中华放射学杂志
中華放射學雜誌
중화방사학잡지
Chinese Journal of Radiology
2013年
9期
808-810
,共3页
徐凯%杜瑶%王沄%姜纯国%张婷婷%刘佳%王艳勋%黄慧%徐作军
徐凱%杜瑤%王沄%薑純國%張婷婷%劉佳%王豔勛%黃慧%徐作軍
서개%두요%왕운%강순국%장정정%류가%왕염훈%황혜%서작군
肺%细菌感染%体层摄影术,X线计算机
肺%細菌感染%體層攝影術,X線計算機
폐%세균감염%체층섭영술,X선계산궤
Lung%Bacterial Infections%Tomography,X-ray computed
目的 总结肺部诺卡菌感染患者在确诊时的胸部CT特点,以提高对其的认识.方法 回顾性分析经病原学培养确诊的22例肺部诺卡菌感染的临床资料和胸部CT表现.结果 22例患者中,应用激素和(或)免疫抑制剂者10例.胸部CT表现以多种形态并存为主,仅8例表现为单一形状的肺内阴影;CT以多发结节影(11例)、斑片、实变影(9例)最为多见,其次为空洞(8例)、团块影(7例)、合并胸腔积液(6例);部分患者合并纵隔、肺门淋巴结肿大(6例)、肺内阴影附近区域的胸膜增厚(3例)、心包积液(3例)及局限性气胸(3例).结论 肺部诺卡菌感染的CT表现多样,以结节影、斑片、实变影多见.对于免疫抑制者,出现胸部CT改变时应考虑肺部诺卡菌感染.
目的 總結肺部諾卡菌感染患者在確診時的胸部CT特點,以提高對其的認識.方法 迴顧性分析經病原學培養確診的22例肺部諾卡菌感染的臨床資料和胸部CT錶現.結果 22例患者中,應用激素和(或)免疫抑製劑者10例.胸部CT錶現以多種形態併存為主,僅8例錶現為單一形狀的肺內陰影;CT以多髮結節影(11例)、斑片、實變影(9例)最為多見,其次為空洞(8例)、糰塊影(7例)、閤併胸腔積液(6例);部分患者閤併縱隔、肺門淋巴結腫大(6例)、肺內陰影附近區域的胸膜增厚(3例)、心包積液(3例)及跼限性氣胸(3例).結論 肺部諾卡菌感染的CT錶現多樣,以結節影、斑片、實變影多見.對于免疫抑製者,齣現胸部CT改變時應攷慮肺部諾卡菌感染.
목적 총결폐부낙잡균감염환자재학진시적흉부CT특점,이제고대기적인식.방법 회고성분석경병원학배양학진적22례폐부낙잡균감염적림상자료화흉부CT표현.결과 22례환자중,응용격소화(혹)면역억제제자10례.흉부CT표현이다충형태병존위주,부8례표현위단일형상적폐내음영;CT이다발결절영(11례)、반편、실변영(9례)최위다견,기차위공동(8례)、단괴영(7례)、합병흉강적액(6례);부분환자합병종격、폐문림파결종대(6례)、폐내음영부근구역적흉막증후(3례)、심포적액(3례)급국한성기흉(3례).결론 폐부낙잡균감염적CT표현다양,이결절영、반편、실변영다견.대우면역억제자,출현흉부CT개변시응고필폐부낙잡균감염.
Objective To investigate the computed tomography (CT) imaging features of pulmonary nocardiosis.Methods The clinical data and chest CT imaging of 22 cases with pulmonary nocardiosis were retrospectively analyzed.All of them had nocardia species in one or more clinical specimens.Results Ten of 22 patients received corticosteroids and/or immunosuppressant.Only 8 patients had one kind of lesion in the chest CT imaging,and the others had at least two kinds of lesions.The most common parenchymal findings were nodules (n =11) and patchy or consolidation opacities (n =9).Many of them showed cavitary lesions (n =8) and masses (n =7).Pleural effusion was found in 6 patients.Six cases had mediastinal and (or) hilar lymphadenopathy,and 3 cases had localized pleural thickening.Pericardial effusion (n =3) or localized pneumothorax (n =3) was also detected.Conclusions The chest CT presentation of pulmonary nocardiosis is heterogeneous.Nodules and patchy opacities or consolidation are the common manifestations.Nocardia infection should be considered in the differential diagnosis of immunosuppressed patients with those CT features.
