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裂褶菌肺部感染的CT影像及临床表现分析

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目的 研究裂褶菌肺部感染的CT影像表现及临床特征,探讨其CT影像特点,提高其影像学诊断的准确度,为临床早期诊断及治疗创造条件.方法 选取我院2018年11月—2023年11月期间收治的9例确诊裂褶菌感染患者,其中4例有腐木接触史.所有患者诊断裂褶菌感染前均接受肺部CT平扫检查,对其肺部CT影像表现进行回顾性分析,总结该病的CT影像学特征.结果 裂褶菌肺部感染除有咳嗽、咳痰、气喘等呼吸道症状外,胸部影像学提示有肺部实变团块影、部分痰栓形成、结节、局部支气管扩张等,应考虑到该病的可能,积极完善支气管镜检查及病原学送检是关键,提高临床医生对其的认识.结论 裂褶菌肺部感染的影像学有其上述常见征象.依据其肺部CT影像学提示,及早进行肺裂褶菌感染鉴别筛查,有利于临床早期诊断,对疾病治疗及预后有重要临床意义.
Analysis of CT imaging and clinical manifestations of pulmonary infection with Schizophyllum commune
Objective To study the CT imaging manifestations and clinical features of Schizophyllum commune-induced pulmonary infection,to explore its CT imaging features,to improve the accuracy of its imaging diagnosis,and to create con-ditions for early clinical diagnosis and treatment.Methods Nine patients with Schizophyllum commune-induced pulmonary infection admitted to our hospital between November 2018 and November 2023 were selected,four of them had a history of contact with rotting wood.All patients received CT plain examination of the lungs before diagnosis of Schizophyllum com-mune infection,and their lung CT imaging manifestations were retrospectively analyzed to summarize the CT imaging fea-tures of the disease.Results In addition to respiratory symptoms such as cough,sputum,asthma,etc.,chest imaging of Schizophyllum commune-induced pulmonary infection suggested solid mass shadow in the lungs,partial sputum thrombus formation,nodules,local bronchial dilatation,etc.,which should be taken into account as a possible cause of the disease,and it was crucial to actively improve bronchoscopy and pathogenicity delivery to improve the level of clinicians' understanding of the disease.Conclusion The imaging of Schizophyllum commune-induced pulmonary infection has the above common signs.According to the pulmonary CT imaging hints,early differential screening of Schizophyllum commune-induced pul-monary infection is conducive to early clinical diagnosis,and has important clinical significance for disease treatment and prognosis.

Schizophyllum communelung infectionearly diagnosisCT imaging

唐玫艳、方桂桔、吴建辉、邓新宇、张灿辉、梁鹏、薛青

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福建医科大学临床医学部,福州 350000

宁德师范学院附属宁德市医院呼吸与危重症医学科,宁德352100

裂褶菌 肺部感染 早期诊断 CT影像

2024

中国真菌学杂志
上海长征医院

中国真菌学杂志

CSTPCD
影响因子:0.557
ISSN:1673-3827
年,卷(期):2024.19(6)