|Title:||Ultrasound-guided percutaneous transthoracic needle aspiration biopsy for diagnosis of pulmonary lesions in advanced HIV infection||Authors:||CHIEN-CHING HUNG
|Issue Date:||1999||Journal Volume:||98||Journal Issue:||3||Start page/Pages:||195-200||Source:||Journal of the Formosan Medical Association||Abstract:||
Pulmonary diseases remain the most common complication associated with high morbidity and mortality in patients with human immunodeficiency virus (HIV) infection. Invasive diagnostic procedures are often needed to establish a specific diagnosis of pulmonary disease. We report our experience with ultrasound (US)guided percutaneous transthoracic needle aspiration (PTNA) biopsy in 20 consecutive patients with advanced HIV infection who presented with a variety of pulmonary lesions with or without pleural effusion. A specific diagnosis was established in 16 patients (80%), with infection being the most common etiology. Sputum culture yielded the same causative pathogen in three patients (15%) and all had more than one bacterial or fungal isolates. Mild pneumothorax, the only complication, was observed in two patients (10%) following the procedure. Neither patient required chest tube drainage. Our findings suggest that US-guided PTNA can be a useful and safe alternative to fluoroscopy-guided PTNA in selected HIV-infected patients with focal pulmonary lesions and pleural effusion.
|ISSN:||0929-6646||SDG/Keyword:||acquired immune deficiency syndrome; adult; article; clinical article; echography; female; fluoroscopy; human; human immunodeficiency virus infection; lung disease; male; needle biopsy; pleura effusion; pneumothorax; sputum culture; thoracocentesis; transbronchial biopsy; Adult; AIDS-Related Opportunistic Infections; Biopsy, Needle; HIV Infections; Humans; Lung Diseases; Lung Neoplasms; Male; Middle Aged; Sarcoma, Kaposi; Ultrasonography, Interventional
|Appears in Collections:||醫學系|
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