Clinical Manifestations and Imaging Findings of Patients with Invasive Pulmonary Aspergillosis
- VernacularTitle:侵袭性肺曲霉病的临床特征分析
- Author:
Dan-Dan LIU
1
;
Hui CHEN
;
Changzhou SHAO
;
Lixian HE
Author Information
1. 复旦大学附属中山医院呼吸科
- Keywords:
Invasive pulmonary aspergillosis;
Imaging findings;
Clinical features
- From:
Chinese Journal of Clinical Medicine
2014;(5):540-542
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical features of invasive pulmonary aspergillosis (IPA).Methods:The clinical fea-tures and imaging characteristics of 83 patients with IPA were retrospectively and comparatively analyzed.Results:The clinical manifestations of IPA included fever,cough,sputum,wheezing,dyspnea,hemoptysis.Imaging findings in patients with IPA were diverse.Typical manifestations such as Halo sign and crescent sign were rare,which were mainly observed in immuno-suppressed patients.All of the 18 cases of primary IPA were cured.Among the 65 secondary IPA patients,23 cases were cured,25 cases improved and discharged,12 cases discharged without medical advice,and 5 cases died.Conclusions:IPA oc-curred often in patients with underlying diseases and immune suppression,having atypical clinical manifestations and imaging findings.Patients with primary IPA have better prognosis than those with secondary IPA.
