DetectionofCTfeaturesofinterstitialpneumoniainAIDSpatientsandsignsfordifferentialdiagnosis
10.3969/j.issn.1002-1671.2019.05.009
- VernacularTitle:艾滋病合并间质性肺炎的CT影像特点及鉴别征象
- Author:
Shuo YAN
1
;
Yanni DU
;
Chunshuang GUAN
;
Jingjing LI
;
Ming XUE
;
Ruming XIE
Author Information
1. 首都医科大学附属北京地坛医院放射科
- Keywords:
acquiredimmunodeficiencysyndrome;
pneumocystiscariniipneumonia;
computedtomography
- From:
Journal of Practical Radiology
2019;35(5):722-725,729
- CountryChina
- Language:Chinese
-
Abstract:
Objective TodetecttheCTfindingsofinterstitialpneumoniainacquiredimmunodeficiencysyndrome (AIDS)patients andtoanalyzedifferentialdiagnosisofdifferenttypesofinterstitialpneumonia.Methods Atotalof168 AIDSpatientswithinterstitial pneumoniabetweenOctober2016andJune2018 wereretrospectivelystudied.PulmonaryCTfindingsweredescribed.Results Among 168cases,44caseswerediagnosedaspneumocystiscariniipneumonia (PCP),40casesascytomegalovirus(CMV)pneumonia,and 84casesasPCPaccompaniedwithCMVpneumonia.Statisticallysignificantdifferenceswerefoundamong3groupsonsignsofpure groundglassopacity,accompaniedwithdistortedfibrousstripes,andaccompaniedwithconsolidationandmultiplecysts(P＜0.05). PuregroundglassopacitiesweremorelikelytobeseeninPCPpatients,whiledistortedfibrousstripeswerelesslikely,comparedto theothertwogroups.Militarynodules,consolidationandmultiplecystspresentedlessinpatientswithPCPcomparedtopatientswith PCPaccompaniedwithCMVpneumonia.ForPCPpatients,lesionsweremorelikelytobetotallyabsorbedaftertreatment,whilefor patientswithCMVpneumoniaandPCPaccompaniedwithCMVpneumonia,fibrousstripesandemphysema/airsacsweremorelikelyto present.Conclusion CTfindingsofinterstitialpneumoniavaryinAIDSpatients,however,signsofdistortedfibrousstripes,multiple cysts,remainingfibrousstripesandemphysema/airsacsaftertreatmentsuggestco-infectionofCMV.
