Share:
Share this content in WeChat
X
Clinical Article
MR imaging findings of AIDS with tuberculous meningitis
FENG Feng  SHI Yu-xin  XIA Gan-lin  ZHANG Zhi-yong 

DOI:10.3969/j.issn.1674-8034.2010.05.009.


[Abstract] Objective: To compare the MR imaging findings between patients of AIDS with tuberculous meningitis (TM) and non-AIDS TM patients.Materials and Methods: MR imaging findings were analyzed retrospectively in 17 cases of AIDS with TM and 22 cases of non-AIDS TM, the differences of MR imaging findings were compared in the two groups.Results: Tuberculous abscess in AIDS patients were significantly less than that of non-AIDS patients (4/17, 0/22 respectively; P<0.05). While no significant differences were revealed between meningeal enhancement, tuberculomas, cerebral infarction, and communicating hydrocephalusin in AIDS and non-AIDS patients with TM.Conclusion: The MR imaging findings of TM were similar between the patients with AIDS and with non-AIDS, but the imaging findings of intracerebral inflammation were less in patients with AIDS than that of non-AIDS patients, and tuberculous abscess was ease to gain in patients with AIDS. MR examination is helpful in the diagnosis of TM in AIDS patients.
[Keywords] Meningoencephalitis, tuberculous;Magnetic resonance imaging;AIDS

FENG Feng Department of Radiology, Public Health Clinical Center Affiliated to Fudan University, Shanghai 201508, China; Department of Radiology, Tumor Hospital Affiliated to Nantong University, Department of Radiology, Jiangsu 226361, China

SHI Yu-xin* Department of Radiology, Public Health Clinical Center Affiliated to Fudan University, Shanghai 201508, China; Department of Radiology, Tumor Hospital Affiliated to Nantong University, Department of Radiology, Jiangsu 226361, China

XIA Gan-lin Department of Radiology, Tumor Hospital Affiliated to Nantong University, Department of Radiology, Jiangsu 226361, China

ZHANG Zhi-yong Department of Radiology, Public Health Clinical Center Affiliated to Fudan University, Shanghai 201508, China

*Correspondence to: Shi YX, E-mail: shiyuxin@shaphc.org

Conflicts of interest   None.

Received  2010-07-13
Accepted  2010-08-25
DOI: 10.3969/j.issn.1674-8034.2010.05.009
DOI:10.3969/j.issn.1674-8034.2010.05.009.

[1]
Mitchison DA. The diagnosis and therapy of tuberculosis during the past 100 years. Am J Respir Crit Care Med, 2005,171(2): 699-706.
[2]
Xie HA, Yang TG, Lin SZ, et al. Modern tuberculosis. Beijing: People’s Medical Publishing House, 2000: 289-290.
[3]
Rock RB, Olin M, Baker CA, et al. Central nervous system tuberculosis: pathogenesis and clinical aspects. Clin Microbiol Rev, 2008, 21(2): 243-261.
[4]
Whiteman M, Espinoza L, Post MJ, et al. Central nervous system tuberculosis in HIV-infected patients: clinical and radiographic findings. AJNR Am J Neuroradiol,16(6):1319-1327.
[5]
Brouwer AE, Rajanuwong A, Chierakul W, et al. Combination antifungal therapies for HIV-associated cryptococcal meningitis: a randomised trial. Lancet, 2004, 363(9423): 1764-1767.
[6]
Yuan J, Yu WY, Hu YW, et al. Clinical features of 23 cases of AIDS complicated by tuberculosis. Chin J Tuberculosis and Respiratory Diseases, 2004, 27(11):767-770.
[7]
Shen HL, Guo L, Hu CH, et al. MRI diagnosis of intracranial tuberculous meningitis. J Clin Radiol, 2000,19(7): 408-410.

PREV Imaging appearance of toxoplasma encephalopathy in AIDS patients
NEXT MRI performance of AIDS combined with opportunistic infections of the brain
  



Tel & Fax: +8610-67113815    E-mail: editor@cjmri.cn