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Multidrug resistant tuberculosis versus non-tuberculous mycobacterial infections: a CT-scan challenge BJID
Kahkouee,Shahram; Esmi,Elham; Moghadam,Azadeh; Karam,Mehrdad Bakhshayesh; Mosadegh,Leila; Salek,Solmaz; Tabarsi,Payam.
INTRODUCTION: Clinical, laboratory and imaging findings in patients with multidrug resistanttuberculosis (MDR-TB) and non-tuberculosis mycobacterium (NTM) are similar, and the majority of these patients present with positive smear for Acid Fast Bacilli (ADB) and no response to first line anti-TB treatment, so sputum culture and PCR are necessary, especially in NTM. OBJECTIVE: In this study we evaluate more details of imaging findings to help earlier diagnosis of pathogens. MATERIALS AND METHODS: 66 patients with positive smear for AFB and no response to first line anti-TB drugs were divided into two groups by PCR and culture: MDR-TB (43 patients) and NTM (23 patients). Age, sex, history of anti-TB treatment, smoking and CT-scan findings (parenchymal,...
Tipo: Info:eu-repo/semantics/article Palavras-chave: MDR-TB; NTM; Tuberculosis.
Ano: 2013 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702013000200004
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Extra-pulmonary Pneumocystis jiroveciinfection: a case report BJID
Karam,Mehrdad Bakhshayesh; Mosadegh,Leila.
In physical examination abdominal tenderness, gate disturbance and penile herpetic lesions were detected. Decreased disc height at T11-T12 level was detected in chest X-ray. Abdominal sonography and CT scan revealed hypo dense lesions in Lt left Lobe of liver and multiple hypo dense splenic and pancreatic lesions, ascitis, Lt left sided pleural effusion, thickening of jejuneal mucosa and edema of bowel wall. Vertebral body lesion and paravertebral abscess, bony calvarial involvement and adjacent extra axial brain lesion were observed in imaging were other findings. RNA analysis for HIV was positive. Vertebral lesion biopsy and aspiration of splenic lesion were performed and pathology revealed Pneumocystis jirovecii suggestive of extra pulmonary...
Tipo: Info:eu-repo/semantics/report Palavras-chave: Extrapulmonary; HIV; Pneumocystis Jirovecia.
Ano: 2014 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702014000600681
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