Abstract | BACKGROUND: PURPOSE: MATERIALS AND METHODS: We reviewed the files of 46 patients in order to meet the objectives of this study. RESULTS: CD4 counts were < 200 in 31 patients and > 200 in 15 patients. HIDA imaging was performed in 31 patients; in 8, the CD4 count was > 200 and all had calculous cholecystitis. The gallbladder was visualized in 3 patients for a sensitivity of 63% and no organisms were found in the gallbladder specimens. In 23 patients, the CD4 count was < 200; the gallbladder was visualized in 5 patients for a HIDA sensitivity of 78%; 16 (52%) had acalculous cholecystitis; and 15 had calculous cholecystitis. In acalculous cholecystitis, Cryptosporidium was found in six cases, cytomegalovirus (CMV) in six cases, and fungus, yeast, tuberculosis, and mycobacterium avium intracellular each in one case. The thirty day mortality rate was 18%; 5 of 28 who underwent open cholecystectomy died within 30 days, 4 of them with a CD4 count < 200. There was no mortality in the 26 patients who underwent laparoscopic cholecystectomy. CONCLUSION AND RECOMMENDATIONS:
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Authors | A G Cacciarelli, S Y Naddaf, H A el-Zeftawy, M Aziz, W S Omar, M Kumar, S Atay, H Abujudeh, J Gillooley, H M Abdel-Dayem |
Journal | Clinical nuclear medicine
(Clin Nucl Med)
Vol. 23
Issue 4
Pg. 226-8
(Apr 1998)
ISSN: 0363-9762 [Print] United States |
PMID | 9554194
(Publication Type: Journal Article)
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Chemical References |
- Technetium Tc 99m Lidofenin
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Topics |
- AIDS-Related Opportunistic Infections
(diagnostic imaging, microbiology, surgery)
- Acquired Immunodeficiency Syndrome
(complications, immunology)
- Acute Disease
- CD4 Lymphocyte Count
- Cholecystectomy
- Cholecystitis
(complications, diagnostic imaging, microbiology, surgery)
- Cholelithiasis
(complications, diagnostic imaging)
- Gallbladder
(diagnostic imaging)
- Humans
- Radionuclide Imaging
- Retrospective Studies
- Sensitivity and Specificity
- Technetium Tc 99m Lidofenin
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