Chest Radiographic Finding in Pediatric AIDS with Respiratory Complication in Phayao Hospital

Abstract

          This study reported clinical records and chest radiographs of 63 pediatric AIDS cases (75 episodes) with respiratory complications admitted to Phayao hospital between 1991 to April, 1994. Diffused bilateral lung infiltration, focal lung infiltration and finally normal lung findings were found (38, 31 and 6 of 75 cases) respectively. In patient with acute respiratory symptoms who died from acute respiratory failure in the initial admission, chest radiographic findings of 8 out of 10 patients were compatible with classical pneumocystis carinii pneumonia (PCP). In patients with acute and  chronic respiratory symptoms, diffuse and focal infiltrates are the two most often seen. 4 of 6 patients who were diagnosed with AIDS after 18 months, developed chronic respiratory symptoms with  diffused bilateral interstitial infiltrates. Hilar adenopathy with focal patchy infiltration was found in  two cases with chronic respiratory symptoms suspected of pulmonary tuberculosis.