1,042 results match your criteria: "Primary Lung Tuberculosis Imaging"

How I Do It: Managing Cavitary Coccidioidomycosis Expert Opinions for Improving Patient Outcomes.

Chest

December 2024

Division of Infectious Diseases, Department of Medicine, Mayo Clinic Arizona, Phoenix, AZ, USA; University of Arizona, Tucson, AZ, USA.

Coccidioidomycosis (CM), caused by the dimorphic fungi Coccidioides immitis (C. immitis) and C. posadasii, is recognized as an increasing threat both nationally and worldwide.

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A 7-month-old girl had been suffering from progressively deteriorating pneumonia despite getting multiple courses of broad-spectrum antibiotics as well as anti-fungal drugs for adequate duration. To find out the cause behind this deterioration, the patient underwent thorough clinical and relevant laboratory evaluation including chest radiology & imaging, screening for primary immune deficiency disorders (PID), cystic fibrosis, tuberculosis, invasive fungal pneumonia, congenital heart disease, covid pneumonia, TORCH etc. but failed to solve the mystery.

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Article Synopsis
  • * A 45-year-old woman, initially diagnosed with parathyroid adenoma, experienced a rise in hormone levels 2.5 years post-surgery, leading to further unsuccessful treatments before being referred for additional investigation.
  • * Ultimately, the diagnosis of parathyroid carcinoma was made after exploring the mediastinum, revealing metastases rather than the expected thyroid cancer spread, underscoring the need for careful follow-up in hyperparathyroidism cases.
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  • - The study evaluates lung cancer screening using low-dose CT scans in countries with high tuberculosis rates, focusing on the screen-positive rate (SPR) while addressing concerns about false positives from previous TB infections.
  • - The analysis included 44 studies with nearly 477,424 participants, finding an overall SPR of 18.36% and a lung cancer detection rate (LCDR) of 0.94%; NLST criteria resulted in a significantly higher SPR compared to Lung-RADS.
  • - The findings suggest that lung cancer screening with LDCT in high tuberculosis-burden countries has similar SPR and LCDR rates to areas with lower TB rates, recommending Lung-RADS criteria to reduce false positives.
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Granulomatosis With Polyangiitis Misdiagnosed as Tuberculosis: A Case Report.

Cureus

October 2024

Internal Medicine, Unidade Local de Saude do Alto Minho, Viana do Castelo, PRT.

Granulomatosis with polyangiitis (GPA), formerly known as Wegener's granulomatosis, is a rare autoimmune disorder characterized by necrotizing vasculitis affecting small to medium-sized vessels. This condition most commonly affects the lungs, kidneys, and upper respiratory tract. Early recognition and treatment are critical to prevent severe complications and improve prognosis.

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Article Synopsis
  • Effective diagnostic tests are crucial for detecting tuberculosis (TB) early in countries heavily affected by the disease, which led to a study screening adults with a cough in five countries.* -
  • The study involved several tests, including chest X-rays and multiple screening algorithms, assessing their accuracy against microbiological standards, revealing that CAD4TB was the most reliable test.* -
  • Combining different screening tests improved diagnostic accuracy, suggesting a sequential approach could better meet WHO standards for TB detection.*
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Article Synopsis
  • * A 52-year-old woman with a history of suspected primary adrenal insufficiency and poor treatment compliance was admitted with worsening symptoms, later diagnosed with adrenal crisis amid her COVID-19 infection.
  • * Diagnosis of adrenal insufficiency is complex due to non-specific symptoms; education and proper guidelines are essential for prevention, while further testing is needed to determine the root cause of her condition.
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Article Synopsis
  • The study analyzed global, regional, and national trends in injury burden and identified risk factors contributing to injuries using data from the GBD 2019.
  • In 2019, there were approximately 713.9 million injury incidents and 4.3 million injury-related deaths globally, with low bone mineral density emerging as the leading risk factor.
  • The findings emphasize the need for effective global injury prevention policies by highlighting the persistent impact of injuries on global health.
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Article Synopsis
  • Swyer-James-MacLeod syndrome (SJMS) is a rare lung disorder that leads to underdeveloped blood vessels in the lungs, often causing emphysema and sometimes bronchiectasis.
  • The exact cause is unclear, but SJMS is thought to stem from childhood respiratory infections like RSV and tuberculosis, with symptoms that are often vague and can delay diagnosis.
  • A report of a 23-year-old Kenyan woman illustrates the challenges of diagnosing SJMS given her lengthy clinical history of respiratory issues, emphasizing the need for careful evaluation and possibly advanced imaging to identify the condition.
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Article Synopsis
  • Lung masses can be benign or malignant, and Multi-detector CT (MDCT) plays a critical role in helping to differentiate between these types, although histopathological confirmation through biopsy is often necessary for a definitive diagnosis.
  • The study aimed to evaluate the diagnostic accuracy of MDCT in distinguishing benign from malignant lung masses and to correlate imaging findings with results from CT-guided biopsies.
  • Conducted over 17 months with 52 patients, the study used descriptive statistics to analyze the effectiveness of CT-guided biopsies and the diagnostic performance of MDCT in identifying thoracic lesions.
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[Pancreatic tuberculosis].

Medicina (B Aires)

October 2024

Servicio de Clínica Médica, Clínica Santa Isabel, Buenos Aires, Argentina.

Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis. It is currently considered a public health problem due to the socioeconomic conditions of the world population and the increase in other infections such as that due to Human Immunodeficiency Virus (HIV). Pulmonary involvement is the most common form of clinical presentation, although in recent decades extrapulmonary involvement has increased.

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Article Synopsis
  • * Recent efforts to stop smoking haven't been put into action yet, and it’s important to see what could happen if smoking rates stay the same or improve.
  • * Researchers used models to predict health outcomes by 2050 based on different scenarios of smoking rates, showing that cutting smoking could greatly improve health and life expectancy.
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Tuberculosis Diagnosis: Current, Ongoing, and Future Approaches.

Diseases

September 2024

Programa de Pós-Graduação em Fisiopatologia Clínica e Laboratorial, Universidade Estadual de Londrina, Londrina CEP 86038-350, Paraná, Brazil.

Tuberculosis (TB) remains an impactful infectious disease, leading to millions of deaths every year. causes the formation of granulomas, which will determine, through the host-pathogen relationship, if the infection will remain latent or evolve into active disease. Early TB diagnosis is life-saving, especially among immunocompromised individuals, and leads to proper treatment, preventing transmission.

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Amyloidosis is a misfolded protein deposition disorder within the extracellular matrix, leading to dysfunction in the affected organ. Primary amyloidosis manifests as AL and ATTR subtypes, wherein AL is associated with plasma cell dyscrasias. Herein we present a case of a patient who underwent investigation due to the presence of bilateral reticulonodular lung infiltrates, suggestive of miliary tuberculosis.

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Organizing pneumonia (OP) is defined histologically by the presence of granulation tissue within alveolar ducts and alveoli. Recently, several lymphoid neoplasms have been implicated as a risk factor for OP, however, OP as a primary manifestation of malignancy transformation has not been widely reported in the literature. Here, we report a case of a patient with a history of chronic lymphocytic leukemia (CLL) who presented with weight loss, low-grade fever, lymphadenopathy, and bilateral pulmonary infiltrates revealed in imaging studies.

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Chronic pulmonary aspergillosis (CPA) treatment in Africa remains unexplored. We present a 23-year-old Ugandan male, previously treated thrice for pulmonary tuberculosis, developing CPA. Imaging showed lung fibrosis, bronchiectasis, and a fungal ball.

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Article Synopsis
  • Researchers studied strokes from 1990 to 2021 to understand how many people get them and how they are affected around the world.
  • In 2021, strokes caused about 7.3 million deaths and were a major cause of health problems, especially in specific regions like Southeast Asia and Oceania.
  • There are differences in stroke risks based on where people live and their age, and some areas actually saw more strokes happening since 2015.
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Tuberculosis (TB) is a common infectious disease that most often affects the lungs, but it can also affect any other organ with a wide range of clinical manifestations. There are three forms of hepatic involvement: diffuse hepatic tuberculosis combined with pulmonary tuberculosis; diffuse hepatic tuberculosis without pulmonary involvement; and nodular or focal/local hepatic tuberculosis, which is a very rare form and presents a diagnostic challenge. We here report the case of a young Moroccan man presenting with biliary colic that had been evolving for a month, associated with a forme fruste of tuberculous impregnation.

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High risk and low incidence diseases: Massive hemoptysis.

Am J Emerg Med

November 2024

SAUSHEC, Department of Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, TX, USA. Electronic address:

Article Synopsis
  • * The primary causes of MH include tuberculosis globally, with other common causes like bronchiectasis and lung cancer prevalent in the U.S.; rapid assessment and necessary interventions are vital to prevent deterioration in patients.
  • * Effective management involves initial stabilization, airway assessment, correcting coagulation issues, advanced imaging through CT angiography, and collaboration with specialists in pulmonary and surgical fields to ensure patient safety and recovery.
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Tuberculosis (TB) is the leading cause of mortality among infectious diseases globally. Effectively managing TB requires early identification of individuals with TB disease. Resource-constrained settings often lack skilled professionals for interpreting chest X-rays (CXRs) used in TB diagnosis.

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Central nervous system (CNS) tuberculosis is a postprimary form of tuberculosis with high mortality and morbidity rates, even with early diagnosis and treatment. Focal tuberculous cerebritis is extremely rare, typically occurring in patients without AIDS, and often associated with tuberculous meningitis. In endemic regions, it should be a primary consideration when encountering cerebral anomalies suggestive of granulomatous conditions.

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Background: Lung cancer and tuberculosis share similar risk factors, clinical spectrum, radiological features and it is difficult to differentiate but it is important to diagnose both conditions for targeted therapy and better outcome.

Aims: Our primary objective was to estimate the proportion of TB in primary biopsy proven non-small cell lung carcinoma (NSCLC) cases.

Material & Methods: This prospective observational study was conducted in the Departments of Medicine/Pulmonary Medicine/Medical Oncology and Microbiology at the All India Institute of Medical Sciences, New Delhi for a period of 2 years (January 2020-December 2021).

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Article Synopsis
  • A web-based assessment tool for lung point-of-care ultrasound (POCUS) training was developed to evaluate skills in low- and middle-income countries (LMIC) where onsite experts may be unavailable.
  • *The tool adapted the validated lung ultrasound score and was used to assess participants from Benin and South Africa at different intervals after training, yielding an overall success rate of 84%.
  • *Results showed no significant differences in skill success rates based on geographical location or time since training, indicating the assessment tool's effectiveness across varying contexts.
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Background: To improve tuberculosis case-finding, rapid, non-sputum triage tests need to be developed according to the World Health Organization target product profile (TPP) (>90% sensitivity, >70% specificity). We prospectively evaluated and compared artificial intelligence-based, computer-aided detection software, CAD4TBv7, and C-reactive protein assay (CRP) as triage tests at health facilities in Lesotho and South Africa.

Methods: Adults (≥18 years) presenting with ≥1 of the 4 cardinal tuberculosis symptoms were consecutively recruited between February 2021 and April 2022.

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