Gambaran Radiografi Toraks Pasien HIV Dengan Tuberkulosis Paru Berdasarkan Nilai CD4 Di Rumah Sakit Umum Arifin Achmad Provinsi Riau

Abstract

Diagnosis of tuberculosis in HIV-Tuberculosis coinfected patients is difficult. Thorax x-ray is a primary tool to evaluatetuberculosis in HIV. The purpose of this cross-sectional study was to assess and compare various radiologicalpatterns of pulmonary tuberculosis in HIV patients with CD4 counts. This study conducted in Arifin Achmad HospitalRiau province from December 2016-December 2018 with 55 HIV-tuberculosis coinfected patients. WHO guidelineswere used for diagnosis of HIV and tuberculosis. 100% of the patients had sputum positive pulmonary tuberculosis,with higher incidence (83,6%) among CD4 less than 200 as compared to CD4 more than 200 (16,4%). Infiltration (32,7%)followed by normal (18,2%), and fibrosis (11%) seen with CD4 less than 200. Infiltration (9,2%) followed by normal(3,6%) and fibrosis (1,8%) with CD4 above 200. Mid and lower zone (50%) more commonly seen in CD4 < 200. Despitein CD4 >200 upper zones more commonly seen. Most lesions were found in mid zone of lung. There were significantdifferences in radiological patterns of pulmonary tuberculosis in HIV according to CD4 counts.