title: [Pulmonary tuberculosis among hospitalized patients in Brazzaville: impact of late diagnosis of HIV infection on radiographic abnormalities].
abstract: The aim was to describing the different radiographic features of pulmonary tuberculosis according to the degree of immunosuppression in HIV patients. We report a retrospective study of 80 untreated HIV-positive patients with pulmonary tuberculosis hospitalized in the Pneumo-Phthisiology Department in Brazzaville from January 2013 to January 2014. Our sample consisted of 44 women (55%) and 36 men (45%), the sex ratio was 0.81. The average age was 37.5 ± 9.17 years, the average CD4 count was 153.13 ± 86,6 cell/mm3. Sputum smear microscopy to detect acid-fast bacilli was positive in 75% of patients with CD4 cell count >200 cell/mm3. Mediastinal adenopathies, middle and lower lung field involvement and miliary were more frequent in patients with CD4 cell count < 200 cell/mm3. Severe immunosuppression is significantly associated with atypical radiographic presentation of tuberculosis.
authors: Faculté des Sciences de la Santé, Université Marien NGOUABI, Congo; Service de Pneumologie, CHU de Brazzaville-Congo.
authors: Esthel Lee Presley
authors: EL
authors: Bemba
authors: Service de Pneumologie, CHU de Brazzaville-Congo.
authors: Régis Gothard
authors: RG
authors: Bopaka
authors: Faculté des Sciences de la Santé, Université Marien NGOUABI, Congo; Service de Radiologie, CHU de Brazzaville, Congo.
authors: Régis
authors: R
authors: Moyikoua
authors: Faculté des Sciences de la Santé, Université Marien NGOUABI, Congo; Service des Maladies infectieuses et tropicales, CHU de Brazzaville, Congo.
authors: Rolland
authors: R
authors: Ossibi-Ibara
authors: Service de Pneumologie, CHU de Brazzaville-Congo.
authors: Norela Bibiane
authors: NB
authors: Ebenga-Somboko
authors: Service de Pneumologie, CHU de Brazzaville-Congo.
authors: Syn Nerval
authors: SN
authors: Toungou
authors: Service de Pneumologie, CHU de Brazzaville-Congo.
authors: Paunel God'hervé
authors: PG
authors: Matondot
authors: Service de Pneumologie, CHU de Brazzaville-Congo.
authors: Boris Kevin
authors: BK
authors: Ossale-Abacka
authors: Service de Pneumologie, CHU de Brazzaville-Congo; Programme National de Lutte contre la Tuberculose (PNLT), Congo.
authors: Franck Hardain
authors: FH
authors: Okemba-Okombi
authors: Faculté des Sciences de la Santé, Université Marien NGOUABI, Congo; Service de Pneumologie, CHU de Brazzaville-Congo.
authors: Joseph
authors: J
authors: Mboussa
mesh_terms: D000328:Adult; D000368:Aged; D018791:CD4 Lymphocyte Count; D003223:Congo; D057210:Delayed Diagnosis; D005260:Female; D015658:HIV Infections / Q000175:diagnosis*; D006760:Hospitalization; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D008853:Microscopy; D008875:Middle Aged; D012189:Retrospective Studies; D013183:Sputum / Q000382:microbiology; D014397:Tuberculosis, Pulmonary / Q000000981:diagnostic imaging* / Q000453:epidemiology; D055815:Young Adult
keywords: Congo; HIV; Tuberculosis; radiography