Isolated lymphadenopathy on chest radiographs of HIV-infected patients

L. B. Haramati, Y. Choi, C. A. Widrow, J. H.M. Austin

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11 Scopus citations

Abstract

Aim: To determine the aetiology of isolated intrathoracic lymphadenopathy on chest radiographs of HIV-infected patients. Patients and Methods: Over a 40 month span in 1990-1993, 18 HIV-infected patients (13 men, 5 women) from our New York City adult HIV outpatient clinic development isolated intrathoracic lymphadenopathy (defined as intrathoracic nodal enlargement without other persistent abnormalities on chest radiographs). Serial chest radiographs (n = 18), CT scans when available (n = 7), and clinical charts (n = 18) were reviewed retrospectively. Results: Median patient age was 34 (range 25-49) years. The diagnoses associated with adenopathy were Mycobacterium tuberculosis (Mtb) in eight (44%), Mycobacterium avium intracellulare complex (MAC) in four (22%), and Mtb and MAC co-infection in three (17%). Cryptococcal infection, thymic hyperplasia, and spontaneous resolution without diagnosis or treatment occurred in one patient each. In 16 (89%) of the 18 patients, lymphadenopathy was present in more than one nodal station. Enlarged nodes were found in the following sites: paratracheal/tracheobronchial (n = 14), aortopulmonary window (n = 9), hilar (n = 7), anterior mediastinum (n = 3), subcarinal (n = 2), and left paraesophageal (n = 2). Conclusion: Mycobacterial infection was the aetiology of isolated intrathoracic lymphadenopathy in 15 of 18 (83%) HIV-infected patients. When an inner city HIV-infected patient presents with isolated intrathoracic lymphadenopathy, we recommend an aggressive work-up for mycobacterial disease.

Original languageEnglish (US)
Pages (from-to)345-349
Number of pages5
JournalBrain and Language
Volume51
Issue number5
Publication statusPublished - Dec 1 1996

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ASJC Scopus subject areas

  • Language and Linguistics
  • Experimental and Cognitive Psychology
  • Linguistics and Language
  • Cognitive Neuroscience
  • Speech and Hearing

Cite this

Haramati, L. B., Choi, Y., Widrow, C. A., & Austin, J. H. M. (1996). Isolated lymphadenopathy on chest radiographs of HIV-infected patients. Brain and Language, 51(5), 345-349.