裂褶菌肺部感染的CT影像及临床表现分析  

Analysis of CT imaging and clinical manifestations of pulmonary infection with Schizophyllum commune

作　　者：唐玫艳 方桂桔 吴建辉 邓新宇 张灿辉 梁鹏 薛青 TANG Meiyan;FANG Guijiang;WU Jianhui;DENG Xinyu;ZHANG Canhui;LIANG Peng;XUE Qing(Department of Clinical Medicine,Fujian Medical University,Fuzhou 350000,China;Department of Respiratory and Critical Care Medicine,Ningde Municipal Hospital of Ningde Normal University,Ningde 352100,China)

机构地区：[1]福建医科大学临床医学部,福州350000 [2]宁德师范学院附属宁德市医院呼吸与危重症医学科,宁德352100

出　　处：《中国真菌学杂志》2024年第6期596-600,共5页Chinese Journal of Mycology

基　　金：福建省2022年省级临床重点专科建设项目(闽卫医政函(2022)884号)。

摘　　要：目的研究裂褶菌肺部感染的CT影像表现及临床特征,探讨其CT影像特点,提高其影像学诊断的准确度,为临床早期诊断及治疗创造条件。方法选取我院2018年11月—2023年11月期间收治的9例确诊裂褶菌感染患者,其中4例有腐木接触史。所有患者诊断裂褶菌感染前均接受肺部CT平扫检查,对其肺部CT影像表现进行回顾性分析,总结该病的CT影像学特征。结果裂褶菌肺部感染除有咳嗽、咳痰、气喘等呼吸道症状外,胸部影像学提示有肺部实变团块影、部分痰栓形成、结节、局部支气管扩张等,应考虑到该病的可能,积极完善支气管镜检查及病原学送检是关键,提高临床医生对其的认识。结论裂褶菌肺部感染的影像学有其上述常见征象。依据其肺部CT影像学提示,及早进行肺裂褶菌感染鉴别筛查,有利于临床早期诊断,对疾病治疗及预后有重要临床意义。Objective To study the CT imaging manifestations and clinical features of Schizophyllum commune-induced pulmonary infection,to explore its CT imaging features,to improve the accuracy of its imaging diagnosis,and to create conditions for early clinical diagnosis and treatment.Methods Nine patients with Schizophyllum commune-induced pulmonary infection admitted to our hospital between November 2018 and November 2023 were selected,four of them had a history of contact with rotting wood.All patients received CT plain examination of the lungs before diagnosis of Schizophyllum commune infection,and their lung CT imaging manifestations were retrospectively analyzed to summarize the CT imaging features of the disease.Results In addition to respiratory symptoms such as cough,sputum,asthma,etc.,chest imaging of Schizophyllum commune-induced pulmonary infection suggested solid mass shadow in the lungs,partial sputum thrombus formation,nodules,local bronchial dilatation,etc.,which should be taken into account as a possible cause of the disease,and it was crucial to actively improve bronchoscopy and pathogenicity delivery to improve the level of clinicians'understanding of the disease.Conclusion The imaging of Schizophyllum commune-induced pulmonary infection has the above common signs.According to the pulmonary CT imaging hints,early differential screening of Schizophyllum commune-induced pulmonary infection is conducive to early clinical diagnosis,and has important clinical significance for disease treatment and prognosis.

关 键 词：裂褶菌 肺部感染 早期诊断 CT影像 

分 类 号：R519.8[医药卫生—内科学]