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Point-of-care ultrasound for tuberculosis and HIV-revisiting the focused assessment with sonography for HIV-associated tuberculosis (FASH) protocol and its differential diagnoses.
Clin Microbiol Infect
March 2024
Lighthouse Clinic Trust, Lilongwe, Malawi; International Training and Education Center for Health, University of Washington, Seattle, WA, USA.
Article Synopsis
- The FASH protocol has been used for over a decade to help diagnose extra-pulmonary tuberculosis in HIV-infected patients, but interpreting its results can be difficult due to overlapping features with other diseases.
- A review analyzed ten studies on the FASH protocol's accuracy, revealing sensitivity and specificity rates for enlarged lymph nodes and spleen lesions that suggest it can effectively indicate tuberculosis but also requires careful consideration of other potential diagnoses.
- The review recommends basic ultrasound training in the FASH protocol and ultrasound-guided diagnostic sampling to improve diagnosis, acknowledging that current evidence is limited and more research is needed.
[Hepato-splenic tuberculosis].
Presse Med
February 2015
Université Mohammed V Souissi, hôpital militaire d'instruction Mohammed V, service de médecine interne B, i, 10000 Rabat, Maroc.
[Case images 1. Pulmonary and hepato-splenic tuberculosis with fistula in descending colon].
Radiologia
March 2007
Servicio de Radiodiagnóstico, Complejo Hospitalario Universitario de Vigo, Vigo, Pontevedra, España.
[Hepato-splenic and peritoneal tuberculosis. A difficult diagnosis].
Minerva Med
October 1998
Ospedale Carlo Forlanini, Dipartimento di Scienze Cardiovascolari e Respiratorie, Università degli Studi di Roma La Sapienza.
Peritoneal tuberculosis is a rare extra-pulmonary location of Mycobacterium tuberculosis infection arising in the gastrointestinal tract mostly as a complication of the pulmonary location or seldom as a primary involvement. The authors report the case of a 18-year old girl admitted in 1996 to the Infectious Diseases Department of the Umberto I Hospital, "La Sapienza" State University of Rome for the persistence of fever and dry cough, despite a protracted antibiotic treatment performed in previous hospital admissions for a suspicious diagnosis of a "broncho-pneumonia". As the fever didn't decrease and a pain at the right ilium arose, an anti-tuberculous chemotherapeutic treatment was performed (isoniazid and rifampicin), that improved the state of the patient.
View Article and Find Full Text PDF[The usefulness of abdominal echography in the diagnosis of extrapulmonary tuberculosis in patients with HIV infection].
Enferm Infecc Microbiol Clin
February 1998
Servicio de Medicina Interna, Hospital Universitario Virgen Macarena-San Lázaro, Sevilla.
Background: The aim of the present study was to analyze the diagnostic profitability of echography as an indicator of extrapulmonary tuberculosis in patients with HIV infection.
Patients And Methods: HIV positive patients presenting fever of long duration were prospectively studied with an active search for specific echographic lesions. Descriptive statistics were performed by variance analysis.
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