艾滋病合并播散性马尔尼菲青霉菌胸部感染的CT诊断

CT diagnosis of disseminated penincillum Marneffei chest infection in AIDS patients

目的探讨艾滋病合并播散性马尔尼菲青霉菌胸部感染的CT表现及其诊断价值。方法回顾性分析经临床确诊的6例艾滋病合并播散性马尔尼菲青霉菌感染患者的胸部CT扫描的资料。结果肺部片状实变影4例;结节影3例;支气管壁增厚3例;支气管血管束增粗2例;弥漫性粟粒小结节影1例;纵隔及肺门淋巴结肿大3例;胸膜炎4例。结论艾滋病合并播散性马尔尼菲青霉菌胸部感染胸部CT主要表现为肺部片状实变影、结节影、纵隔淋巴结肿大、胸膜炎性反应。胸部CT检查有利于本病临床诊断及治疗。

Objective To investigate the manifestations and value of CT in the dignosis of AIDS complicated with disseminated Penicillium Marnefei chest infection. Methods CT materials of 6 cases of AIDS complicated with disseminated Penicillium Marnefei infection were analyzed retrospectively. Results The CT finding of Chest included patch or larger confluent consolidation （4 cases）, lunge nodules （3 cases）, thickened bronch-wall （3 cases）, thickened bronchovascular bundles （2 cases）, bilateral pulmonary disseminated miliary nodular shadows （1 cases）, enlarged mediastinal lymph nodes （3 cases）, and pleural inflammation （4 cases）. Conclusion Disseminated Penicillium Marnefei infection with main manifestations in the thorax were revealed as patch or larger confluent consolidation, lunge nodules, miliary nodular shadows, enlarged mediastinal lymph nodes, and pleural inflammation. CT is helpful for clinical diagnosis and treatment.