Abstract
The purpose of this study was to demonstrate the computed tomography (CT) features
of pulmonary tuberculosis in patients with acute clinical manifestations. The emergent
CT images of 46 non-AIDS patients with acute clinical presentations of pulmonary tuberculosis
(TB) were analyzed. The distribution and characterization of the pulmonary and pleural
lesions were specifically focused. Multifocal airspace consolidation in multiple lobes
was most commonly seen on the CT in 32 of 46 patients (70%), followed by cavitary
pulmonary nodular shadows (50%). Other CT manifestations included pleural effusion
(40%), TB empyema (20%), and lymphadenopathy (11%). On followup, 12 patients (26%)
developed acute respiratory failure. Patients presenting with multifocal pulmonary
consolidation, with or without cavitations, on CT should undergo early pulmonary TB
workup. These findings could help early detection for pulmonary TB.
Keywords
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Article Info
Publication History
Accepted:
April 23,
2003
Received:
March 30,
2003
Identification
Copyright
© 2004 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
