TY - JOUR T1 - Manifestations of pulmonary tuberculosis on computed tomography in patients with HIV infection, depending on the degree of immunosuppression JF - European Respiratory Journal JO - Eur Respir J VL - 42 IS - Suppl 57 SP - P4425 AU - Anna Lazareva AU - Pavel Gavrilov AU - Eugeniya Reshetneva AU - Eugenii Malashenkov AU - Petr Yablonskiy Y1 - 2013/09/01 UR - http://erj.ersjournals.com/content/42/Suppl_57/P4425.abstract N2 - Diagnosis of TB in patients with HIV infection is often difficult because of the low frequency allocation MBT in the sputum, and not the typical radiographic manifestations.Material and methods. Analyzed by CT in detecting pulmonary disease in 64 patients with HIV infection and TB. 54 people have been confirmed TB detection MBT in sputum, 10 by biopsy. The patients were divided into 4 groups. group 1 - with a CD4 - > 500, (n = 16), group 2 -200-499 (n = 24), group 3 -100-199 (n = 10), 4-group - <100 (n = 14).Results. Depending on the level of CD4 pulmonary manifestations of TB changedView this table:Manifestations of pulmonary tuberculosis on CTFor a moderate decrease in immunity in CT picture is dominated well- defined nodules and alveolar infiltration (> 80%), cavities- only 50%. With a decrease in CD4 stated reduce the frequency of alveolar infiltration (up 14.3%), and the cavities. Increasing the frequency of interstitial changes (up 57.1%) and ground-glass nodules (up 42.8%). In all groups, the high frequency of adenopathy (> 80%).Conclusion: With the decline of immunity in HIV-infected TB patients were significantly more manifest atypical CT features. ER -