Characterization of Clinical and CT Manifestations of Pulmonary Cryptococcosis with Consolidation
Characterization of Clinical and CT Manifestations of Pulmonary Cryptococcosis with Consolidation
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DOI：
10.34172/aim.2021.73
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发表时间：
2021-06-01
影响因子：
2.1
通讯作者：
Fu, Gangzhe
中科院分区：
文献类型：
--
作者：
Yang, Dengfa;Yu, Lianhua;Fu, Gangzhe
背景资料：针对目前对肺隐球菌病合并实变的认识不足，对22例肺隐球菌病合并实变患者的胸部CT表现及临床表现进行分析。临床症状轻，主要表现为咳嗽、咳痰。肺部病变多为单肺多叶病变。其中单肺17例，单叶16例，多肺14例。15例主要分布于周围，17例分布于与胸膜平行的长轴。19例有支气管充气征。8例病灶内有空洞，18例病灶周围有晕征。胸膜增厚17例，其中10例有“贴壁”征。合并实变的PC临床症状相对较轻。综合临床及影像学表现可提高本病的诊断水平。
Background: Considering the insufficient understanding of pulmonary cryptococcosis (PC) with consolidation, 22 patients were evaluated based on the chest computed tomography (CT) images and clinical manifestation. The clinical symptoms were mild, mainly manifesting as cough and sputum. Pulmonary lesions mostly involved a single lobe in a single lung with multiple lesions. Specifically, single lung involvement was observed in 17 cases, single lobe in 16 cases and multiple lesions in 14 case. Fifteen cases were mainly distributed in the periphery and 17 cases in the long axis in parallel to the pleura. Nineteen cases had air bronchograms. Eight cases displayed cavitation inside the lesions and 18 cases had surrounding halo signs. Seventeen cases had pleural thickening, of which 10 cases had "pasting wall" signs. The clinical symptoms of PC with consolidation were relatively mild. Comprehensive clinical and imaging performance could improve the diagnosis of the disease.