艾滋病合并马红球菌肺炎的胸部影像表现  

Radiological findings in three acquired immunodeficiency syndrome patients with Rhodococcus equi pneumonia

作　　者：刘晋新[1] 唐小平[1] 张烈光[1] 江松峰[1] 陈碧华[1] 张志平[1] 黄德扬[1] 甘清新[1] 唐勇[1] 凌洲焜[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》2011年第2期156-158,共3页Chinese Journal of Radiology

基　　金：基金项目：广州市重大科技工程项目（200621-E0091）;广州市科技攻关计划项目（200623-E0431）

摘　　要：目的探讨艾滋病合并马红球菌肺炎的胸部影像表现。方法回顾性分析3例艾滋病合并马红球菌肺炎的胸部影像表现。结果3例x线胸片均可见斑片状渗出实变和小结节，见大面积实变及空洞2例。CT显示大面积（叶、段分布）实变及多发窄洞、斑片状渗出实变、小叶中心,结节和树芽征各2例，支气管扩张1例。结论肺浸润实变伴空洞及散发结节是艾滋病合并马红球菌肺炎的常见胸部影像表现。Objective To study the imaging appearances of Rhodococcus equi pneumonia in three patients with acquired immunodeficiency syndrome （AIDS）. Methods Thoracic imaging appearances of Rhodoeoccus equi pneumonia in three patients with AIDS were retrospectively analyzed. Results The chest radiograph showed patchy consolidations and small nodules （ n = 3 ） , large consolidations with muhiple cavitations （n = 2 ）. CT showed large lobar or segmental consolidations with multiple cavitations （n = 2 ） , patchy consolidations （ n = 2 ） , bronehiectasis （ n = 1 ） , multiple small centrilobular nodules （ n = 2 ） and tree-in-bud patterns （n = 2 ）. Conclusion The most common radiological findings in AIDS patients with Rhodococcus equi pulmonary infection are large consolidations with multiple cavitations and multiple eentfilobular nodules.

关 键 词：肺疾病 艾滋病相关机会致病菌感染 诊断显像 

分 类 号：R512.91[医药卫生—内科学]