儿童艾滋病合并播散性马尔尼菲青霉菌病的X线和CT表现分析  

The X-ray and CT findings of the Penicilliosis marneffei in children with AIDS

作　　者：张烈光[1] 刘晋新[1] 江松峰[1] 陈碧华[1] 黄德扬[1] 甘清鑫[1] 黄务枝[1] 

机构地区：[1]广州市第八人民医院放射科,510060

出　　处：《中国CT和MRI杂志》2009年第1期27-29,共3页Chinese Journal of CT and MRI

基　　金：广州市科技攻关计划项目(2006Z3-E0431)

摘　　要：目的探讨儿童艾滋病合并播散性马尔尼菲青霉菌病的影像表现。方法回顾性分析播散性马尔尼菲青霉菌病的X线胸片表现及胸腹部CT表现。结果胸片显示肺纹理增强6例,多发斑片状密度增高影2例,网织结节影1例;行胸部CT检查的3例患儿均可见小叶中心结节,其中1例表现为弥漫粟粒样结节,2例纵隔淋巴结肿大,1例小叶间隔增厚伴局部小叶中央型肺气肿;行腹部CT检查的2例患儿均显示肝脾肿大、腹腔淋巴结肿大,1例肠壁增厚。结论播散性马尔尼菲青霉菌病是儿童艾滋病常见的机遇性感染,胸部及腹部多器官受累,常见影像表现为淋巴结肿大、肺实质及间质病变、肝脾肿大。Objective To study the X-ray and CT findings of the Penicitliosis marneffei in children with AIDS. Methods Chest X-ray examinations and chest/abdomen CT imaging features of the the Penicilliosis marneffei in children with AIDS of 7 patients were retrospectively analyzed. Results Chest X-ray examinations show Increased brochovascular shadows in 6 cases, multi patchy clouding opacity in 2 cases and reticulonodular shadow in 1 case. Chest CT examination was taken on 3 cases and show centrilobular micronodule in 3 cases, mediastinal lymphadenopathy in 2 cases, pulmonary interstitial hyperplasia with centrilobular emphysema in 1 case. Abdomen CT examination was taken on 2 cases which show abdominal lymph adenopathy and hepatosplenomegaly in 2 cases, thickening of intestines wall in 1 case. Conclusion Penicilliosis marneffei is the most common opportunistic infection in children with AIDS, usually involves multiple organs in chest and abdomen. Interstitial inflammation and pulmonary parenchyma lesions, mediastinal lymphadenopathy, abdominal lymph adenopathy, hepatosplenomegaly are the most common image findings.

关 键 词：获得性免疫缺陷综合征 儿童 马尔尼菲青霉菌病 影像诊断 

分 类 号：R379.9[医药卫生—病原生物学] R512.91[医药卫生—基础医学]