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

VernacularTitle:艾滋病合并播散性马尔尼菲青霉菌病的腹部CT表现
Author: Lieguang ZHANG ; Jinxin LIU ; Xiaoping TANG ; Songfeng JIANG ; Bihua CHEN ; Deyang HUANG ; Wuzhi HUANG
Publication Type:Journal Article
Keywords: Acquired immunodeficiency syndrome; Tomography,X-ray computed
From: Chinese Journal of Radiology 2009;43(4):369-372
CountryChina
Language:Chinese
Abstract: Objective To study the abdominal CT findings of the penicilliesis marneffei in patients with AIDS.Methods Abdominal CT imaging features of the the penicilliesis mameffei 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 parenchymai lesions in the liver and spleen are the most common CT findings in the abdomen.