Chest
Chest Roentgenogram in Pulmonary Tuberculosis: New Data on an Old Test
Section snippets
MATERIALS AND METHOD
From June 1984 through March 1985, 30,963 adults were admitted to the medical and surgical services of the Los Angeles County-University of Southern California Medical Center. During this period, 192 of these patients were found to have culture-proven pulmonary tuberculosis, an incidence of 6.2 cases per 1,000 adult admissions. In three cases, the CXR could not be located, and in one case, the hospital chart was unavailable. A standardized history, physical examination, and CXR were obtained
RESULTS
Seventy eight patients were Hispanic, 52 were black, 35 were white, 17 were Asian, and six were Native American. One hundred fifty-three patients were men and 35 women. The median age was 38 years, with a range of 17 to 91 years.
The frequencies of symptoms in our study population are shown in Table 1. Cough and weight loss occurred most commonly and only 5 percent of patients had neither respiratory nor systemic symptoms when specifically questioned. One hundred thirty patients (69 percent) had
Routine Admission Chest X-Ray Films
Though unusual roentgenographic patterns in tuberculosis have recently been emphasized in the literature,4, 5 the typical findings of reactivation disease are still seen in most adults with tuberculosis.6, 7 These findings characteristically include upper lobe infiltrates and/or cavitation. Lower lung field tuberculosis, defined as pulmonary involvement confined to the area below an imaginary horizontal line drawn across the hila and including the parahilar regions,8 is seen in a minority of
ACKNOWLEDGMENT
We would like to thank Dr. Om Sharma for critically reviewing the manuscript, the Mycobacteriology Laboratory staff for their assistance, and Jane Sindayen for her expert help in preparation of the manuscript.
REFERENCES (23)
- et al.
The course of fever during therapy of pulmonary tuberculosis
Tubercle,
(1987) - et al.
Clinical and roentgenographic spectrum of pulmonary tuberculosis in the adult
Am J Med
(1977) - et al.
Initial roentgenographic manifestations of bacteriologically proven Mycobacterium tuberculosis: typical or atypical?
Chest
(1986) - et al.
Lower lung field tuberculosis
Chest
(1974) - et al.
Routine chest x-ray examinations
Chest
(1986) - et al.
A study of retreatment cases vs original treatment cases of pulmonary tuberculosis
Dis Chest
(1959) - et al.
Rapid diagnosis of suspected pulmonary tuberculosis by fiberoptic bronchoscopy
Tubercle
(1982) The relationship between epidemiologic factors and drug resistance rates in tuberculosis
Am Rev Respir Dis
(1987)- et al.
Predicting prognosis in pulmonary tuberculosis
Program and Abstracts of the 26th ICAAC
(1986) - et al.
Tuberculosis: frequency of unusual radiographic findings
Am J Roentgenol
(1978)
Unusual radiographic findings in adult pulmonary tuberculosis
AJR
Cited by (88)
Incidental Lung Cavity in the Heartland
2022, American Journal of the Medical SciencesCitation Excerpt :Identification of ANCA antibody with consistent clinical, laboratory and radiologic presentation can confirm the diagnosis of AAV, even in the absence of tissue biopsy.31 In an endemic setting, pulmonary infection with mycobacterial and fungal pathogens are important causes of cavitary lung disease.33,34 Bronchoscopic evaluation with BAL is beneficial if the initial workup, including appropriate culture and serologies, are negative.35
Tuberculosis: a focused review for the emergency medicine clinician
2020, American Journal of Emergency MedicineCitation Excerpt :However, fever and night sweats together are more common in advanced TB [ 1,4,6,11,28]. Chest pain and dyspnea affect over 30% of patients, while 25% will experience hemoptysis [43,44]. Older patients more commonly present with dyspnea and fatigue and are less likely to experience fever, night sweats, hemoptysis, or cavitary disease [4,6,11,45,46].
Pulmonary tuberculosis: An analysis of isolation practices and clinical risk factors in a tertiary hospital
2019, Indian Journal of TuberculosisTuberculosis Prevention
2016, International Encyclopedia of Public HealthPreventing tuberculosis transmission at a maternity hospital by targeted screening radiography of migrants
2015, Journal of Hospital InfectionCitation Excerpt :An emphasis was made to identify TB among symptomatic patients, and most hospitals abandoned the practice of unselected screening for TB by CRs on hospital admission.12 However, some hospitals serving populations with high TB prevalence did continue to perform universal screening by CRs upon admission, and succeeded in detecting TB patients who were hospitalized due to complaints unrelated to TB.13 In Israel, CR-based screening for active TB is currently performed for illegal migrants at the border crossing; in 2009, 1% of migrants were diagnosed with active TB at this point (Y. Carmeli, personal communication).
Primary and pulmonary tuberculosis
2015, Revue de Pneumologie Clinique
Manuscript received August 17; revision accepted November 23.