Organizing pneumonia pattern in the follow-up CT of Legionella-infected patients
Organizing pneumonia pattern in the follow-up CT of Legionella-infected patients
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DOI：
10.1007/s10156-010-0205-y
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发表时间：
2011-08-01
影响因子：
2.2
通讯作者：
Fujita, Jiro
中科院分区：
文献类型：
--
作者：
Haroon, Attiya;Higa, Futoshi;Fujita, Jiro
本研究的主要目的是描述军团菌感染患者机化性肺炎的CT表现。本文回顾了5例散发性嗜肺军团菌肺炎的系列CT扫描资料。平均随访时间14天。分析胸部CT对肺部异常CT表现的频率和表现。实变和磨玻璃样阴影，无论有没有充气支气管镜检查，都是肺炎支气管炎随访患者CT扫描中最常见的异常。可观察到两种类型：胸膜下和支气管血管周围。胸膜下型4例，支气管血管周围型1例。1例可见小叶间隔增厚。1例患者出现胸腔积液。机化性肺炎的CT征象是一种胸膜下征象，常见于嗜肺乳杆菌肺炎治疗后。
The main aim of this study was to describe the appearance of the CT pattern of organizing pneumonia in Legionella-infected patients. Serial CT scans obtained from five sporadic cases of Legionella pneumophila pneumonia were retrospectively reviewed. The mean time of follow-up was 14 days. Chest CT was analyzed with regard to frequency and appearance of CT patterns of pulmonary abnormalities. Consolidation and ground-glass opacities, with or without an air bronchogram, were the most common abnormalities detected in CT scans during follow-up patients with L. pneumophila pneumonia. Two patterns were observed: subpleural and peribronchovascular. The subpleural pattern was seen in four patients and the peribronchovascular pattern in one. Interlobular septal thickening was seen in one patient. Pleural effusion was seen in one patient. The CT pattern of organizing pneumonia, a subpleural pattern, was frequently observed after treatment of L. pneumophila pneumonia.