Pulmonary tuberculosis: relationship between sputum bacilloscopy and radiological lesions
OBJECTIVES: To determine the frequency of radiological manifestations of chest tuberculosis among the tuberculosis outpatients at the Santa Casa de Misericórdia de São Paulo Hospital, and to correlate these radiological findings with the sputum bacilloscopy. SAMPLE AND METHODS: A review was made of...
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ftdoajarticles:oai:doaj.org/article:d256e8b0283a417f85679319de6ab759 2024-09-09T19:27:03+00:00 Pulmonary tuberculosis: relationship between sputum bacilloscopy and radiological lesions Mauro Gomes Roberto Saad Jr. Roberto Stirbulov 2003-10-01T00:00:00Z https://doaj.org/article/d256e8b0283a417f85679319de6ab759 EN eng Universidade de São Paulo (USP) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652003000500007&tlng=en https://doaj.org/toc/1678-9946 1678-9946 https://doaj.org/article/d256e8b0283a417f85679319de6ab759 Revista do Instituto de Medicina Tropical de São Paulo, Vol 45, Iss 5, Pp 275-281 (2003) Tuberculosis Pulmonary tuberculosis Bacilloscopy Radiology Mycobacterium tuberculosis Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2003 ftdoajarticles 2024-08-05T17:49:31Z OBJECTIVES: To determine the frequency of radiological manifestations of chest tuberculosis among the tuberculosis outpatients at the Santa Casa de Misericórdia de São Paulo Hospital, and to correlate these radiological findings with the sputum bacilloscopy. SAMPLE AND METHODS: A review was made of the medical record cards and chest X-rays of all patients attended between January 1996 and December 1998. Patients with a diagnosis of tuberculosis who presented intrathoracic manifestations of the disease and negative anti-HIV serology were selected. RESULTS: The selection included 153 patients, with an average age of 37.5 years, who were predominantly male (60.8%) and white (56.9%). Pulmonary lesions were present in 121 (79.9%) and extrapulmonary lesions in 32 (20.1%). Parenchymal-infiltrate lesions appeared in 56 patients (36.6%), cavity lesions in 55 (36.0%), pleural effusion in 28 (18.3%), isolated nodules in 6 (3.9%), mediastinal enlargement in 4 (2.6%) and miliary pattern in 4 (2.6%). Cavities were present in 45.5% of the patients with pulmonary lesions, generally in association with the parenchymal-infiltrate lesions. Parenchymal infiltrate was present in 86.8% of the patients with pulmonary lesions. There was significant presence of alcohol-acid resistant bacillus in the sputum of patients with cavities (76.4%), in comparison with those without cavities (50%) (p = 0.003). CONCLUSIONS: Parenchymal-infiltrate lesions are the most frequent radiological manifestation of pulmonary tuberculosis, and they are generally associated with cavities. There is a relationship between the presence of acid fast bacilli in sputum and pulmonary cavity lesions. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
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language |
English |
topic |
Tuberculosis Pulmonary tuberculosis Bacilloscopy Radiology Mycobacterium tuberculosis Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Tuberculosis Pulmonary tuberculosis Bacilloscopy Radiology Mycobacterium tuberculosis Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Mauro Gomes Roberto Saad Jr. Roberto Stirbulov Pulmonary tuberculosis: relationship between sputum bacilloscopy and radiological lesions |
topic_facet |
Tuberculosis Pulmonary tuberculosis Bacilloscopy Radiology Mycobacterium tuberculosis Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
OBJECTIVES: To determine the frequency of radiological manifestations of chest tuberculosis among the tuberculosis outpatients at the Santa Casa de Misericórdia de São Paulo Hospital, and to correlate these radiological findings with the sputum bacilloscopy. SAMPLE AND METHODS: A review was made of the medical record cards and chest X-rays of all patients attended between January 1996 and December 1998. Patients with a diagnosis of tuberculosis who presented intrathoracic manifestations of the disease and negative anti-HIV serology were selected. RESULTS: The selection included 153 patients, with an average age of 37.5 years, who were predominantly male (60.8%) and white (56.9%). Pulmonary lesions were present in 121 (79.9%) and extrapulmonary lesions in 32 (20.1%). Parenchymal-infiltrate lesions appeared in 56 patients (36.6%), cavity lesions in 55 (36.0%), pleural effusion in 28 (18.3%), isolated nodules in 6 (3.9%), mediastinal enlargement in 4 (2.6%) and miliary pattern in 4 (2.6%). Cavities were present in 45.5% of the patients with pulmonary lesions, generally in association with the parenchymal-infiltrate lesions. Parenchymal infiltrate was present in 86.8% of the patients with pulmonary lesions. There was significant presence of alcohol-acid resistant bacillus in the sputum of patients with cavities (76.4%), in comparison with those without cavities (50%) (p = 0.003). CONCLUSIONS: Parenchymal-infiltrate lesions are the most frequent radiological manifestation of pulmonary tuberculosis, and they are generally associated with cavities. There is a relationship between the presence of acid fast bacilli in sputum and pulmonary cavity lesions. |
format |
Article in Journal/Newspaper |
author |
Mauro Gomes Roberto Saad Jr. Roberto Stirbulov |
author_facet |
Mauro Gomes Roberto Saad Jr. Roberto Stirbulov |
author_sort |
Mauro Gomes |
title |
Pulmonary tuberculosis: relationship between sputum bacilloscopy and radiological lesions |
title_short |
Pulmonary tuberculosis: relationship between sputum bacilloscopy and radiological lesions |
title_full |
Pulmonary tuberculosis: relationship between sputum bacilloscopy and radiological lesions |
title_fullStr |
Pulmonary tuberculosis: relationship between sputum bacilloscopy and radiological lesions |
title_full_unstemmed |
Pulmonary tuberculosis: relationship between sputum bacilloscopy and radiological lesions |
title_sort |
pulmonary tuberculosis: relationship between sputum bacilloscopy and radiological lesions |
publisher |
Universidade de São Paulo (USP) |
publishDate |
2003 |
url |
https://doaj.org/article/d256e8b0283a417f85679319de6ab759 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista do Instituto de Medicina Tropical de São Paulo, Vol 45, Iss 5, Pp 275-281 (2003) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652003000500007&tlng=en https://doaj.org/toc/1678-9946 1678-9946 https://doaj.org/article/d256e8b0283a417f85679319de6ab759 |
_version_ |
1809896554227564544 |