Characterization of progressive HIV-associated tuberculosis using 2-deoxy-2-[<sup>18</sup>F]fluoro-D-glucose positron emission and computed tomography.

Esmail, Hanif; Lai, Rachel P; Lesosky, Maia; Wilkinson, Katalin A; Graham, Christine M; Coussens, Anna K; Oni, Tolu; Warwick, James M et al. · Nat Med · 2016

prospective_cohort · Level II

Where this comes from

Abstract

Tuberculosis is classically divided into states of latent infection and active disease. Using combined positron emission and computed tomography in 35 asymptomatic, antiretroviral-therapy-naive, HIV-1-infected adults with latent tuberculosis, we identified ten individuals with pulmonary abnormalities suggestive of subclinical, active disease who were substantially more likely to progress to clinical disease. Our findings challenge the conventional two-state paradigm and may aid future identification of biomarkers that are predictive of progression.

Medical subject headings

Anatomy