Radiological presentation of pulmonary tuberculosis infected by the W-Beijing Mycobacterium tuberculosis strain
SETTING: The W-Beijing strain of Mycobacterium tuberculosis is distributed globally, and is associated with high drug resistance rates in some areas. The effect of the W-Beijing strain on radiological features of pulmonary tuberculosis (PTB) remains unclear.OBJECTIVE: To compare the chest radiologic...
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| Veröffentlicht in: | The international journal of tuberculosis and lung disease 2009-11, Vol.13 (11), p.1387-1392 |
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| creator | FENG, J.-Y SU, W.-J LIU, L.-Y TSAI, C.-C CHANG, S.-C |
| description | SETTING: The W-Beijing strain of Mycobacterium tuberculosis is distributed globally, and is associated with high drug resistance rates in some areas. The effect of the W-Beijing strain on radiological features of pulmonary tuberculosis (PTB) remains unclear.OBJECTIVE: To
compare the chest radiological presentation of PTB in patients infected with W-Beijing with that of patients infected with non-W-Beijing strains, and to explore factors affecting radiological patterns.DESIGN: Culture-proven PTB patients without previous anti-tuberculosis treatment were
enrolled retrospectively. Chest radiographs were independently reviewed by two qualified chest physicians, and radiological presentation was classified into characteristic and unusual patterns.RESULTS: Of 233 patients studied, 123 (52.8%) were infected with the W-Beijing strain. Characteristic
radiological patterns (91.1% vs. 76.4%, P = 0.002) and fibronodular lesions without cavity (57.7% vs. 43.6%, P = 0.032) were more common, while miliary lesions (0.0% vs. 3.8%, P = 0.048) were less frequent, in the W-Beijing group. After stepwise logistic
regression analysis, the W-Beijing strain (P = 0.006) was found to be an independent factor for the characteristic radiological pattern for PTB.CONCLUSION: The characteristic radiological pattern for PTB was more common in patients infected with the W-Beijing strain. M.
tuberculosis genotyping was an independent factor affecting the radiological presentation of pulmonary TB. |
| format | Article |
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compare the chest radiological presentation of PTB in patients infected with W-Beijing with that of patients infected with non-W-Beijing strains, and to explore factors affecting radiological patterns.DESIGN: Culture-proven PTB patients without previous anti-tuberculosis treatment were
enrolled retrospectively. Chest radiographs were independently reviewed by two qualified chest physicians, and radiological presentation was classified into characteristic and unusual patterns.RESULTS: Of 233 patients studied, 123 (52.8%) were infected with the W-Beijing strain. Characteristic
radiological patterns (91.1% vs. 76.4%, P = 0.002) and fibronodular lesions without cavity (57.7% vs. 43.6%, P = 0.032) were more common, while miliary lesions (0.0% vs. 3.8%, P = 0.048) were less frequent, in the W-Beijing group. After stepwise logistic
regression analysis, the W-Beijing strain (P = 0.006) was found to be an independent factor for the characteristic radiological pattern for PTB.CONCLUSION: The characteristic radiological pattern for PTB was more common in patients infected with the W-Beijing strain. M.
tuberculosis genotyping was an independent factor affecting the radiological presentation of pulmonary TB.</description><identifier>ISSN: 1027-3719</identifier><identifier>EISSN: 1815-7920</identifier><identifier>PMID: 19861011</identifier><language>eng</language><publisher>Paris, France: IUATLD</publisher><subject>Aged ; Aged, 80 and over ; Bacterial diseases ; Bacterial diseases of the respiratory system ; Biological and medical sciences ; Chest Radiograph ; Female ; Genotype ; Genotyping ; Human bacterial diseases ; Humans ; Infectious diseases ; Logistic Models ; Male ; Medical sciences ; Middle Aged ; Mycobacterium Tuberculosis ; Mycobacterium tuberculosis - classification ; Mycobacterium tuberculosis - genetics ; Mycobacterium tuberculosis - pathogenicity ; Pneumology ; Predictive Value of Tests ; Pulmonary Tuberculosis ; Radiography ; Respiratory system : syndromes and miscellaneous diseases ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Tuberculosis and atypical mycobacterial infections ; Tuberculosis, Pulmonary - diagnostic imaging ; Tuberculosis, Pulmonary - microbiology ; W-Beijing Strain</subject><ispartof>The international journal of tuberculosis and lung disease, 2009-11, Vol.13 (11), p.1387-1392</ispartof><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22125205$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19861011$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>FENG, J.-Y</creatorcontrib><creatorcontrib>SU, W.-J</creatorcontrib><creatorcontrib>LIU, L.-Y</creatorcontrib><creatorcontrib>TSAI, C.-C</creatorcontrib><creatorcontrib>CHANG, S.-C</creatorcontrib><title>Radiological presentation of pulmonary tuberculosis infected by the W-Beijing Mycobacterium tuberculosis strain</title><title>The international journal of tuberculosis and lung disease</title><addtitle>Int J Tuberc Lung Dis</addtitle><description>SETTING: The W-Beijing strain of Mycobacterium tuberculosis is distributed globally, and is associated with high drug resistance rates in some areas. The effect of the W-Beijing strain on radiological features of pulmonary tuberculosis (PTB) remains unclear.OBJECTIVE: To
compare the chest radiological presentation of PTB in patients infected with W-Beijing with that of patients infected with non-W-Beijing strains, and to explore factors affecting radiological patterns.DESIGN: Culture-proven PTB patients without previous anti-tuberculosis treatment were
enrolled retrospectively. Chest radiographs were independently reviewed by two qualified chest physicians, and radiological presentation was classified into characteristic and unusual patterns.RESULTS: Of 233 patients studied, 123 (52.8%) were infected with the W-Beijing strain. Characteristic
radiological patterns (91.1% vs. 76.4%, P = 0.002) and fibronodular lesions without cavity (57.7% vs. 43.6%, P = 0.032) were more common, while miliary lesions (0.0% vs. 3.8%, P = 0.048) were less frequent, in the W-Beijing group. After stepwise logistic
regression analysis, the W-Beijing strain (P = 0.006) was found to be an independent factor for the characteristic radiological pattern for PTB.CONCLUSION: The characteristic radiological pattern for PTB was more common in patients infected with the W-Beijing strain. M.
tuberculosis genotyping was an independent factor affecting the radiological presentation of pulmonary TB.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the respiratory system</subject><subject>Biological and medical sciences</subject><subject>Chest Radiograph</subject><subject>Female</subject><subject>Genotype</subject><subject>Genotyping</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mycobacterium Tuberculosis</subject><subject>Mycobacterium tuberculosis - classification</subject><subject>Mycobacterium tuberculosis - genetics</subject><subject>Mycobacterium tuberculosis - pathogenicity</subject><subject>Pneumology</subject><subject>Predictive Value of Tests</subject><subject>Pulmonary Tuberculosis</subject><subject>Radiography</subject><subject>Respiratory system : syndromes and miscellaneous diseases</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Tuberculosis and atypical mycobacterial infections</subject><subject>Tuberculosis, Pulmonary - diagnostic imaging</subject><subject>Tuberculosis, Pulmonary - microbiology</subject><subject>W-Beijing Strain</subject><issn>1027-3719</issn><issn>1815-7920</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kktv1TAQhSMEoqXwF1A2wCqSx7FjZwmlPKQipArE0pok9sVXjn3xA6n8epz2XiQW4MV4NPPNWRydB805SOCdGCl5WHtCRdcLGM-aJyntCaEAIB43ZzDKAQjAeRNucLHBhZ2d0bWHqJP2GbMNvg2mPRS3Bo_xts1l0nEuLiSbWuuNnrNe2qkuvuv2W_dG2731u_bT7RwmrLtoy_r3UcoRrX_aPDLokn52_C-ar--uvlx-6K4_v_94-fq6s4yI3PXAJj7Wwgwg52SQxCBSmJlmejSMawSKM0eGGqXgjA5Cj5OkYGQvpOwvmlf3uocYfhSdslptmrVz6HUoSYmeAWGDYJV8-V-SAuED8A18fgTLtOpFHaJdqzXqZGYFXhwBTNVNE9HPNv3hKAXKKeGVe3vPVcc2t9U-lOirG8oWzG5Rdr9VSsioyN2D_tSAwpjvJlXm5l8y80lpS8AWAPUTel-PaY0AkZQrYGxUizZYXFYZo9r9UqmK_gaGlLEO</recordid><startdate>20091101</startdate><enddate>20091101</enddate><creator>FENG, J.-Y</creator><creator>SU, W.-J</creator><creator>LIU, L.-Y</creator><creator>TSAI, C.-C</creator><creator>CHANG, S.-C</creator><general>IUATLD</general><general>International Union against Tuberculosis and Lung Disease</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QL</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>20091101</creationdate><title>Radiological presentation of pulmonary tuberculosis infected by the W-Beijing Mycobacterium tuberculosis strain</title><author>FENG, J.-Y ; SU, W.-J ; LIU, L.-Y ; TSAI, C.-C ; CHANG, S.-C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-i407t-314b5914b4f1a550680faa21c4e4e9f45ea12ac5a4aea8754267e9b821f837883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the respiratory system</topic><topic>Biological and medical sciences</topic><topic>Chest Radiograph</topic><topic>Female</topic><topic>Genotype</topic><topic>Genotyping</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mycobacterium Tuberculosis</topic><topic>Mycobacterium tuberculosis - classification</topic><topic>Mycobacterium tuberculosis - genetics</topic><topic>Mycobacterium tuberculosis - pathogenicity</topic><topic>Pneumology</topic><topic>Predictive Value of Tests</topic><topic>Pulmonary Tuberculosis</topic><topic>Radiography</topic><topic>Respiratory system : syndromes and miscellaneous diseases</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Tuberculosis and atypical mycobacterial infections</topic><topic>Tuberculosis, Pulmonary - diagnostic imaging</topic><topic>Tuberculosis, Pulmonary - microbiology</topic><topic>W-Beijing Strain</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>FENG, J.-Y</creatorcontrib><creatorcontrib>SU, W.-J</creatorcontrib><creatorcontrib>LIU, L.-Y</creatorcontrib><creatorcontrib>TSAI, C.-C</creatorcontrib><creatorcontrib>CHANG, S.-C</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>The international journal of tuberculosis and lung disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>FENG, J.-Y</au><au>SU, W.-J</au><au>LIU, L.-Y</au><au>TSAI, C.-C</au><au>CHANG, S.-C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Radiological presentation of pulmonary tuberculosis infected by the W-Beijing Mycobacterium tuberculosis strain</atitle><jtitle>The international journal of tuberculosis and lung disease</jtitle><addtitle>Int J Tuberc Lung Dis</addtitle><date>2009-11-01</date><risdate>2009</risdate><volume>13</volume><issue>11</issue><spage>1387</spage><epage>1392</epage><pages>1387-1392</pages><issn>1027-3719</issn><eissn>1815-7920</eissn><abstract>SETTING: The W-Beijing strain of Mycobacterium tuberculosis is distributed globally, and is associated with high drug resistance rates in some areas. The effect of the W-Beijing strain on radiological features of pulmonary tuberculosis (PTB) remains unclear.OBJECTIVE: To
compare the chest radiological presentation of PTB in patients infected with W-Beijing with that of patients infected with non-W-Beijing strains, and to explore factors affecting radiological patterns.DESIGN: Culture-proven PTB patients without previous anti-tuberculosis treatment were
enrolled retrospectively. Chest radiographs were independently reviewed by two qualified chest physicians, and radiological presentation was classified into characteristic and unusual patterns.RESULTS: Of 233 patients studied, 123 (52.8%) were infected with the W-Beijing strain. Characteristic
radiological patterns (91.1% vs. 76.4%, P = 0.002) and fibronodular lesions without cavity (57.7% vs. 43.6%, P = 0.032) were more common, while miliary lesions (0.0% vs. 3.8%, P = 0.048) were less frequent, in the W-Beijing group. After stepwise logistic
regression analysis, the W-Beijing strain (P = 0.006) was found to be an independent factor for the characteristic radiological pattern for PTB.CONCLUSION: The characteristic radiological pattern for PTB was more common in patients infected with the W-Beijing strain. M.
tuberculosis genotyping was an independent factor affecting the radiological presentation of pulmonary TB.</abstract><cop>Paris, France</cop><pub>IUATLD</pub><pmid>19861011</pmid><tpages>6</tpages></addata></record> |
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| subjects | Aged Aged, 80 and over Bacterial diseases Bacterial diseases of the respiratory system Biological and medical sciences Chest Radiograph Female Genotype Genotyping Human bacterial diseases Humans Infectious diseases Logistic Models Male Medical sciences Middle Aged Mycobacterium Tuberculosis Mycobacterium tuberculosis - classification Mycobacterium tuberculosis - genetics Mycobacterium tuberculosis - pathogenicity Pneumology Predictive Value of Tests Pulmonary Tuberculosis Radiography Respiratory system : syndromes and miscellaneous diseases Retrospective Studies Risk Assessment Risk Factors Tuberculosis and atypical mycobacterial infections Tuberculosis, Pulmonary - diagnostic imaging Tuberculosis, Pulmonary - microbiology W-Beijing Strain |
| title | Radiological presentation of pulmonary tuberculosis infected by the W-Beijing Mycobacterium tuberculosis strain |
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