ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2010
Abdominal tuberculosis: sonographic diagnosis and treatment response in HIV-positive adults in rural South Africa.
Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.
- Abdominal ultrasound for diagnosing abdominal tuberculosis or disseminated tuberculosis with abdominal involvement in HIV-positive individuals.The Cochrane database of systematic reviews · 2019Pooled it
- A systematic review of hepatic tuberculosis with considerations in human immunodeficiency virus co-infection.BMC infectious diseases · 2015Pooled it
- Surgical Management of Complicated Abdominal Tuberculosis: The First Systematic Review-New Treatments for an Ancient Disease and the State of the Art.Journal of clinical medicine · 2024Review
- Mini-laparoscopy as a diagnostic tool for abdominal tuberculosis: a retrospective series of 29 cases.Surgical endoscopy · 2023Article
- "Sponge pattern" of the spleen: a rarely described high-frequency ultrasound pattern in HIV-positive patients.The ultrasound journal · 2023Article
- Extrapulmonary tuberculosis mortality according to clinical and point of care ultrasound features in Mozambique.Scientific reports · 2022Article
- Task shifting for point of care ultrasound in primary healthcare in low- and middle-income countries-a systematic review.EClinicalMedicine · 2022Review
- Point-of-Care Ultrasound for Tropical Disease: Implications for Clinical Decision-Making.The American journal of tropical medicine and hygiene · 2020Article
- Diagnostic Utility and Impact on Clinical Decision Making of Focused Assessment With Sonography for HIV-Associated Tuberculosis in Malawi: A Prospective Cohort Study.Global health, science and practice · 2020Article
- Observational
- Sonography to Rule Out Tuberculosis in Sub-Saharan Africa: A Prospective Observational Study.Open forum infectious diseases · 2019Article
- Abdominal Ultrasound for the Diagnosis of Tuberculosis Among Human Immunodeficiency Virus-Positive Inpatients With World Health Organization Danger Signs.Open forum infectious diseases · 2019Article
- Ultrasonography of peritoneal tuberculosis.Journal of ultrasonography · 2019Article
- Utilization and Clinical Value of Diagnostic Modalities for Tuberculosis in a High HIV Prevalence Setting.The American journal of tropical medicine and hygiene · 2018Article
- Utility of Point-of-care Ultrasound in Children With Pulmonary Tuberculosis.The Pediatric infectious disease journal · 2018Article
- Point-of-Care Ultrasound for Extrapulmonary Tuberculosis in India: A Prospective Cohort Study in HIV-Positive and HIV-Negative Presumptive Tuberculosis Patients.The American journal of tropical medicine and hygiene · 2018Article
- Article
- Role of routine abdominal ultrasonography in intensified tuberculosis case finding algorithms at HIV clinics in high TB burden settings.BMC infectious diseases · 2017Article
- Point-of-Care Ultrasound Assessment of Tropical Infectious Diseases--A Review of Applications and Perspectives.The American journal of tropical medicine and hygiene · 2016Review
- Application of Ultrasonography in the Diagnosis of Infectious Diseases in Resource-Limited Settings.Current infectious disease reports · 2016Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 3 countries.
Funding
Abstract
objectiveTo investigate the diagnostic value of abdominal ultrasound in HIV-positive inpatients in a rural African setting.
methodsThis was a prospective case series over 3 months of adult HIV-positive patients with symptoms suggestive of abdominal tuberculosis (TB). Diagnostic ultrasound was performed for all patients: sonographic criteria included abdominal lymph node enlargement (>1.5cm) and focal splenic lesions; ascites was a supportive finding. Further diagnostic studies, e.g., aspiration or biopsy were not routinely performed. TB treatment was initiated on the basis of clinical and sonographic features. The patients were contacted after 4 months to evaluate the clinical outcome.
resultsOne hundred and eighty adult HIV-positive patients were screened; 30 (16.7%) showed sonographic signs of abdominal TB. The median CD4 count was 78 cells/mm(3). Presenting symptoms were weight loss (86.7%), abdominal pain (76.7%), and diarrhea (60%). Abdominal lymph node enlargement was the diagnostic finding in almost all cases (96.7%); hypoechoic lesions of the spleen were seen in 50% and ascites in 73.3%. Follow-up information was available for 25 patients: 24% had died and the remaining 76% reported symptomatic improvement and weight gain.
conclusionsCharacteristic sonographic features of abdominal TB are common in HIV-infected inpatients in a rural African setting. Ultrasound should be introduced into clinical algorithms for the diagnosis of extrapulmonary TB.
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