CHEST X-RAY IN HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTED-PEDIATRICS: A CASE SERIES REVIEW
Abstract
In 2017, Indonesia had 4.950 new cases of HIV infection in pediatrics. In HIV, a chest x-ray is generally used to determine the Opportunistic Infections (OIs) to accelerate treatment. There are differences in the projections and the typical features on chest x-ray in each OI. The research aims to study the projections and the role of pediatric chest x-ray examination in HIV. This is a descriptive qualitative research design with a case series. In this series, 5 pediatric patients with HIV infection are described with tuberculosis, pneumonia, and bronchiectasis. A chest x-ray in pediatrics is the most accessible investigation for respiratory disease and has an important role in the initial assessment and the follow-up of respiratory disease in HIV-infected children. It is recommended that a pediatric chest x-ray should be carried out with PA projection to obtain more optimal results. Pediatrics with clinical HIV infection can employ chest x-rays to find typical features of bilateral hilar adenopathy in cases of TB, focal and multifocal parenchymal abnormalities in cases of pneumonia, or dilated and thickened airways that appear as ring shadows or tramways in bronchiectasis.
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du Plessis, AM, Andronikou, S. and Zar, HJ (2020) 'Chest imaging findings of chronic respiratory disease in HIV-infected adolescents on combined antiretroviral therapy, Pediatric Respiratory Reviews, (xxxx). doi: 10.1016/j.prrv.2020.06.022.
Hansen, JT (2019) Netter's Clinical Anatomy. 4th edn. Philadelphia: Elsevier
Hardin, AP, and Hackell, JM (2017) 'Age Limit of Pediatrics', American Academy of Pediatrics, 140(3).
Kumar, V., Abbas, AK and Aster, JC (2013) Robbins Basic Pathology, ELSEVIER.
Lampignano, JP and Kendrick, LE (2018) Bontrager's Textbook of Radiographic Positioning and Related Anatomy. 9th edn. Mosby: Elsevier.
Jouego, CG et al. (2018) 'Pediatric multi-drug resistant-Tuberculosis and HIV co-infection in a resource - Limited setting: A case report', BMC Research Notes, 11(1), pp. 1–5. doi:10.1186/s13104-018-3148-5.
Nguyen, P. et al. (2018) 'TB Presenting as Recurrent Pneumonia in an HIV-Infected Infant in Central Viet Nam', Reports, 1(2), p. 12. doi: 10.3390/reports1020012.
Oninla, S. et al. (2016) 'Tuberculosis in an HIV-infected Child in a Developing Country: A Case Report of Diagnosis Challenges', British Journal of Medicine and Medical Research, 14(10), pp. 1–6. doi: 10.9734/bjmmr/2016/24733.
Penazzato, M. et al. (2018) 'A Global Research Agenda for Pediatric HIV', Journal of acquired immune deficiency syndromes (1999), 78, pp. S10–S15. doi:10.1097/QAI.0000000000001743.
Pitcher, RD, Beningfield, SJ and Zar, HJ (2015) 'The chest X-ray features of chronic respiratory disease in HIV-infected children - a review', Pediatric Respiratory Reviews, 16(4), pp. 258–266. doi:10.1016/j.prrv.2015.01.005.
Seshayyan, S. (2016) Inderbir Singh's Textbook of Anatomy. 6th edn. New Delhi: Jaypee Brothers Medical Publishers.
Shrestha, L., Basnet, S. and Kanskar, P. (2013) 'Bronchiectasis in a positive HIV child: a case report', Journal of Institute of Medicine Nepal, 35(1), pp. 74–77. doi:10.3126/jiom.v35i1.8903.
Wei, HH, Tsai, LP and Wu, PS (2016) 'Adolescent onset of vertically transmitted untreated AIDS: A report of one case', Tzu Chi Medical Journal, 28(4), pp. 173–175. DOI: 10.1016/j.tcmj.2015.12.002.
WHO (2013) 'Consolidated Guidelines on the use of antiretroviral drugs for treating and preventing HIV infection', (June), p. 272. Available at: www.who.int.
WHO. (2017) 'National Study of HIV Response in the Health Sector of the Republic of Indonesia', Who-Publications/2017-Hiv-Country-Review-Indonesia, (5)2(2), pp. 285–299. Available at: https://www.who.int/docs/default-source/searo/indonesia/non-who-publications/2017-hiv-country-review-indonesia-Bahasa.pdf?sfvrsn=76cca118_2
DOI: https://doi.org/10.31983/jrk.v11i1.7670
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