CT features of pulmonary mycobacterial disease in patients with acquired immunodeficiency syndrome
10.3760/cma.j.issn.1005-1201.2013.01.007
- VernacularTitle:艾滋病合并分枝杆菌肺病的CT研究
- Author:
Ying ZHU
;
Zhiyong ZHANG
;
Yuxin SHI
;
Feng FENG
- Publication Type:Journal Article
- Keywords:
Acquired immunodeficiency syndrome;
Mycobacteria,atypical;
Cicatrix,hypertrophic
- From:
Chinese Journal of Radiology
2013;(1):23-27
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the CT features of pulmonary non-tuberculous mycobacteria (NTM) disease in patients with acquired immunodeficiency syndrome (AIDS) and explore the different CT appearances between AIDS-NTM and AIDS-TB.Methods CT findings of pulmonary NTM disease in 27 AIDS patients (NTM group) were retrospectively analyzed and compared with that of tuberculosis in 30 AIDS patients (TB group).The results were statistically analyzed using Fisher's exact test.Results CT findings of NTM appeared significantly more than that of TB as follows:high-density nodules (n =18 vs 1,P ＜ 0.01),ground-glass opacities (n =10 vs 0,P ＜ 0.01),fibrotic band (n =17 vs 3,P ＜ 0.01),bronchiectasis (9 vs 2,P =0.012).CT findings of NTM appeared significantly less than that of TB as follows:miliary nodules (0 vs 6,P =0.016),air space consolidations (n =2 vs 11,P ＜ 0.01),pleural effusion (n =1 vs 9,P ＜ 0.01).Conclusion Nodule and fibrotic band companied with bronchiectasis were the main CT manifestations of pulmonary NTM disease in AIDS patients,while air space consolidation companied with pleural effusion and miliary nodules were the predominate CT findings of pulmonary tuberculosis in AIDS patients.
