HIV AIDS chest x ray: Difference between revisions
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Chest X-ray is an extremely common procedure done to evaluate the organs located in the chest area i.e. [[lungs]], [[heart]], and [[chest wall]]. It also helps in diagnosing the cause of various symptoms. (for example persistent [[cough]], [[shortness of breath]], [[chest pain]] or [[injury]], and [[fever]]) | Chest X-ray is an extremely common procedure done to evaluate the organs located in the chest area i.e. [[lungs]], [[heart]], and [[chest wall]]. It also helps in diagnosing the cause of various symptoms. (for example persistent [[cough]], [[shortness of breath]], [[chest pain]] or [[injury]], and [[fever]]) | ||
==Chest X Ray== | ==Chest X Ray== | ||
HIV-infected patient presenting with unexplained [[pulmonary]] or constitutional symptoms should have a chest x ray. | HIV-infected patient presenting with unexplained [[pulmonary]] or constitutional symptoms should have a chest x ray as pulmonary manifestation is a complication increasing the morbidity and mortality of the patient. | ||
===Pneumocystis Pneumonia=== | ===Pneumocystis Pneumonia=== | ||
The disease [[PCP]] is relatively rare in people with normal immune systems, but common among people with weakened [[immune system]]s, such as premature or severely [[malnourish]]ed children, the elderly, and especially persons living with HIV/AIDS, in whom it is most commonly observed.<ref name=Sherris>{{cite book | author = Ryan KJ; Ray CG (editors) | title = Sherris Medical Microbiology | edition = 4th | publisher = McGraw Hill | year = 2004 | isbn = 0838585299 }}</ref> PCP can also develop in patients who are taking [[Immunosuppressive drug|immunosuppressive medications]]. [[Chest x-ray]] shows widespread pulmonary infiltrates. | The disease [[PCP]] is relatively rare in people with normal immune systems, but common among people with weakened [[immune system]]s, such as premature or severely [[malnourish]]ed children, the elderly, and especially persons living with HIV/AIDS, in whom it is most commonly observed.<ref name=Sherris>{{cite book | author = Ryan KJ; Ray CG (editors) | title = Sherris Medical Microbiology | edition = 4th | publisher = McGraw Hill | year = 2004 | isbn = 0838585299 }}</ref> PCP can also develop in patients who are taking [[Immunosuppressive drug|immunosuppressive medications]]. [[Chest x-ray]] shows widespread pulmonary infiltrates. | ||
<gallery perRow="3"> Image:PCPxray.jpg|'''X-ray of Pneumocystis jirovecii pneumonia''' There is increased white (opacity) in the lower lungs on both sides, characteristic of ''Pneumocystis'' pneumonia </gallery> | <gallery perRow="3"> Image:PCPxray.jpg|'''X-ray of Pneumocystis jirovecii pneumonia''' There is increased white (opacity) in the lower lungs on both sides, characteristic of ''Pneumocystis'' pneumonia </gallery> | ||
===Bacterial infection=== | |||
*It may be asymptomatic or show consolidation in the chest xray indicating pneumonia | |||
*In bacterial bronchiolitis , chest xray may be normal or can show lower lobar bronchial wall thickening which may be bilateral and symmetrical which gives the appearance of tram tracks or ring shadows. | |||
*[[Parapneumonic effusions]] can be found as opaque shadows in xray | |||
*[[Empyema]] might be noted | |||
==References== | ==References== | ||
Revision as of 15:25, 9 October 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-in-Chief: Ujjwal Rastogi, MBBS [2]
Overview
Chest X-ray is an extremely common procedure done to evaluate the organs located in the chest area i.e. lungs, heart, and chest wall. It also helps in diagnosing the cause of various symptoms. (for example persistent cough, shortness of breath, chest pain or injury, and fever)
Chest X Ray
HIV-infected patient presenting with unexplained pulmonary or constitutional symptoms should have a chest x ray as pulmonary manifestation is a complication increasing the morbidity and mortality of the patient.
Pneumocystis Pneumonia
The disease PCP is relatively rare in people with normal immune systems, but common among people with weakened immune systems, such as premature or severely malnourished children, the elderly, and especially persons living with HIV/AIDS, in whom it is most commonly observed.[1] PCP can also develop in patients who are taking immunosuppressive medications. Chest x-ray shows widespread pulmonary infiltrates.
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X-ray of Pneumocystis jirovecii pneumonia There is increased white (opacity) in the lower lungs on both sides, characteristic of Pneumocystis pneumonia
Bacterial infection
- It may be asymptomatic or show consolidation in the chest xray indicating pneumonia
- In bacterial bronchiolitis , chest xray may be normal or can show lower lobar bronchial wall thickening which may be bilateral and symmetrical which gives the appearance of tram tracks or ring shadows.
- Parapneumonic effusions can be found as opaque shadows in xray
- Empyema might be noted
References
- ↑ Ryan KJ; Ray CG (editors) (2004). Sherris Medical Microbiology (4th ed.). McGraw Hill. ISBN 0838585299.