RSNA 2014 

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

Participants

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

TEACHING POINTS

• 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.  

TABLE OF CONTENTS/OUTLINE

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  

PDF UPLOAD

http://abstract.rsna.org/uploads/2014/14017748/14017748_muj3.pdf

Cite This Abstract

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