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肺部侵袭性菌病期间的非典型成像模式:对临床医生的教训

Alessio Casutt^1,2, Frédéric Lamoth^3,4, Olivier Lortholary^5,6

¹Division of Pulmonology, Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland alessio.casutt@chuv.ch.

European respiratory review : an official journal of the European Respiratory Society

|September 27, 2023

概括

计算机断层扫描 (CT) 是诊断肺部侵入性模具疾病 (IMD) 的关键. 本综述强调了CT特征,包括免疫功能低下患者的非典型表现,并讨论了用于诊断和管理的补充成像技术.

科学领域:

医疗成像医学成像
肺部病理学肺部病理学
传染性疾病传染性疾病

背景情况:

肺部侵入性菌病 (IMD) 是一种关键性感染,特别是在免疫功能低下的患者中.
计算机断层扫描 (CT) 是诊断IMD的主要成像方式.
非典型的表现越来越多地在非中性衰竭患者群体中得到认可.

研究的目的:

审查肺部侵入性菌病的CT特征,重点关注阿斯伯吉洛症和粘菌菌病.
讨论新兴风险患者群体中的非典型放射性发现.
评估其他成像技术的作用,如正子发射断层扫描/CT.

主要方法:

对肺部侵入性菌病的CT成像特征的审查.
在接受新疗法或重症监护的非中性衰竭患者中分析非典型表现.
讨论正子发射断层扫描/CT和血管成像.

主要成果:

扫描图像是IMD诊断的基石,具有阿斯伯吉洛症和粘膜菌的特定特征.
非典型的表现在非中性衰竭患者中很常见,需要仔细解释.
pozitron 辐射断层扫描/CT 和血管评估可以帮助诊断和管理.

结论:

在CT上以气道为中心的异常或空腔性病变应该在轻度免疫受损的宿主中引起IMD的怀疑.
非特定的成像特征和潜在的患者状况可能会使诊断复杂化.
考虑差异诊断和血管状况对于最佳的患者管理至关重要.

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