The chest radiographic appearances of non-tuberculous mycobacterial pulmonary infection in patients with acquired immunodeficiency syndrome
10.3760/cma.j.issn.1005-1201.2010.09.011
- VernacularTitle:艾滋病合并非结核分枝杆菌肺病的胸部影像表现
- Author:
Jinxin LIU
;
Xiaoping TANG
;
Lieguang ZHANG
;
Songfeng JIANG
;
Bihua CHEN
;
Deyang HUANG
;
Qingxin GAN
;
Wuzhi HUANG
;
Ruilian HUANG
;
Hongling SHI
;
Yong TANG
- Publication Type:Journal Article
- Keywords:
Lung diseases;
Mycobacterium infections;
Acquired immunodeficiency syndrome;
Diagnostic imaging
- From:
Chinese Journal of Radiology
2010;44(9):937-939
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the chest radiographic appearances of the non-tuberculous mycobacterial(NTM) pulmonary infection in patients with acquired immune deficiency syndrome (AIDS).Methods Ten patients with AIDS and NTM underwent chest X-ray radiography and 7 patients performed high-resolution CT (HRCT) scan. Chest radiographic features of NTM in patients with AIDS were retrospectively analyzed. Results The chest radiograph showed bilateral pulmonary involvement in 6 cases and single lung involvement in 4 cases (3 cases in the right, 1 case in the left). Patchy air space consolidation (6 cases), large consolidation (5 cases), cavitation (5 cases), small nodules (3 cases),military nodules (2 cases), linear opacity ( 1 cases) were demonstrated on radiography. On HRCT, air space consolidation (7 cases), small nodules (6 cases), large consolidation (5 cases) with cavitation and cylindric bronchiectasis after the absorption of consolidation, enlarged hilar and mediastinal lymph nodes (4 cases), ground-glass opacities (3 cases), military nodules and "tree-in-bud" sign (2 case), pleural effusion ( 1 case), pericardial effusion ( 1 case) and fibrotic band ( 1 case) were found. Conclusion The most common radiographic appearances of NTM in patients with AIDS are bilateral small nodules, large consolidation with cavitation and cylindric bronchiectasis, enlarged hilar and mediastinal lymph nodes.
