Computed tomography manifestations and clinical features of acquired immune deficiency syndrome patients with cervical lymph node tuberculosis

Wang, H.; Dai, X.; Liu, X.; Li, C.; Shu, W.

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Volume 23, Issue 1 (1-2025)

Int J Radiat Res 2025, 23(1): 169-173

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Computed tomography manifestations and clinical features of acquired immune deficiency syndrome patients with cervical lymph node tuberculosis

H. Wang

, X. Dai

, X. Liu

, C. Li

, W. Shu

Department of Medical Imaging, Chongqing Public Health Medical Treatment Center, Chongqing 400036, China , whq0899@163.com

Abstract: (303 Views)

Background: To analyze the computed tomography (CT) findings and clinical features of acquired immune deficiency syndrome (AIDS) patients with cervical lymph node tuberculosis (CLNT). Materials and Methods: The clinical data of 100 patients diagnosed with CLNT in our hospital from January 2020 to December 2022 were retrospectively analyzed. Based on whether AIDS was combined, 20 cases of CLNT patients with AIDS were included in observation group (OG), and 80 cases of CLNT patients without AIDS were included in control group (CG). CT imaging features and general clinical data were analyzed and compared between groups. Results: Cervical lymph nodes in the OG showed irregular shape, blurred boundary, and short diameter >3 cm, with statistical difference relative to the CG (P<0.05). The complete necrosis type of cervical lymph node necrosis in the OG presented higher relative to the CG (P<0.05). The OG was more likely to involve lymph nodes in region I and II of the neck (P<0.05). Besides, the lymph node lesions involving ≥3 regions and ≥4 regions, proportion of males and mean age of patients were elevated in the OG (P<0.05). The mean CD4+T lymphocyte count was lower in the OG (P<0.05). The OG also showed higher incidence of clinical symptoms and the proportion of combined clinical symptoms ≥3 relative to the CG (P<0.05). Conclusion: The CT manifestations of AIDS patients have certain commonality compared with non-AIDS patients, which might provide clues for clinical diagnosis.

Keywords: Computed tomography, AIDS, cervical lymph node tuberculosis, clinical features.

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Type of Study: Original Research | Subject: Radiation Biology

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Wang H, Dai X, Liu X, Li C, Shu W. Computed tomography manifestations and clinical features of acquired immune deficiency syndrome patients with cervical lymph node tuberculosis. Int J Radiat Res 2025; 23 (1) :169-173
URL: http://ijrr.com/article-1-6001-en.html

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