Title: To Study Pulmonary Complications in Patients Living with HIV (PLH) in a Tertiary Care Hospital in India
Authors: Manoj Kumar, Arun Kumar, Kiran Krishnappa, Vijayavarman V, Sanjeev Kumar Pandey
DOI: https://dx.doi.org/10.18535/jmscr/v7i6.93
Abstract
Background: Pulmonary disease is one of the most frequent complications of HIV infection. Three of the 10 most common AIDS-defining illnesses are recurrent bacterial pneumonia, tuberculosis, and pneumonia due to the unicellular fungus P. jirovecii1.Pneumocystis jirovecii pneumonia is hallmark of AIDS2.
Aims and Objectives : To study pulmonary complications in people living with HIV and radiological findings in lungs of PLHIV with pulmonary disease by Digital chest X-ray, HRCT (High resonance computed tomography) Thorax.
Material and Methods: Study period for this cross sectional study was from December 2018 to January 2019 and the total number of HIV patients admitted on IPD and OPD basis who fulfil inclusion and exclusion criterion was 60 in this duration with pulmonary involvement. The distribution of disease was expressed in proportion.
Results: In pulmonary tuberculosis patients with HIV, consolidation was most common finding on both digital chest x- ray and HRCT thorax. Prevalence of Pneumocystis jiroveci pneumonia, tuberculosis and Bacterial pneumonia was maximum in patient having cd4 count <50,200-500, >200/micro litre respectively. In pneumocystis jiroveci pneumonia maximum patients had ground glass haziness on chest X ray, prevalence of lower zone involvement was maximum followed by upper zone.
Conclusion: Prevalence of tuberculosis was maximum in patient with HIV followed by bacterial pneumonia and pneumocystis jiroveci pneumonia respectively. Most of the bacterial pneumonia patients had consolidation on digital chest x-ray (PA view) and most of the patients with ground glass haziness on chest x ray have pneumocystis jiroveci pneumonia infection.
Keywords: Pneumocystis jiroveci, PLHIV, HRCT, AIDS.
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