Human immunodeficiency virus (HIV) infection. The effectiveness of different diagnostic sequences in suspected pulmonary infection

Human immunodeficiency virus (HIV) infection. The effectiveness of different diagnostic sequences in suspected pulmonary infection

Assessment of different diagnostic sequences, in patients VIH(+) with a suspected pulmonary infection. 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) o...

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Bibliographic Details
Published in:Anales de medicina interna (Madrid, Spain : 1984) Vol. 16; no. 1; p. 15
Main Authors: Cortés Blanco, A, Sáez Lavilla, C, Martínez Lázaro, R, Arazo Garcés, P, Borraz López, M V, Ascaso Bandrés, A
Format: Journal Article
Language:Spanish
Published: Spain 01-01-1999
Subjects:
Adult
AIDS-Related Opportunistic Infections - classification
AIDS-Related Opportunistic Infections - diagnosis
AIDS-Related Opportunistic Infections - microbiology
Algorithms
Biomarkers - blood
Citrates
Female
Gallium
Gallium Radioisotopes
HIV-1
Humans
L-Lactate Dehydrogenase - blood
Lung - diagnostic imaging
Lung Diseases - classification
Lung Diseases - diagnosis
Lung Diseases - microbiology
Male
Radiography, Thoracic
Radionuclide Imaging
Radiopharmaceuticals
Sputum - microbiology
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Summary:Assessment of different diagnostic sequences, in patients VIH(+) with a suspected pulmonary infection. 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. 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. 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.
ISSN:0212-7199