[The typical radiological findings and course of invasive pulmonary aspergillosis in the immunosuppressed patient]. / Typische radiologische Befunde und Verlauf der invasiven pulmonalen Aspergillose des immunsupprimierten Patienten.
Rofo
; 167(1): 24-31, 1997 Jul.
Article
en De
| MEDLINE
| ID: mdl-9289038
ABSTRACT
PURPOSE:
This retrospective study was designed to show whether invasive pulmonary aspergillosis, which is often difficult to diagnose by bronchoscopy or serology, can be diagnosed at an early stage by typical radiological findings on conventional radiographs or by CT, specially high resolution CT (HR-CT). PATIENTS ANDMETHODS:
In 19 Patients with 20 disease episodes, 20 thorax radiographs and eight spiral CT examinations were performed and in four cases HR-CT was also available. The earliest pathological findings and the course of the disease were analysed and the results of the various examinations were compared.RESULTS:
90% of chest examinations, including CT and HR-CT, showed the following lesions as part of the earliest changes round or wedge-shaped opacities or the so-called "halo" sign. CT or HR-CT always demonstrated more lesions than plain chest radiographs; 75% of lesions appeared typical and thereby contributed to the diagnosis.CONCLUSION:
The typical radiological findings of round or wedge-shaped opacities and the so-called "halo" sign are additional criteria for the diagnosis of invasive pulmonary aspergillosis. The superiority of CT or HR-CT in the demonstration of pathological changes suggests that these should be used early in the investigation of patients who are specially at risk.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Aspergilosis
/
Huésped Inmunocomprometido
/
Pulmón
/
Enfermedades Pulmonares Fúngicas
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
De
Revista:
Rofo
Año:
1997
Tipo del documento:
Article