Abstract Archives of the RSNA, 2014
CHE121
TB or not TB? CT Findings of DS, MDR and XDR Pulmonary Tuberculosis in Non-AIDS Patients
Education Exhibits
Presented in 2014
Edilberto David Villanueva MD, Abstract Co-Author: Nothing to Disclose
Larry Marden Alpaca Rodriguez MD, Presenter: Nothing to Disclose
Lourdes Angela Chumbimune Vivanco MD, Abstract Co-Author: Nothing to Disclose
• Tuberculosis (TB) is a common worldwide airborne infection and it is a medical and social problem with high mortality and morbidity, especially in developing countries like Peru and Haiti that share the highest incidence of MDR and XDR TB.
• Pulmonary TB images depend on diverse aspects, being CT a highly sensitive technique in the detection of minimal exudative lesions, subtle or occult parenchymal disease and in assessing disease activity and treatment effectiveness.
• Micronodules, nodules, “tree-in-bud” appearance, consolidation, and cavities are the most common CT findings in active pulmonary TB, whereas disappearance of tree-in-bud, pleural effusion and presence of fibrotic change appear to be indicators of treatment effectiveness.
• Imaging appearances of MDR TB are the same as those of non-MDR TB, however, multiple cavities, nodules and bronchial dilatation seen on CT in young patients with acid-fast bacilli positive sputum, can suggest the presence of MDR TB or XDR TB rather than DS TB.
1. Introduction
2. Objectives
3. Epidemiology
4. Clinical presentation
5. Imaging features
- Primary tuberculosis
- Post-primary pulmonary tuberculosis
- Miliary pulmonary tuberculosis
6. Multidrug-resistant and Extensively drug-resistant tuberculosis
7. Treatment and prognosis
8. Complications
9. Conclusions
http://abstract.rsna.org/uploads/2014/14017748/14017748_muj3.pdf
Villanueva, E,
Alpaca Rodriguez, L,
Chumbimune Vivanco, L,
TB or not TB? CT Findings of DS, MDR and XDR Pulmonary Tuberculosis in Non-AIDS Patients. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14017748.html