ROLE OF HIGH RESOLUTION COMPliTED TOMOGRAPHY (HRCT] IN PULMONARY TUBERCULOSIS

HYAM EL-SAID MOHAMED;

Abstract


The present study was carried out to assess the findings of active pulmonary tuberculosis on high resolution computed tomography (HRCT) scans and sequential changes with antituberculous drugs and to evaluate their possible use in detennining disease activity. (20) patients with newly diagnosed pulmonary tuberculosis were studied. Most of the patients were adults the age ranged from 18 to 40 years with a mean age
of 29.5 ± 6.484 years male were more than females. All studied cases had

normal liver and renal function and does not receive any antituberculous drugs before. The diagnosis of active pulmonary tuberculosis was based on the detection of acid fast bacilli in the sputum.


All of the studied patients were subjected to full history and clinical examination, complete blood picture, ESR, blood sugar fasting and post prandial, tuberculin test, sputum analysis for acid fast bacilli, kidney and liver function. Plain x-ray chest and heart (PA and pateral view) and HRCT was done at the same time for all studied patients. All (20) patients were followed up with plain x-ray and HRCT 3 months after the start of antituberculous chemotherapy. Such therapy included administration of vanous combinations of isonizid, rifampin, pyrazinamide. Also another 6 patients undergo further follow up 6 months from the start of therapy.


The mean value of ESR in patients with active pulmonary tuberculosis was 72.25 ± 5.575 mm after treatment the difference is statistically significant. There is no significant relationship between ESR and extent of the disease (P < 0.05).


Other data

Title ROLE OF HIGH RESOLUTION COMPliTED TOMOGRAPHY (HRCT] IN PULMONARY TUBERCULOSIS
Other Titles دور الأشعه المقطعية عالية الايضاح فى مرض الدرن الرئوى
Authors HYAM EL-SAID MOHAMED
Issue Date 1998

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