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Kisembo, H.N., Den Boon, S., Davis, J.L., Okello, R., Worodria, W., Cattamanchi, A., Huang, L. and Kawooya, M.G. (2012) Chest Rdiographic Findings of Pulmonary Tuberculosis in Severely Immunocompromised Patients with the Human Immunodeficiency Virus. The British Journal of Radiology, 85, e130-e139.
http://dx.doi.org/10.1259/bjr/70704099

has been cited by the following article:

  • TITLE: Abdominal Sonographic Findings in Severely Immunosuppressed Human Immunodeficiency Virus-Infected Patients Treated for Tuberculosis

    AUTHORS: Harriet Nalubega Kisembo, Michael Grace Kawooya, Chris Kenyon, William Worodria, Robert Colebunders

    KEYWORDS: Abdominal Sonography, Severe Immunosuppression, HIV-TB Co-Infection

    JOURNAL NAME: Journal of Tuberculosis Research, Vol.2 No.2, June 6, 2014

    ABSTRACT: Objective: We describe the abdominal sonographic findings among patients with HIV-tuberculosis (TB) co-infection with advanced immune suppression before initiation of ART and relate these findings to the patients’ abdominal symptoms and CD4 T-cell count. Methods: Consecutive HIV-TB co-infected patients, qualifying for ART, were prospectively enrolled in a cohort study at the Mulago National Tuberculosis and Leprosy Programme clinic in Kampala, Uganda. An abdominal ultrasound was performed at enrolment. Results: A total of 209 HIV-TB co-infected patients (76% with pulmonary, 19% with extrapulmonary TB and 5% with extrapulmonary and pulmonary TB) underwent an abdominal ultrasound scan. Only 49 patients (23.4%) had a normal abdominal ultrasound. The following sonographic abnormalities were found: multiple lymphadenopathy (38%), splenomegaly (18%), renal abnormalities (14%), gastro-intestinal tract abnormalities (thickened bowel loops, appendicitis) (13%), splenic abscesses (13%) and ascites (6%). The commonest groups of enlarged lymph nodes were in the porta-hepatis (19%) and peripancreatic (17%) area and 80% of the enlarged lymph nodes were hypoechoic. Conclusion: Most patients with advanced immune suppression and HIV-TB co-infection have sonographic evidence of generalized TB with abdominal involvement, therefore Ultrasound may assist in the early diagnosis of disseminated TB.