Q fever pneumonia: Appearance on chest radiographs

被引:19
作者
Gikas, A [1 ]
Kofteridis, D
Bouros, D
Voloudaki, A
Tselentis, Y
Tsaparas, N
机构
[1] Univ Hosp Heraklion, Dept Internal Med, GR-71100 Iraklion, Crete, Greece
[2] Univ Hosp Heraklion, Dept Clin Bacteriol, GR-71100 Iraklion, Crete, Greece
[3] Univ Hosp Heraklion, Dept Parasitol, GR-71100 Iraklion, Crete, Greece
[4] Univ Hosp Heraklion, Dept Geog Med, GR-71100 Iraklion, Crete, Greece
[5] Univ Hosp Heraklion, Dept Pneumol, GR-71100 Iraklion, Crete, Greece
[6] Univ Hosp Heraklion, Dept Radiol, GR-71100 Iraklion, Crete, Greece
关键词
lung; infection; Q fever;
D O I
10.1148/radiology.210.2.r99fe20339
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
PURPOSE: To determine the radiographic features of Q fever pneumonia. MATERIALS AND METHODS: Chest radiographs in 85 patients admitted to the hospital during a 7-year period with Q fever pneumonia were retrospectively reviewed by two observers. RESULTS: The most commonly recorded abnormalities were segmental (n = 53 [62%]) and lobar (n = 15 [18%]) areas of opacity. Segmental pneumonia was observed as a unilateral single area of opacity in 38 (72%) patients. It was more frequently located in the; upper lobes. The left upper lobe was involved in 31% of patients; the right upper lobe, in 23%; and the right lower lobe, in 27%. Lobar pneumonia was less frequently observed as a single lesion in eight (53%) of 15 patients: It was located in the left upper robe in 31% and in the right middle lobe in 27% of patients. There was no correlation between the extent of pulmonary involvement and the course of the disease; the outcome was favorable in all patients. Complete resolution of the radiographic findings occurred in a mean of 39 days. CONCLUSION: The radiographic differentiation of Q fever pneumonia from the;other community-acquired pneumonias is not possible. Clinical, serologic, and epidemiologic data provide the best basis for diagnosis.
引用
收藏
页码:339 / 343
页数:5
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