[Human immunodeficiency virus (HIV) infection. The effectiveness of different diagnostic sequences in suspected pulmonary infection]

Important note: Information in this article was accurate in 1999. The state of the art may have changed since the publication date.

[Human immunodeficiency virus (HIV) infection. The effectiveness of different diagnostic sequences in suspected pulmonary infection]

An Med Interna. 1999 Jan;16(1):15-20. Unique Identifier : AIDSLINE MED/99189515
Cortes Blanco A; Saez Lavilla C; Martinez Lazaro R; Arazo Garces P; Borraz Lopez MV; Ascaso Bandres A; Servicio de Medicina Nuclear, Hospital Miguel Servet, Zaragoza.

Abstract: BACKGROUND: Assessment of different diagnostic sequences, in patients VIH(+) with a suspected pulmonary infection. METHODS: A cross-sectional descriptive study of 76 HIV(+) patients with suspected respiratory infection. It has been determined the validity and the pretest and post-test probability of the radiology (Rx) of thorax, 67Ga pulmonary scintigraphy and seric LDH levels, in order to design four different diagnostic algorithms. RESULTS: The diagnostic sequence Rx-LDH-scintigraphy with normal results involved an infection probability of 58.0%. Pathological Rx with successively normal LDH and scintigraphy, implied a likelihood of 97.0%. The LDH elevation in sequence with scintigraphy and Rx rose to 96.1% if both were abnormal and diminished to 8.3% if normal. CONCLUSIONS: The LDH elevation associated with the sequence of normal Rx and scintigraphy suggests a low infection likelihood. On the contrary, associated with pathological Rx and scintigraphy in sequence, practically assures the pulmonary infection.

Keywords: JOURNAL ARTICLE Rentabilidad de diferentes secuencias diagnosticas ante sospecha de infeccion pulmonar. Adult Algorithms AIDS-Related Opportunistic Infections/CLASSIFICATION/*DIAGNOSIS/ MICROBIOLOGY Biological Markers/BLOOD Citrates/DIAGNOSTIC USE English Abstract Female Gallium/DIAGNOSTIC USE Gallium Radioisotopes/DIAGNOSTIC USE Human *HIV-1 Lactate Dehydrogenase/BLOOD Lung/RADIOGRAPHY/RADIONUCLIDE IMAGING Lung Diseases/CLASSIFICATION/*DIAGNOSIS/MICROBIOLOGY Male Radiography, Thoracic Radiopharmaceuticals/DIAGNOSTIC USE Sputum/MICROBIOLOGY
990730
A9971219

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