 64%; and no active disease, 100%. Fifteen of 153 cases (9.8%) were shown to mimic other infections radiographically. A confident and accurate diagnosis can be made radiographically in the majority of cases of PCP, BP, and TB in HIV-positive patients at the time of hospitalization. In approximately 10% of cases, these infections may mimic one another radiographically.
AB - The purpose of this study was to assess the accuracy of chest x-ray (CXR) interpretation in the diagnosis of Pneumocystis carinii pneumonia (PCP), bacterial pneumonia (BP), and pulmonary tuberculosis (TB) in human immunodeficiency virus (HIV)-positive patients and to identify the frequency with which these infections mimic one another radiographically. The admitting CXRs of 153 HIV-positive patients with laboratory proven BP (n = 71), PCP (n = 73), and TB (n = 9) and those of 10 HIV-positive patients with no active disease were reviewed retrospectively and independently by three radiologists who were blinded to clinical and laboratory data. Median percent accuracies were as follows: TB, 84%; PCP, 75%; BP, 64%; and no active disease, 100%. Fifteen of 153 cases (9.8%) were shown to mimic other infections radiographically. A confident and accurate diagnosis can be made radiographically in the majority of cases of PCP, BP, and TB in HIV-positive patients at the time of hospitalization. In approximately 10% of cases, these infections may mimic one another radiographically.
KW - Acquired immunodeficiency syndrome (AIDS)
KW - Bacterial pneumonia
KW - Lung, infections
KW - Pneumocystis carinii pneumonia
KW - Pulmonary tuberculosis
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U2 - 10.1097/00005382-199701000-00007
DO - 10.1097/00005382-199701000-00007
M3 - Article
C2 - 8989759
AN - SCOPUS:0031055638
SN - 0883-5993
VL - 12
SP - 47
EP - 53
JO - Journal of Thoracic Imaging
JF - Journal of Thoracic Imaging
IS - 1
ER -