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Published on: March 22, 2012
Reversed halo sign in invasive pulmonary fungal infections
Hisham Wahba1, Mylene T Truong, Xiudong Lei
1Department of Diagnostic Radiology, University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030, USA.
Abstract:
Computed tomography scans of documented pulmonary mold infections were reviewed for the presence of the reversed halo sign, a focus of ground-glass attenuation surrounded by a solid ring. The reversed halo sign was an early sign, seen in approximately 4% of patients with pulmonary mold infections, usually with zygomycosis.
Insights
The reversed halo sign on CT scans can indicate early pulmonary mold infections, particularly zygomycosis. This finding appears in about 4% of patients with these fungal lung infections.
Area of Science:
- Radiology
- Pulmonology
- Infectious Diseases
Background:
- Pulmonary mold infections are serious fungal lung infections.
- Early detection of fungal lung infections is crucial for patient outcomes.
- The reversed halo sign is a specific finding on computed tomography (CT) scans.
Purpose of the Study:
- To investigate the prevalence and significance of the reversed halo sign in pulmonary mold infections.
- To determine if the reversed halo sign is an early indicator of fungal lung disease.
Main Methods:
- Retrospective review of computed tomography (CT) scans.
- Inclusion of patients with documented pulmonary mold infections.
- Analysis for the presence of the reversed halo sign (ground-glass attenuation surrounded by a solid ring).
Main Results:
- The reversed halo sign was identified in approximately 4% of patients with pulmonary mold infections.
- This sign was often associated with zygomycosis, a type of fungal infection.
- The reversed halo sign was observed as an early finding in the disease progression.
Conclusions:
- The reversed halo sign is an uncommon but potentially important early CT finding in pulmonary mold infections.
- Its presence may suggest zygomycosis and warrants further investigation.
- This radiological sign can aid in the early diagnosis of specific fungal lung infections.
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