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[Human immunodeficiency virus (HIV) infection. The effectiveness of different diagnostic sequences in suspected pulmonary infection].
- Source :
-
Anales de medicina interna (Madrid, Spain : 1984) [An Med Interna] 1999 Jan; Vol. 16 (1), pp. 15-20. - Publication Year :
- 1999
-
Abstract
- Background: Assessment of different diagnostic sequences, in patients VIH(+) with a suspected pulmonary infection.<br />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.<br />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.<br />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.
- Subjects :
- AIDS-Related Opportunistic Infections classification
AIDS-Related Opportunistic Infections microbiology
Adult
Algorithms
Biomarkers blood
Citrates
Female
Gallium
Gallium Radioisotopes
Humans
L-Lactate Dehydrogenase blood
Lung diagnostic imaging
Lung Diseases classification
Lung Diseases microbiology
Male
Radiography, Thoracic
Radionuclide Imaging
Radiopharmaceuticals
Sputum microbiology
AIDS-Related Opportunistic Infections diagnosis
HIV-1
Lung Diseases diagnosis
Subjects
Details
- Language :
- Spanish; Castilian
- ISSN :
- 0212-7199
- Volume :
- 16
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Anales de medicina interna (Madrid, Spain : 1984)
- Publication Type :
- Academic Journal
- Accession number :
- 10089645