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Chest X-Ray Abnormalities

in Childhood Tuberculosis
according to HIV Status
Rini Savitri Daulay1, Muhammad Yamin1, Heda Melinda
Nataprawira2

1Department of Child Health, Faculty of Medicine, Universitas Sumatera Utara, Medan,


North Sumatera, Indonesia
2Department of Child Health, Faculty of Medicine, Universitas Padjajaran, Bandung,
West Java, Indonesia
Background
Human Immunodeficiency Virus (HIV)
infection has been commonly reported to
accompany TB

Only few studies were


CXR is often
known about the
performed to help the
comparison of CXR
diagnosis of TB in
abnormalities in
children
childhood TB
Methods

Data of children below 18 years of


age who were diagnosed with TB
between January 2012 and
December 2014 in Adam Malik
General Hospital Medan, North Sumatera,
Indonesia
HIV status and CXR results are
included

Retrospective study
Chi square test
p value < 0.05
CXR Abnormalities
Hilar
prominent

Atelectasis
CXR Abnormalities

Cavity

Miliary
CXR Abnormalities

Consolidation

Pleural
effusion
Results
HIV (-)

HIV (+)

Children were included to


61.3% 38.7% 93 the study

50% 57 34 The CXR abnormalities including hilar


lymphadenopathy (p=0.017) and
atelectasis (p=0.001) were
30.6% significantly present in HIV (+) children

<5 yo None of miliary appearance was found


5-10
yo
Conclusion
Hilar lymphadenopathy and
atelectasis were significantly more
common to be present in TB-HIV
children
Thank you

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