Chest X-ray findings in HIV- infected Highly Active Antiretroviral Treatment (HAART)-naïve patients.
BACKGROUND
Patients with human immunodeficiency virus (HIV) infection frequently present with a wide spectrum of pulmonary and cardiac complications from the virus, opportunistic infections and neoplasms that may be associated with a high mortality rate. Diseases of the respiratory tract account for about half of deaths from AIDS, while cardiac diseases account for more than a quarter of deaths from AIDS. This study aimed at determining the prevalence of pulmonary and cardiac diseases using a chest radiograph in HAART-naïve HIV-infected patients.


METHODS
This study was conducted at Lagos State University Teaching Hospital (LASUTH) HIV clinic between September 2010 and August 2011 amongst all registered HAART-naïve HIV/AIDS patients. Patients had posterior-anterior chest radiographs done in full inspiration. Participants were asked and aided to fill the structured questionnaires to obtain demographic data.


RESULTS
Out of a total of one hundred and two recruited for the study, 54 ( 52.94%) had a normal chest radiograph, while 48 (47.06%) had abnormal chest radiograph .The abnormal findings included, 27.45% who had bronchopneumonia, 6.86% cardiomegaly, 5.88% pulmonary tuberculosis, 5.88% radiological features of congestive cardiac failure, and 0.98% bronchitis.


CONCLUSIONS
It appears that more than half of HAART-naïve HIV-infected patients have normal chest radiographs. Bronchopneumonia (27.5%) is the commonest pulmonary abnormality associated with HIV infection, while the prevalence of pulmonary tuberculosis is 5.88%.
Department of Haematology and Blood Transfusion, Lagos State University College of Medicine, Nigeria.
Akinsegun
A
Akinbami
Babajide
B
Balogun
Modupe
M
Balogun
Owolabi
O
Dosunmu
Olajumoke
O
Oshinaike
Adewumi
A
Adediran
Kayode
K
Adegboyega
D000328:Adult; D001996:Bronchopneumonia / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000821:virology; D006332:Cardiomegaly / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000821:virology; D005260:Female; D015658:HIV Infections / Q000150:complications / Q000000981:diagnostic imaging*; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011859:Radiography; D014397:Tuberculosis, Pulmonary / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000821:virology; D055815:Young Adult