Eye Examination for Early Diagnosis of Disseminated Tuberculosis in Patients with AIDS

Hdl Handle:
http://hdl.handle.net/10144/601277
Title:
Eye Examination for Early Diagnosis of Disseminated Tuberculosis in Patients with AIDS
Authors:
Heiden, D; Saranchuk, P; Keenan, JD; Ford, N; Lowinger, A; Yen, M; McCune, J; Rao, NA
Journal:
Lancet Infectious Diseases
Abstract:
Choroidal tuberculosis is present in 5-20% of patients with disseminated tuberculosis, and point-of-care dilated binocular indirect ophthalmoscopy eye examination can provide immediate diagnosis. In geographical areas of high tuberculosis prevalence and in susceptible patients (CD4 counts less than 200 cells per μL) detection of choroidal granulomas should be accepted as evidence of disseminated tuberculosis. With training and proper support, eye screening can be done by HIV/AIDS clinicians, allowing early tuberculosis treatment. In regions with a high burden of tuberculosis, we recommend that eye screening be a standard part of the initial assessment of susceptible patients, including at a minimum all patients with HIV/AIDS with CD4 less than 100 cells per μL with or without eye symptoms, and with or without suspicion of disseminated tuberculosis.
Publisher:
Elsevier
Issue Date:
18-Feb-2016
URI:
http://hdl.handle.net/10144/601277
DOI:
10.1016/S1473-3099(15)00269-8
PubMed ID:
26907735
Type:
Article
Language:
en
ISSN:
1474-4457
Appears in Collections:
TB

Full metadata record

DC FieldValue Language
dc.contributor.authorHeiden, Den
dc.contributor.authorSaranchuk, Pen
dc.contributor.authorKeenan, JDen
dc.contributor.authorFord, Nen
dc.contributor.authorLowinger, Aen
dc.contributor.authorYen, Men
dc.contributor.authorMcCune, Jen
dc.contributor.authorRao, NAen
dc.date.accessioned2016-03-12T10:42:06Zen
dc.date.available2016-03-12T10:42:06Zen
dc.date.issued2016-02-18en
dc.identifier.citationEye examination for early diagnosis of disseminated tuberculosis in patients with AIDS. 2016: Lancet Infect Disen
dc.identifier.issn1474-4457en
dc.identifier.pmid26907735en
dc.identifier.doi10.1016/S1473-3099(15)00269-8en
dc.identifier.urihttp://hdl.handle.net/10144/601277en
dc.description.abstractChoroidal tuberculosis is present in 5-20% of patients with disseminated tuberculosis, and point-of-care dilated binocular indirect ophthalmoscopy eye examination can provide immediate diagnosis. In geographical areas of high tuberculosis prevalence and in susceptible patients (CD4 counts less than 200 cells per μL) detection of choroidal granulomas should be accepted as evidence of disseminated tuberculosis. With training and proper support, eye screening can be done by HIV/AIDS clinicians, allowing early tuberculosis treatment. In regions with a high burden of tuberculosis, we recommend that eye screening be a standard part of the initial assessment of susceptible patients, including at a minimum all patients with HIV/AIDS with CD4 less than 100 cells per μL with or without eye symptoms, and with or without suspicion of disseminated tuberculosis.en
dc.languageENGen
dc.language.isoenen
dc.publisherElsevieren
dc.rightsArchived with thanks to Lancet Infectious Diseasesen
dc.titleEye Examination for Early Diagnosis of Disseminated Tuberculosis in Patients with AIDSen
dc.typeArticleen
dc.identifier.journalLancet Infectious Diseasesen

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