%0 Journal Article
%T Correlation between Abdominal Ultrasonographic Findings and CD4 Cell Count in Adult Patients with HIV/AIDS in Jos, Nigeria
%A D. Atsukwei
%A E. D. Eze
%A N. D. Chom
%A E. O. Igoh
%A S. C. Owoeye
%A A. Angbalaga
%A D. A. Akut
%J Advances in Molecular Imaging
%P 49-66
%@ 2161-6752
%D 2017
%I Scientific Research Publishing
%R 10.4236/ami.2017.73003
%X Acquired Immunodeficiency Syndrome (AIDS) is caused by Human Immunodeficiency Viruses (HIV) resulting in progressive destruction of cell mediated immunity. The abdominal manifestations of AIDS are related to the level of <span style=\"white-space:nowrap;\">CD&lt;sup&gt;+&lt;/sup&gt;&lt;sub style=\"margin-left:-6px;\"&gt;4&lt;/sub&gt;</span> cells count as well as viral load. Abdominal ultrasound examination is easy to perform, non-invasive, inexpensive, readily available and reproducible investigation which provides valuable information about abdominal findings in AIDS. The objective of the study was to evaluate abdominal ultrasound findings in adult HIV/AIDS patients in Jos, Plateau State, Nigeria and correlate these findings with the patients¡¯ <span style=\"white-space:nowrap;\">CD&lt;sup&gt;+&lt;/sup&gt;&lt;sub style=\"margin-left:-6px;\"&gt;4&lt;/sub&gt;</span> counts. A cross-sectional study of abdominal ultrasound findings of adult patients with HIV/AIDS was conducted over a period of six months. The abdominal ultrasound findings and <span style=\"white-space:nowrap;\">CD&lt;sup&gt;+&lt;/sup&gt;&lt;sub style=\"margin-left:-6px;\"&gt;4&lt;/sub&gt;</span> counts were studied. Two hundred (40%) of the patients had normal abdominal ultrasound, while 60% (300) had various abnormalities. The common abnormalities included increased liver parenchymal echogenicity in 25.0%, hepatomegaly in 23.4%, splenomegaly in 6.6%, increased splenic echogenicity in 6.2% and thickened gallbladder wall in 12.6%, elevated renal parenchymal echogenicity in 6.4%, enlarged kidneys in 2.6%, lymphadenopathy in 6.0%, and ascites in 2.4%. Pelvic abscess was the least pathology in 0.2%. Most of the findings did not correlate with the patients¡¯ <span style=\"white-space:nowrap;\">CD&lt;sup&gt;+&lt;/sup&gt;&lt;sub style=\"margin-left:-6px;\"&gt;4&lt;/sub&gt;&nbsp;</span>count except for lymphadenopathy and ascites. Although abdominal ultrasound examination is invaluable in the management of these patients, however, it has not shown to be useful in predicting the patients¡¯ immune status.
%K Abdominal Ultrasonography
%K Adult Patients
%K CD4 Cell Count
%K HIV/AIDS
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=78944