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International Journal of Current Microbiology and Applied Sciences (IJCMAS)
IJCMAS is now DOI (CrossRef) registered Research Journal. The DOIs are assigned to all published IJCMAS Articles.
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Original Research Articles                      Volume : 6, Issue:1, January, 2017

PRINT ISSN : 2319-7692
Online ISSN : 2319-7706
Issues : 12 per year
Publisher : Excellent Publishers
Email : editorijcmas@gmail.com /
submit@ijcmas.com
Editor-in-chief: Dr.M.Prakash
Index Copernicus ICV 2018: 95.39
NAAS RATING 2020: 5.38

Int.J.Curr.Microbiol.App.Sci.2017.6(1): 755-760
DOI: http://dx.doi.org/10.20546/ijcmas.2017.601.090


Role of CT-Scan versus Chest X-RAY in the Diagnosis of Community-Acquired Pneumonia

Eliane El-Sarraf1, Nayla Nicolas1, Souheil Hallit1,2,3,4* and Rabih Hallit1

1Universite Saint-Esprit Kaslik, Faculty of Medicine, Kaslik, Lebanon
2Psychiatric Hospital of the Cross, Jal Eddib, Lebanon
3Lebanese University, School of Pharmacy, Beirut, Lebanon
4Universite Saint Joseph, Faculty of Pharmacy, Beirut, Lebanon
*Corresponding author
Abstract:

Until now, there is no adequate definition of specific indications of an early and priority request for chest CT. To reveal and identify the number of community acquired pneumonia (CAP) under diagnosed by chest X-ray (CXR) and uncovered by CT-scan (CTS) in Lebanese hospitalized adult patients. A cross-sectional study was conducted and a total sample of 101 patients with CAP was recruited, with all patients having undergone CXR and chest CTS for suspected cases of pneumonia. CXRs and CTS, performed in the same patient, were matched. Pulmonary infiltrates were seen on chest X-ray in 62 (61.4%) patients. In contrast, 39 (38.6%) of patients had infiltrates on the chest CTS without having retrospectively any infiltrates on the CXR. Patients aged≤55 years with cough (n=13, 81.3%) the chest X-ray was significantly sufficient to diagnose pneumonia as compared to CT-scan (p=0.028) while patients >55 years with pulmonary disease seem to be in favor of an early CT-scan in order to reveal their true condition (25%, p=0.040).Taking a look at patients aged more than 55 years, those having myalgia and hemoptysis (n=6, 13%) did not require more than a simple X-ray to distinguish the infiltrates (p=0.026). Patients less than or equal to 55 years with pulmonary disease and smoking patients, regardless their age, require and may benefit from an early CTS.


Keywords: Community-acquired pneumonia; CT-scan; Chest X-ray; infiltrates.

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How to cite this article:

Eliane El-Sarraf, Nayla Nicolas, Souheil Hallit, Rabih Hallit. 2017. Role of CT-Scan versus Chest X-RAY in the Diagnosis of Community-Acquired Pneumonia.Int.J.Curr.Microbiol.App.Sci. 6(1): 755-760. doi: http://dx.doi.org/10.20546/ijcmas.2017.601.090
Copyright: This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike license.

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