[Ultrasonographic data of the solid organs of the abdomen in stage IV human immunodeficiency virus infection. A prospective study of 101 cases in central Africa].
A systematic abdominal study of the solid organs of the abdomen (liver, spleen, pancreas, kidneys) carried out in one hundred patients from Central Africa suffering from full blown AIDS revealed disseminated hyperechoic liver in 37 cases and hypoechoic nodules of the spleen in 10 cases. The combination with abdominal adenopathy and/or serous exudates (peritoin, pleura, pericardium) suggested disseminated tuberculosis. Twenty of the 37 patients with diffusely hyperechoic liver presented within tuberculosis which was confirmed by bacteriological data (AARB present in the sputum) in 13 cases. Of the 10 patients presenting with hypoechoic nodules of the spleen, 5 presented with confirmed tuberculosis. These 10 patients were all considered to have disseminated tuberculosis. In view of the current high incidence of extrapulmonary or disseminated tuberculosis occurring in a context of AIDS and the relative infrequency of positive tests for Mycobacterium, abdominal ultrasound must be coupled with chest X-rays in screening and prompt follow-up for TB instigated in HIV-positive adult Africans.
Aubry
P
P
Hôpital d'Instruction des Armées Robert Picqué, Bordeaux-Armées.
Reynaud
J P
JP
Nbonyingingo
C
C
Ndabaneze
E
E
Mucikere
E
E
D000005:Abdomen / Q000000981:diagnostic imaging*; D000328:Adult; D001202:Ascitic Fluid / Q000000981:diagnostic imaging; D002063:Burundi; D005260:Female; D015658:HIV Infections / Q000000981:diagnostic imaging*; D006529:Hepatomegaly / Q000000981:diagnostic imaging; D006801:Humans; D007674:Kidney Diseases / Q000000981:diagnostic imaging; D008107:Liver Diseases / Q000000981:diagnostic imaging; D008206:Lymphatic Diseases / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D010182:Pancreatic Diseases / Q000000981:diagnostic imaging; D010490:Pericardial Effusion / Q000000981:diagnostic imaging; D010996:Pleural Effusion / Q000000981:diagnostic imaging; D011446:Prospective Studies; D013158:Splenic Diseases / Q000000981:diagnostic imaging; D013163:Splenomegaly / Q000000981:diagnostic imaging; D014386:Tuberculosis, Hepatic / Q000000981:diagnostic imaging; D014400:Tuberculosis, Splenic / Q000000981:diagnostic imaging; D014463:Ultrasonography
Données de l'échographie des organes pleins de l'abdomen au stade IV de l'infection par le virus de l'immunodéficience humaine. Etude prospective de 101 cas en Afrique centrale.