艾滋病合并播散性马尔尼菲青霉菌病的腹部CT表现  

The abdominal CT findings of the penicilliosis marneffei in patients with acquired immunodeficiency syndrome

作　　者：张烈光[1] 刘晋新[1] 唐小平[1] 江松峰[1] 陈碧华[1] 黄德扬[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：《中华放射学杂志》2009年第4期369-372,共4页Chinese Journal of Radiology

基　　金：广州市科技攻关计划资助项目（2006Z3-E0431）

摘　　要：目的观察艾滋病（AIDS）合并播散性马尔尼菲青霉菌病（PSM）的腹部CT表现。方法回顾性分析35例AIDS合并播散性PSM的腹部CT扫描表现。结果35例AIDS合并播散性PSM腹部CT示腹腔淋巴结肿大27例（77．1％）；肝脾肿大18例（51．4％）；肝脾实质病变共11例（31．4％），其中肝内多发低密度结节3例（8．6％），脾内多发低密度结节5例（14．3％），肝密度弥漫减低5例（14．3％）及肝脏强化不均匀5例（14．3％）；肠壁增厚3例（8．6％）；腹水4例（11．4％）；胰腺炎1例（2．9％）。结论AIDS合并播散性PSM腹部常多脏器受累，腹腔淋巴结肿大、肝脾肿大、肝脾实质病变是其最常见的腹部CT影像表现。Objective To study the abdominal CT findings of the penicilliosis marneffei in patients with AIDS. Methods Abdominal CT imaging features of the the penicilliosis marneffei in 35 patients with acquired immunodeficiency syndrome （AIDS） were retrospectively analyzed. Results Abdominal lymph adenopathy was observed in 27 （77.1%） cases. Hepatosplenomegaly was observed in 18 （51.4%） cases. Lesions in the liver and spleen were found in 11 （31.4%） cases which included 3 cases of low density nodules in the liver （8.6%） and 5 cases of low density nodules in the spleen （ 14. 3% ）. 5 cases of diffuse low density in the liver （ 14. 3% ） and 5 cases of heterogeneous enhancement in the liver （ 14. 3% ） . Thickening of the intestinal wall was observed in 3 cases （ 8.6% ）. Ascites was observed in 4 cases （ 11.4% ）. Pancreatitis was found in 1 case（2. 9% ）. Conclusions Penicilliosis marneffei in patients with AIDS usually involves multiple organs in the abdomen. Abdominal lymphadenopathy, hepatosplenomegaly and parenchymal lesions in the liver and spleen are the most common CT findings in the abdomen.

关 键 词：获得性免疫缺陷综合征 体层摄影术 X线计算机 

分 类 号：R686[医药卫生—骨科学]