Uma Devaraj, Priya Ramachandran, Kavitha Venkatnarayan, Chitra Veluthat, Uma Maheswari K
{"title":"肺结核和大叶性肺炎患者肺部超声表现的比较:一项病例对照研究。","authors":"Uma Devaraj, Priya Ramachandran, Kavitha Venkatnarayan, Chitra Veluthat, Uma Maheswari K","doi":"10.1183/13993003.congress-2023.pa1820","DOIUrl":null,"url":null,"abstract":"<b>Background:</b> The utility of Lung ultrasound (LUS) in the diagnosis of respiratory disorders has evolved in the recent past. <b>Aim and objectives:</b> To describe the ultrasound features of newly diagnosed pulmonary tuberculosis infection and compare them to the ultrasound features of pneumonia. To compare the LUS findings with chest Xray findings. <b>Method:</b> Subjects 18 to 65 years of age and recently diagnosed with tuberculosis or pneumonia in a tertiary care hospital underwent ultrasound evaluation after written informed consent. <b>Results:</b> A total of 96 subjects with 64 microbiologically confirmed TB and 32 pneumonia patients were included. The mean age of the study subjects was 46.78± 15.75 years and the majority were males(64.6%). LUS showed focal interstitial pattern, cavity, and irregular pleura in TB patients that were significantly different (p-value= <0.001)from the findings of air bronchogram and/or shred sign seen in patients with pneumonia (Table1). The time taken to complete LUS ranged from 3 to 6 minutes. The overall sensitivity of USG against X-ray was 88.6% and specificity was 0. <b>Discussion:</b> The composite findings of focal interstitial pattern, cavity, and irregular pleura seen in TB patients were significantly different from the findings of air bronchogram and/or shred sign seen in patients with pneumonia. The LUS and CXR findings were concordant in more than 73% of both pneumonia and TB patients. LUS demonstrated abnormalities in 20.3% of TB patients whose CXR had no demonstrable opacities. <b>Conclusion:</b> LUS is a valuable tool to detect both TB and pneumonia and can discriminate between the two conditions.","PeriodicalId":23440,"journal":{"name":"Ultrasound","volume":"2016 1","pages":"0"},"PeriodicalIF":0.8000,"publicationDate":"2023-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comparison of lung ultrasound findings in patients with pulmonary tuberculosis and lobar pneumonia: a case-control study.\",\"authors\":\"Uma Devaraj, Priya Ramachandran, Kavitha Venkatnarayan, Chitra Veluthat, Uma Maheswari K\",\"doi\":\"10.1183/13993003.congress-2023.pa1820\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<b>Background:</b> The utility of Lung ultrasound (LUS) in the diagnosis of respiratory disorders has evolved in the recent past. <b>Aim and objectives:</b> To describe the ultrasound features of newly diagnosed pulmonary tuberculosis infection and compare them to the ultrasound features of pneumonia. To compare the LUS findings with chest Xray findings. <b>Method:</b> Subjects 18 to 65 years of age and recently diagnosed with tuberculosis or pneumonia in a tertiary care hospital underwent ultrasound evaluation after written informed consent. <b>Results:</b> A total of 96 subjects with 64 microbiologically confirmed TB and 32 pneumonia patients were included. The mean age of the study subjects was 46.78± 15.75 years and the majority were males(64.6%). LUS showed focal interstitial pattern, cavity, and irregular pleura in TB patients that were significantly different (p-value= <0.001)from the findings of air bronchogram and/or shred sign seen in patients with pneumonia (Table1). The time taken to complete LUS ranged from 3 to 6 minutes. The overall sensitivity of USG against X-ray was 88.6% and specificity was 0. <b>Discussion:</b> The composite findings of focal interstitial pattern, cavity, and irregular pleura seen in TB patients were significantly different from the findings of air bronchogram and/or shred sign seen in patients with pneumonia. The LUS and CXR findings were concordant in more than 73% of both pneumonia and TB patients. 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Comparison of lung ultrasound findings in patients with pulmonary tuberculosis and lobar pneumonia: a case-control study.
Background: The utility of Lung ultrasound (LUS) in the diagnosis of respiratory disorders has evolved in the recent past. Aim and objectives: To describe the ultrasound features of newly diagnosed pulmonary tuberculosis infection and compare them to the ultrasound features of pneumonia. To compare the LUS findings with chest Xray findings. Method: Subjects 18 to 65 years of age and recently diagnosed with tuberculosis or pneumonia in a tertiary care hospital underwent ultrasound evaluation after written informed consent. Results: A total of 96 subjects with 64 microbiologically confirmed TB and 32 pneumonia patients were included. The mean age of the study subjects was 46.78± 15.75 years and the majority were males(64.6%). LUS showed focal interstitial pattern, cavity, and irregular pleura in TB patients that were significantly different (p-value= <0.001)from the findings of air bronchogram and/or shred sign seen in patients with pneumonia (Table1). The time taken to complete LUS ranged from 3 to 6 minutes. The overall sensitivity of USG against X-ray was 88.6% and specificity was 0. Discussion: The composite findings of focal interstitial pattern, cavity, and irregular pleura seen in TB patients were significantly different from the findings of air bronchogram and/or shred sign seen in patients with pneumonia. The LUS and CXR findings were concordant in more than 73% of both pneumonia and TB patients. LUS demonstrated abnormalities in 20.3% of TB patients whose CXR had no demonstrable opacities. Conclusion: LUS is a valuable tool to detect both TB and pneumonia and can discriminate between the two conditions.
UltrasoundRADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
1.70
自引率
0.00%
发文量
55
期刊介绍:
Ultrasound is the official journal of the British Medical Ultrasound Society (BMUS), a multidisciplinary, charitable society comprising radiologists, obstetricians, sonographers, physicists and veterinarians amongst others.