Nodular reverse halo sign in active pulmonary tuberculosis: A rare CT feature?


Journal

Diagnostic and interventional imaging
ISSN: 2211-5684
Titre abrégé: Diagn Interv Imaging
Pays: France
ID NLM: 101568499

Informations de publication

Date de publication:
May 2020
Historique:
received: 14 10 2019
revised: 17 01 2020
accepted: 21 01 2020
pubmed: 15 2 2020
medline: 10 7 2021
entrez: 15 2 2020
Statut: ppublish

Résumé

The purpose of this study was to investigate the prevalence of the nodular reverse halo sign (NRHS) in chest computed tomography (CT) in patients with active pulmonary tuberculosis. From March 2018 to March 2019, 29 consecutive patients with a culture-confirmed active pulmonary tuberculosis and who underwent chest CT examination during hospital-admission were retrospectively included in the study. There were 24 men and 5 women with a mean age of 40.9±16.7 (SD) years (range: 18-80years). Chest CT examinations of included patients were evaluated for the presence of NRHS and other tuberculosis-related CT signs. CT revealed the NRHS in 5 patients (5/29; 17%). The other CT signs of tuberculosis included consolidations in 18 patients (18/29; 62%), tree-in-bud pattern in 14 patients (14/29; 48%), cavitation in 12 patients (12/29; 41%), sparse nodules in 10 patients (10/29; 34%), and pleural effusion in 8 patients (8/29; 28%). CT shows NRHS in 17% of patients with active pulmonary tuberculosis, indicating that the sign is not as rare as previously thought in patients with this condition.

Identifiants

pubmed: 32057699
pii: S2211-5684(20)30030-9
doi: 10.1016/j.diii.2020.01.013
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

281-287

Informations de copyright

Copyright © 2020. Published by Elsevier Masson SAS.

Auteurs

K Martini (K)

Department of Radiology, Cochin Hospital, 75014 Paris, France; Diagnostic and Interventional Radiology, University Hospital Zurich, 8091 Zürich, Switzerland.

A Loubet (A)

Department of Radiology, Cochin Hospital, 75014 Paris, France.

A Bankier (A)

Department of Radiology, Beth Israel Deaconess Medical Center, MA 02215, USA.

S Bouam (S)

Department of Medical informatics, Cochin Hospital, 75014 Paris, France.

P Morand (P)

Microbiology Department, Cochin Hospital, 75014 Paris, France.

L Cassagnes (L)

Department of Radiology, CHU Gabriel-Montpied, Institut Pascal, UMR6602 CNRS SIGMA, 63000 Clermont-Ferrand, France.

M-P Revel (MP)

Department of Radiology, Cochin Hospital, 75014 Paris, France; Université de Paris, 75006 Paris, France. Electronic address: marie-pierre.revel@aphp.fr.

G Chassagnon (G)

Department of Radiology, Cochin Hospital, 75014 Paris, France; Université de Paris, 75006 Paris, France.

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Classifications MeSH