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- W2328399730 abstract "Introduction: Pulmonary tuberculosis (TB) is a serpent disease with various manifestations in intensive care units (ICU) and timely diagnosis of the disease is paramount, since delayed treatment is associated with severe morbidity. Unfortunately, a history of infection with or exposure to tuberculosis may or may not be present, and evidence of active tuberculosis is present in less than 50% of cases. It is imperative that intensivists understand the typical distribution, patterns, and imaging manifestations of tuberculosis. Methods: in a retrospective study, all patients with clinical manifestation of tuberculosis were enrolled in the study. All patients had confirmation laboratory diagnosis of TB including positive smears. All chest X-ray (CXR) and computed tomography (CT) of patients were collected and were recorded in a data sheet. Active pulmonary TB was diagnosed based on sputum studies or HRCT scan findings. Results: 146 patients with TB were enrolled in the study. in patients with active TB 24 (16% ) had ARDS, 18 (12%) Paranchymal nodular infiltration,12( 8%) ground glass opacities, 15 ( 10%) pleural effusion, 16 ( 11%) cavitary TB, 19( 13%) intrestitial involvement, 17( 11%) alveolar consolidations, 13( 9%) calcified parenchymal masses, and 12( 8%) had other manifestations. Radiographic evidence of lymphadenopathy was seen in up to 96% of children and 43% of adults. Miliary tuberculosis was observed in 5% of patients mostly in older than 60 patients. In the 73% of cases of paranchymal infiltration, more than one pulmonary segment was involved. Conclusions: various features of TB in ICU patients could be misleading, and intensivists need to have comprehensive knowledge of various radiologic manifestations of TB in order to not to ignore that." @default.
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- W2328399730 date "2013-12-01" @default.
- W2328399730 modified "2023-09-27" @default.
- W2328399730 title "807" @default.
- W2328399730 doi "https://doi.org/10.1097/01.ccm.0000440045.52183.c0" @default.
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