Aetiologies and predictors of pulmonary cavities in South Korea.
Int J Tuberc Lung Dis
; 11(4): 457-62, 2007 Apr.
Article
en En
| MEDLINE
| ID: mdl-17394694
ABSTRACT
OBJECTIVE:
To identify the aetiologies of pulmonary cavities and the clinical predictors of cavities of mycobacterial origin.SETTING:
A tertiary referral hospital in South Korea, where the prevalence of tuberculosis (TB) is intermediate.DESIGN:
A retrospective review of clinical records and radiographic examinations of patients presenting pulmonary cavities on simple chest radiograph between January and December 2005.RESULTS:
Of 131 patients enrolled with pulmonary cavities, 66 (50.4%) had cavities of mycobacterial origin. Age <50 years (P = 0.04) and largest cavity located in the upper lobes (P = 0.04) increased the likelihood that the cavities were of mycobacterial origin. Conversely, history of malignancy (P = 0.02), lesions confined to one lobe (P = 0.02) and multiple enlarged mediastinal lymph nodes (P = 0.03) suggested a non-mycobacterial cause.CONCLUSION:
Mycobacterial infection accounted for half of the cavitary lesions identified in this study. In older patients with a history of malignancy, non-nodular infiltration, lesions confined to one lobe and with multiple lymphadenopathy, diseases not caused by mycobacteria should be considered.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Enfermedades Pulmonares
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
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Observational_studies
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Prognostic_studies
/
Risk_factors_studies
Límite:
Adolescent
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Adult
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Aged
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Female
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Humans
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Male
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Middle aged
País/Región como asunto:
Asia
Idioma:
En
Revista:
Int J Tuberc Lung Dis
Año:
2007
Tipo del documento:
Article