Clinical and radiographic peculiarities of changes in lungs at pneumocystosis in patients with aids
Keywords:radiography of thoracic organs, pneumocystic pneumonia, HIV-infected, patients with AIDS
The group of causative agents of some infections that associate with comprehensive stage of HIV-infection is strictly distinguished. It is called HIV-associated diseases that must be considered as opportunistic. Pneumocystic pneumonia dominates in clinical presentation of about half of patients, the others have candidal injuries, cytomegaloviral pneumonia, chlamidia trachomatic pneumonia and so on.
An aim of this research is to detect clinic and radiographic peculiarities of changes in lungs at pneumocystosis in patients with AIDS.
Materials and methods. Radiographs dates in frontal and additional projections of thorax in 42 patients 18- 56 years old were studied.
Results. An analysis of dates allowed group the detected changes into radiographic symptom complexes.
Conclusion. 1) Radiography of thorax stays is the main objective method of diagnostics of changes in lungs in patients with AIDS; 2) peculiarities of radiographic manifestations of the modern course of pneumocystic pneumonia from an initial changes of lung pattern to an apparent picture are ascertained, the complications and dynamics of treatment are given
Franzetti, F., Grassini, A., Piazza, M., Degl’Innocenti, M., Bandera, A., Gazzola, L., Marchetti, G. Gori, A. (2006). Nosocomial Bacterial Pneumonia in HIV-Infected Patients: Risk Factors for Adverse Outcome and Implications for Rational Empiric Antibiotic Therapy. Infection, 34 (1), 9–16. doi: 10.1007/s15010-006-5007-x
España, P. P., Capelastegui, A., Gorordo, I., Esteban, C., Oribe, M., Ortega, M. et. al. (2006). Development and Validation of a Clinical Prediction Rule for Severe Community-acquired Pneumonia. American Journal of Respiratory and Critical Care Medicine, 174 (11), 1249–1256. doi: 10.1164/rccm.200602-177oc
Brooks, J. T., Kaplan, J. E., Holmes, K. K., Benson, C., Pau, A., Masur, H. (2009). HIV‐Associated Opportunistic Infections—Going, Going, But Not Gone: The Continued Need for Prevention and Treatment Guidelines. Clinical Infectious Diseases, 48 (5), 609–611. doi: 10.1086/596756
Morris, A. (2008). Is There Anything New in Pneumocystis jirovecii Pneumonia? Changes in P. jirovecii Pneumonia over the Course of the AIDS Epidemic. Clinical Infectious Diseases, 46 (4), 634–636. doi: 10.1086/526779
Becciolini, V., Gudinchet, F., Cheseaux, J.-J., Schnyder, P. (2001). Lymphocytic interstitial pneumonia in children with AIDS: high-resolution CT findings. European Radiology, 11 (6), 1015–1020. doi: 10.1007/s003300000744
Madeddu, G., Fiori, M. L., Mura, M. S. (2010). Bacterial community-aсquired pneumonia in HIV-infected patients. Current Opinion in Pulmonary Medicine, 1. doi: 10.1097/mcp.0b013e3283375825
De Stefano J., Walzor P. (1995). New biological insights. Clinical Infectious Diseases, 2 (3), 415–430.
Lysenko, A. Ya., Turyanov, M. H., Ladovsky, M. V., Podolsky, V. M. (1996). HIV infections and AIDS-associated diseases [HIV infections and AIDS-associated diseases]. Moscow, 624.
Stansell, J., Hopewell, P. (1995). Pneumocystis Carini Pneumonia: Risk factors, Clinical Presentation and Natural History. Clinical Infectious Diseases, 2 (3), 449–459.
Ponce, C. A., Gallo, M., Bustamante, R., Vargas, S. L. (2010). Pneumocystis colonization is highly prevalent in the autopsied lungs of the general population. Clinical Infectious Diseases, 50, 347–353.
Vargas, S. L., Pizarro, P., López‐Vieyra, M., Neira‐Avilés, P., Bustamante, R., Ponce, C. A. (2010). Pneumocystis Colonization in Older Adults and Diagnostic Yield of Single versus Paired Noninvasive Respiratory Sampling. Clinical Infectious Diseases, 50 (3), e19–e21. doi: 10.1086/649869
Hidalgo, A., Falco, V., Mauleon, S. et al. (2003). Accuracy of high-resolution CT in distinguishing between Pneumocystis carini pneumonia and non - Pneumocystis carini pneumonia and non - Pneumocystis carini in AIDS patients. European Radiology, 13, 1179–1184.
Shepelenko, A. F., Mironov, M. V., Popov, A. A. (2006). Pneumocystis pneumonia in people with severe immune defects. Attending physician, 1.
Buchacz, K., Baker, R. K., Palella, F. J., Chmiel, J. S., Lichtenstein, K. A., Novak, R. M. et. al. (2010). AIDS-defining opportunistic illnesses in US patients, 1994–2007: a cohort study. AIDS, 24 (10), 1549–1559. doi: 10.1097/qad.0b013e32833a3967
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