الفهرس 
TuberculosisOnly 14 pages are availabe for public view
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Abstract
Conclusions
CUS was proved not only to visualize the same findings (miliray shadow, air-bronchogram, cavitation (absent lung sliding/Barcode sign), nodule, pleural effusion, pericardial effusion and mediastinal LN) as CT chest, but also it can visualize (pleural gap, fragmented pleura, sub-pleural fluid collection, and sub-pleural nodules) with absence of corresponding features in CT. Moreover, the CUS is rapid, inexpensive, bedside, noninvasive and safe technique, but it is operator dependent and must be done by a well qualified doctor.
Recommendations
• Further similar wide scale multicentric studies.
• Further similar studies to assess CUS findings in thoracic childhood TB.
• Implementation of CUS in the daily diagnostic workup of thoracic TB patients.
• Use of CUS in the diagnosis & follow up of suspected pregnant thoracic TB patients as a substitute to chest x-ray or CT to avoid radiation risk.
• Further studies to use CUS in the follow-up of parenchymal and pleural changes in patients with pulmonary & pleural TB under antituberculosis treatment.
• Further studies to compare between CUS findings in pulmonary TB and other lung diseases.
• Further studies should be done on sputum negative patients.
• More focused and specific studies on the less common CUS findings such as: sub-pleural gaps and sub-pleural fluid collection in pulmonary TB patients.
Summary
This is a prospective descriptive comparative study starting from May 2019 to April 2020.
The study was done on all consecutive patients fulfilling the inclusion criteria’s seeking medical service at Abbasia Chest Hospital during study period. The study patients were divided into 2 groups: 102 patients with newly diagnosed pulmonary TB or extrapulmonary thoracic tuberculosis and 25 patients with newly diagnosed community acquired pneumonia (CAP).
The aim of this study is to describe the diagnostic features of CUS in thoracic tuberculosis and to determine the role of CUS in guiding biopsy techniques in thoracic TB. In addition, to compare CUS findings of TB-related pulmonary infiltrates in pulmonary TB versus pulmonary infiltrates caused by community acquired pneumonia.
from this study, the following results were obtained:
In the current study, Sub-pleural nodules (97 patients presenting 95%), air-bronchograms (79 patients presenting 77,45%) and sub-pleural consolidations (77 patients presenting 75.49%) were the most frequent features recorded by CUS in TB.
SPN and SPC were the most common specific CUS findings in present study.
The current study also mentioned a fewer common finding such as: sub-Pleural gaps and sub-pleural fluid collection.
This study found that air-bronchogram, fragmented pleura and sub-pleural consolidations were the most frequent features recorded by CUS in CAP patients, the ability of CUS was equal to CT in visualizing air-bronchogram and pleural effusion. However, fragmented pleura (shred sign) and sub-pleural consolidation were detected by CUS and not CT (P value < 0.05 for all).
There was a significant agreement between CUS and CT chest in detecting lung consolidations, pleural effusion, miliary pattern, cavitation’s, pulmonary nodules and LAP.
CUS could be a rapid, bedside and a cheap technique instead of CT chest in CAP diagnosis.
CUS had a therapeutic and a diagnostic tool in cases of pleural effusion and LAP.