犀牛眼脑性粘菌菌病的放射性光谱
Dinesh1, Umakant Prasad1, Sanjay K Suman1
1Radiodiagnosis, Indira Gandhi Institute of Medical Sciences (IGIMS), Patna, IND.
Cureus
|July 31, 2023
概括
犀牛眼球脑粘膜炎 (ROCM) 是一种严重的真菌感染. 图像扫描和核磁共振显示多种,往往非特异性的异常,有助于早期诊断和治疗免疫受损患者.
科学领域:
- 放射学 放射学是一门学科.
- 传染性疾病 传染性疾病
- 眼科医生 眼科 眼科
背景情况:
- 犀牛眼球脑粘膜炎 (ROCM) 是一种危及生命的侵入性真菌感染.
- 它不成比例地影响免疫受损的个体,需要及时诊断和管理.
研究的目的:
- 划分与ROCM相关的成像发现的频谱.
- 为了将成像发现与组织病理学确认和临床表现相关联.
主要方法:
- 追溯分析了52例经遗传病理学证实的ROCM病例.
- 评估CT和MRI扫描中的鼻腔,轨道和内卷入.
- 在2021年5月至2022年6月期间,对临床数据和放射性发现的审查.
主要成果:
- 甲状腺和大鼻最常受到影响 (98%和96%).
- 轨道干扰发生在75%的病例中;粘膜厚 (91%) 和不透明 (77%) 是常见的.
- 在35%的扫描患者中,CT显示骨干干涉,通常与外延伸.
- 核磁共振显示了可变的T2信号强度和异质的后对比增强.
结论:
- 在ROCM中,CT和MRI异常存在多种,但往往不特定的异常.
- 图像对早期怀疑,诊断和评估ROCM的程度至关重要,特别是在免疫受损患者中.
- 及时检测和治疗ROCM及其并发症可以显著降低发病率和死亡率.
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