中国现代医生2024,Vol.62Issue(8) :30-32.DOI:10.3969/j.issn.1673-9701.2024.08.007

鹦鹉热衣原体肺炎的CT表现特征

CT features of Chlamydia psittaci pneumonia

杨登法 郭宇闻 杨婷 陈建华 许晓琴 罗建华
中国现代医生2024,Vol.62Issue(8) :30-32.DOI:10.3969/j.issn.1673-9701.2024.08.007

鹦鹉热衣原体肺炎的CT表现特征

CT features of Chlamydia psittaci pneumonia

杨登法 1郭宇闻 1杨婷 1陈建华 1许晓琴 1罗建华2
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作者信息

  • 1. 浙江省台州市立医院放射科,浙江台州 318000
  • 2. 浙江省台州市立医院呼吸与危重症医学科,浙江台州 318000
  • 折叠

摘要

目的 探讨鹦鹉热衣原体肺炎患者的 CT 表现特征.方法 回顾性分析笔者医院经宏基因二代测序(macro gene second-generation sequencing,mNGS)技术确诊 10 例鹦鹉热衣原体肺炎患者的胸部CT图像.结果 7 例(70%)患者与鸟(禽)类或其粪便有接触史.入院胸部CT均表现为团片状渗出实变影,均位于单肺,其中累及单叶 8 例(80%)、双叶 2 例(20%);10 例(100%)均伴有支气管充气征,9 例(90%)有磨玻璃影,8 例(80%)局部小叶间隔或小叶内间隔增厚;1例(10%)病灶呈"扇形"改变,1例(10%)病灶见"反晕症",9d内复查9例(90%)有进展,表现为病灶融合增大呈更大范围实变或新出现病灶.结论 鹦鹉热衣原体肺炎CT表现具有一定特征,结合鸟(禽)类接触史可提示诊断.

Abstract

Objective To investigate CT features of Chlamydia psittaci(C.psittaci)pneumonia patients.Methods Ten patients with C.psittaci pneumonia were collected retrospectively based on macro gene second-generation sequencing(mNGS).The radiological manifestations of the disease were analyzed.Results Seven patients(70%)had contact history with birds(poultry)or their feces.Chest CT on the day of admission was mainly mass patchy consolidation,all of which were located in single lung,involving 8 cases(80%)with one lobe and 2 cases(20%)with two lobes.All of them were accompanied by air bronchogram,9 cases(90%)with ground glass shadow and 8 cases(80%)with interstitial changes.One case(10%)showed a reversed halo sign,and 1 case(10%)showed fan-shaped consolidation.Nine cases(90%)showed progress with increased fusion or new lesions within nine days.Conclusion CT findings of C.psittaci pneumonia have certain characteristics,and combining with history of contacting birds(poultry)can suggest diagnosis.

关键词

鹦鹉热衣原体肺炎/宏基因二代测序/CT

Key words

Chlamydia psittaci pneumonia/Macro gene second-generation sequencing/CT

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基金项目

浙江省台州市科技计划(21ywb43)

浙江省医药卫生科技计划(2023KY1321)

出版年

2024
中国现代医生
中国医学科学院

中国现代医生

影响因子:1.571
ISSN:1673-9701
参考文献量16
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