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題 名 | CT Findings of Pulmonary Cryptococcosis: A Series of 12 Cases=肺部隱球菌肺炎之電腦斷層影像表徵:十二個病例研究報告 |
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作 者 | 李紋瑜; 吳錦桐; 鄭慶明; 徐志育; 劉榮森; 王永成; 吳昭瑩; 張筱筠; 黃永堅; 楊展明; 孔慶惠; | 書刊名 | 中華放射線醫學雜誌 |
卷 期 | 30:6 民94.12 |
頁 次 | 頁319-325 |
分類號 | 415.463 |
關鍵詞 | 隱球症; 電腦斷層; 肺; Cryptococcosis; Computed tomography; CT; Lung; |
語 文 | 英文(English) |
中文摘要 | 肺部隱球菌肺炎好發於免疫不足之病人,這是一種沒有菌絲的芽體真菌生長於土壤及鴿子糞便中,其罕見於免疫完備的病人。本文之目的在於分析肺部隱球菌肺炎於免疫不足及免疫完備的病人之電腦斷層影像。閱檢12個已證明為肺部隱球症之病例,其電腦斷層發現為一個或多個結節(個數為十),一個或多個塊(個數為五),無數個小結節(個數為一)或肺實質化(個數為一),好發於近肋膜處(個數為十一)及下肺葉。(個數為八)。結節其邊緣為不明顯(個數為七),針刺狀(個數為七)及小葉狀(個數為四)。其中有一些有空氣氣管圖(個數為六),毛玻璃狀(個數為六)及空腔(個數為三)。由於肺部隱球菌肺炎的無特殊臨床表徵。所以熟悉電腦斷層之表現,可以使肺部隱球菌肺炎之診斷更加容易,更加有效率。 |
英文摘要 | Cryptococcus neoformans pneumonia occurs fre-quently in immunocompromised patients. The organism is a non-mycelial budding yeast found in the soil and in pigeons droppings. It is rare in immunocompetent patients. The aim of this study was to analyze computed tomography (CT) findings of pulmonary cryptococcosis in both immunocom-promised and immunocompetent subjects. Twelve patients of proved pulmonary cryptococcosis were reviewed. Their CT findings were pulmonary nod-ules (n=10), masses (n=5), micronodule (n=1), con-solidation (n=1) with subpleural location (n=11), and lower lobe predilection (n=8). The margin of the nodules were ill-defined (n=7), spiculated (n=7) and lobulated (n=4). Some of them had air-bronchogram (n=6), halo sign (n=6) and cavitation (n=3). The clinical picture of pulmonary cryptococcosis is non-specific. Therefore familiarity with the CT findings can make the diagnosis of pulmonary cryp-tococcosis earlier and easier. |
本系統中英文摘要資訊取自各篇刊載內容。