Chest radiographic pattern of multidrug resistance (MDR) tuberculosis cases at alert hospital, Addis Ababa A retrospective cross sectional study

tesfaye Kebede legesse | Bio
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  • Submited: November 2, 2017
  • Published: December 26, 2018

Abstract

Background: Drug-resistant TB has emerged as a major challenge facing tuberculosis prevention and control efforts in Ethiopia.  Chest radiograph is the primary most important imaging modality used to suggest the diagnosis of pulmonary tuberculosis. Therefore, this research will provide base line information to clinicians and radiologist about the chest radiographic pattern of MDR tuberculosis.

Methodology: A retrospective Cross-sectional study was conducted in Alert hospital in Addis Ababa. All culture proven MDR TB patients from January 2012   to June 2014 G.C. and who had chest radiograph available were included in the study

Result: Chest radiograph of 128  culture proven MDR TB  patients  analyzed and 72.7% (93/128) patients  had abnormal chest radiographic  findings among which the three most common radiographic findings were  fibrosis 45(35.5%) cavities 33(25.8%) and consolidations 22(17.2%) with most of the abnormal radiographic findings (77.4) were seen in either of the upper or bilateral upper lobes.

Discussion: even if most literatures revealed hilar and mediastinal nodal disease is the most common CXR findings in patients with MDR tuberculosis, fibrosis and csvitation was the most common pattern seen in our cases. There was no significant radiological differences seen in those who have HIV confection and those who don’t.

Conclusion: One cannot suggest the diagnosis of MDR tuberculosis based on CXR findings and normal CXR cannot guarantee the possibility of MDR tuberculosis.

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How to Cite
legesse, tesfaye K. (2018). Chest radiographic pattern of multidrug resistance (MDR) tuberculosis cases at alert hospital, Addis Ababa A retrospective cross sectional study. Ethiopian Medical Journal, 57(1). Retrieved from https://www.emjema.org/index.php/EMJ/article/view/829

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