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논문 기본 정보

자료유형
학술저널
저자정보
김석준 (서울대학교 의과대학 방사선과학교실, 방사선의학연구소)
저널정보
대한영상의학회 대한방사선의학회지 대한방사선의학회지 제39권 제5호
발행연도
1998.1
수록면
933 - 939 (7page)

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Purpose : To analyze the clinical and radiological manifestations of pulmonary infection in patients with AIDS. Materials and Methods : We reviewed the medical records and analyzed retrospectively analysed the chest radiographs(n=24) and CT scans(n=11) of 26 patients with AIDS who had been followed up at our institute from1987 to June 1998. Pulmonary infections were confirmed by sputum smear and culture(n=18), pleural examination(n=3), bronchoalveolar lavage(n=3), autopsy (n=4), transbronchial lung biopsy (n=1) or clinical history (n=9). The study group included 23 men and three women aged 25-54 (average 35.2) years. We correlated the radiologic findings with CD4 lymphocyte counts. Result : Pulmonary infections included tuberculosis(n=22), Pneumocystis carinii pneumonia(n=9), cytomegalovirus(n=3), and unidentified bacterial pneumonia(n=2). Radiologically pulmonary tuberculosis was classified as primary tuberculosis(n=11 ; mean CD4 counts: 41.3cells/mm3) and post-primary tuberculosis (n=11 ; mean CD4 counts: 251.3 cells/mm3). CT findings of tuberculosis included lymphadenitis(n=6), bronchogenic spread(n=5), large consolidation (n=4), esophago-mediastinal fistula(n=2), and cavity (n=1). Tuberculosis in AIDS responded rapidly to anti-TB medication with complete or marked resolution of lesions within three months. Radiologic findings of Pneumocystis carinii pneumonia included diffuse ground glass opacities, cysts, and reticular opacities. Conclusion : Tuberculosis was the most common infection inpatients with AIDS in Korea, and this is attributed to the high prevalence of tuberculosis. Radiological findings varied with CD4+ cell count, showing those of primary tuberculosis as a patient's CD4+ cell count decreased. Pulmonary tuberculosis in AIDS responded rapidly to anti-Tb medication.

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