RADIOLOGIC DISTINCTION OF PYOGENIC PULMONARY INFECTION FROM PNEUMOCYSTIS-CARINII PNEUMONIA IN AIDS PATIENTS

被引：34

作者：

AMOROSA, JK ^{[1
]}

NAHASS, RG ^{[1
]}

NOSHER, JL ^{[1
]}

GOCKE, DJ ^{[1
]}

机构：

[1] UNIV MED & DENT NEW JERSEY,ROBERT WOOD JOHNSON MED SCH,DEPT MED,NEWARK,NJ 07103

来源：

RADIOLOGY | 1990年 / 175卷 / 03期

关键词：

acquired immunodeficiency syndrome (AIDS); lung; infection;

D O I：

10.1148/radiology.175.3.2343120

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：

Thirty-four episodes of pyogenic pulmonary infection in 30 patients infected with human immunodeficiency virus (HIV) and 30 episodes of Pneumocystis carinii pneumonia (PCP) in 30 AIDS patients were reviewed to determine if the radiologic features were more helpful than clinical and laboratory findings in the differential diagnosis. The radiologic features of pyogenic pulmonary infection included lobar consolidation, nodules, infiltrates with pleural effusions, round infiltrates, and pleural effusions alone. These features are uncommon in PCP. The chest radiograph may be highly suggestive of a pyogenic process, especially when it shows local consolidation or nodules. Since bacterial pneumonias have a more favorable outcome, it is concluded that the radiologic features should be the primary guide to prompt diagnosis and treatment.

引用

页码：721 / 724

页数：4

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