Radiographic Aspects Of Lung Disease During Hiv Infection, Pediatrics At Cnhu / Hkm Cotonou

Abstract

Objective: To study the radiographic aspects of lung infections in children with HIV in pediatrics at CNHU Cotonou. Patients and methods: The study took place in the medical imaging department and the pediatric ward of CNHU / HKM Cotonou. He acted in a cross-sectional descriptive study retrospective collection which ran from 1 January 2003 to 31 December 2012. The data collection was to take the information from patient records; and proofreading radiographs by two radiologists. Results: The study population consists of 56 children, of which 55.4% boys and 44.6% girls. Children age between 1 year and 6 years old accounted for 46.4%. Only 26.8% of children showed no immune deficiency. Radiographically, the lesions were bilateral in 57.2% of cases. Bronchial syndrome accounted for 42.7% of cases followed by alveolar syndrome with 31.7% of cases. The lesions were scattered in subjects with moderate and severe immune deficiency. It was the same in cases of pneumocystis pneumonia and tuberculosis. We observed a discrepancy between the diagnostic hypotheses and diagnostics retained after completion of the chest radiograph (P = 0.000). Bronchitis and pneumonia were the most common radiographic diagnostic hypotheses with 45% and 33% respectively .The banal germs pneumonia (37.5%), bronchitis (30.3%), Pneumocystis carinii pneumonia (16.1%) and tuberculosis (14.3%). Conclusion: In the majority of cases, chest X-ray to reframe the final diagnosis. In front of pneumonia in children infected with HIV, we should strive to eliminate in the first place, diagnostics such as bacterial pneumonia, Pneumocystis carinii pneumonia and tuberculosis.