Comparison of lung radiographic changes in patients with positive smear and negative smear pulmonary tuberculosis

Background and Aim: Tuberculosis is a chronic lung infection that has contaminated 1/3 of men worldwide and nowadays causes 2 million deaths and 9 million diseases. One of the can be can be assisted tests, in addition to smear, in the diagnosis of pulmonary tuberculosis is lung radiography. In tuber...

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Main Authors: Azadeh Ebrahimzadeh, Seyyed Alireza Saadatjoo, Mohammadreza Rezvani
Format: Article
Language:fas
Published: Birjand University of Medical Sciences and Health Services 2012-05-01
Series:مجله دانشگاه علوم پزشکی بیرجند
Subjects:
Online Access:http://journal.bums.ac.ir/browse.php?a_code=A-10-291-1&slc_lang=en&sid=1
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author Azadeh Ebrahimzadeh
Seyyed Alireza Saadatjoo
Mohammadreza Rezvani
author_facet Azadeh Ebrahimzadeh
Seyyed Alireza Saadatjoo
Mohammadreza Rezvani
author_sort Azadeh Ebrahimzadeh
collection DOAJ
description Background and Aim: Tuberculosis is a chronic lung infection that has contaminated 1/3 of men worldwide and nowadays causes 2 million deaths and 9 million diseases. One of the can be can be assisted tests, in addition to smear, in the diagnosis of pulmonary tuberculosis is lung radiography. In tuberculosis patients radiography of negative smear samples, which is often diagnosed with delay, can be assisted. In the present study, radiographic changes of tuberculosis patients with positive smear and those with negative smear have been compared. Materials and Methods: In this descriptive, retrospective, and analytical study, out of 376 patients who had exactly been diagnosed as tuberculosis ones and had been referred to Birjand health center during 2001-2006. One hundred patients whose smear tests were positive, according to WHO's standards, were selected .Then, among negative smear patients 100 individuals who were demographically compatible with positive smear ones were chosen. All of them had x-rays from their lungs, which were then interpreted by a radiologist. Moreover, all patients' sputum tests were done in the reference lab of the Health Center under a technician. The obtained data was analyzed by means of frequency distribution table and descriptive statistics using SPSS (version 15) and Chi-square statistical test. Results: Except reticulunoduler infiltration, relative frequency of other radiographic findings in positive smear patients was more than negative smear ones and only in the variables calcification, adenopathy of the lungs hilum, mediastinal widening, and patchy infiltration the difference was statistically significant P<0.05. Conclusion: Regarding the results of the study, although radiographic changes are not decisive in the diagnosis of pulmonary tuberculosis if they are accompanied by clinical symptoms and sputum smear, they can be assisted.
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spelling doaj.art-93475fe1a3b44a45bb7e435c9c61b3622022-12-22T00:14:06ZfasBirjand University of Medical Sciences and Health Servicesمجله دانشگاه علوم پزشکی بیرجند1607-21972423-61522012-05-011914450Comparison of lung radiographic changes in patients with positive smear and negative smear pulmonary tuberculosisAzadeh Ebrahimzadeh0Seyyed Alireza Saadatjoo1Mohammadreza Rezvani2 Department of Infectious Diseases, Birjand University of Medical Sciences, Birjand, Iran. Faculty of Nursing and Midwifery,Birjand University of Medical Sciences Birjand, Iran. Department of Internal Medicine, Medical School, Birjand University of Medical Sciences, Birjand, Iran. Background and Aim: Tuberculosis is a chronic lung infection that has contaminated 1/3 of men worldwide and nowadays causes 2 million deaths and 9 million diseases. One of the can be can be assisted tests, in addition to smear, in the diagnosis of pulmonary tuberculosis is lung radiography. In tuberculosis patients radiography of negative smear samples, which is often diagnosed with delay, can be assisted. In the present study, radiographic changes of tuberculosis patients with positive smear and those with negative smear have been compared. Materials and Methods: In this descriptive, retrospective, and analytical study, out of 376 patients who had exactly been diagnosed as tuberculosis ones and had been referred to Birjand health center during 2001-2006. One hundred patients whose smear tests were positive, according to WHO's standards, were selected .Then, among negative smear patients 100 individuals who were demographically compatible with positive smear ones were chosen. All of them had x-rays from their lungs, which were then interpreted by a radiologist. Moreover, all patients' sputum tests were done in the reference lab of the Health Center under a technician. The obtained data was analyzed by means of frequency distribution table and descriptive statistics using SPSS (version 15) and Chi-square statistical test. Results: Except reticulunoduler infiltration, relative frequency of other radiographic findings in positive smear patients was more than negative smear ones and only in the variables calcification, adenopathy of the lungs hilum, mediastinal widening, and patchy infiltration the difference was statistically significant P<0.05. Conclusion: Regarding the results of the study, although radiographic changes are not decisive in the diagnosis of pulmonary tuberculosis if they are accompanied by clinical symptoms and sputum smear, they can be assisted.http://journal.bums.ac.ir/browse.php?a_code=A-10-291-1&slc_lang=en&sid=1Tuberculosis Positive smear Negative smear Radiologic finding
spellingShingle Azadeh Ebrahimzadeh
Seyyed Alireza Saadatjoo
Mohammadreza Rezvani
Comparison of lung radiographic changes in patients with positive smear and negative smear pulmonary tuberculosis
مجله دانشگاه علوم پزشکی بیرجند
Tuberculosis
Positive smear
Negative smear
Radiologic finding
title Comparison of lung radiographic changes in patients with positive smear and negative smear pulmonary tuberculosis
title_full Comparison of lung radiographic changes in patients with positive smear and negative smear pulmonary tuberculosis
title_fullStr Comparison of lung radiographic changes in patients with positive smear and negative smear pulmonary tuberculosis
title_full_unstemmed Comparison of lung radiographic changes in patients with positive smear and negative smear pulmonary tuberculosis
title_short Comparison of lung radiographic changes in patients with positive smear and negative smear pulmonary tuberculosis
title_sort comparison of lung radiographic changes in patients with positive smear and negative smear pulmonary tuberculosis
topic Tuberculosis
Positive smear
Negative smear
Radiologic finding
url http://journal.bums.ac.ir/browse.php?a_code=A-10-291-1&slc_lang=en&sid=1
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AT seyyedalirezasaadatjoo comparisonoflungradiographicchangesinpatientswithpositivesmearandnegativesmearpulmonarytuberculosis
AT mohammadrezarezvani comparisonoflungradiographicchangesinpatientswithpositivesmearandnegativesmearpulmonarytuberculosis