艾滋病合并马红球菌感染的影像表现  

Radiological Findings of Acquired Immunodeficiency Syndrome Complicated with Rhodococcus Equi Pneumonia

作　　者：黄德扬[1] 刘晋新[1] 丁岩[1] 甘清鑫[1] 张烈光[1] 凌洲焜[1] 

机构地区：[1]广州市第八人民医院放射科,广东广州510060

出　　处：《中国CT和MRI杂志》2015年第10期40-42,共3页Chinese Journal of CT and MRI

基　　金：广州市医药卫生科技重点项目(20121A021 015)

摘　　要：目的探讨艾滋病合并马红球菌感染患者的X线及CT影像表现。方法回顾性分析10例艾滋病合并马红球菌感染患者的影像学表现。结果 X线胸片见团块高密度阴影5例,斑片状、片状渗出实变4例,病灶内见空洞5例、胸腔积液3例。CT显示大面积(叶、段分布)实变8例,周边见斑片状渗出实变9例、空洞9例(8例见液平)、邻近胸膜粘连7例、胸腔积液4例、结节灶8例、支气管气像7例、纵隔淋巴结肿大3例、支气管扩张1例。结论肺浸润实变并空洞形成,邻近胸膜增厚粘连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 of ten Patients with Acquired immunodeficiency syndrome （AIDS）.Methods Thoracic imaging appearances of Rhodococcus equi pneumoniain of ten patients with AIDS were retrospectively analyzed.Results The chest radiograph showed patchy consolidations （n=4）, mass shadow with high density （n=5）. irregular cavity（n=5）, pleural effusion（n=3）. CT showed large lobar（n=8）, patchy consolidations（n=9）, irregular cavity （n=9）（8case have air-fluid level）, adjacent pleural thickening （n=7）, leural effusion（n=4）, nodules（n=8）, air bronchogram （n=7）, Mediastinal lymph node enlargement（n=3）, ronchiectasis（n=1）. Conclusion The most common radiological in AIDS patients with Rhodococcus equi pulmonary infection are Large consolidations with multiple cavitations and pleural thickening, multiple centrilobular nodules.

关 键 词：马红球菌 艾滋病 机会致病菌 影像诊断 

分 类 号：R512.91[医药卫生—内科学]