Pulmonary cryptococcosis in immunocompetent patients - HRCT characteristics

被引:40
作者
Murayama, S
Sakai, S
Soeda, H
Yabuuchi, H
Masuda, K
Inoue, H
Watanabe, H
Matsuo, Y
机构
[1] Univ Ryukyus, Sch Med, Dept Radiol, Nishihara, Okinawa 9030215, Japan
[2] Kyushu Univ, Grad Sch Med Sci, Dept Clin Radiol, Fukuoka, Japan
[3] Kyushu Univ, Grad Sch Med Sci, Res Inst Dis Chest, Fukuoka, Japan
[4] Univ Environm & Hlth, Dept Radiol, Kitakyushu, Fukuoka, Japan
[5] Saga Med Sch, Dept Radiol, Saga, Japan
关键词
lung; disease; infection; computed tomography; cryptococcosis; high-resolution CT; pulmonary infection; granulomatous disease;
D O I
10.1016/S0899-7071(03)00145-1
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
We analyzed the high-resolution CT (HRCT) findings of cryptococcosis in immunocompetent patients. The predominant manifestations were multiple nodules (n = 6) and a single nodule (n = 7). Regarding the pattern of multiple nodules, two cases of cavities or necrosis, four cases of surrounding centrilobular micronodules and five cases of "acinar" nodules were seen. No "tree-in-bud" appearance was detected. Five of seven cases of a single nodule were classified as polygonal, and two of them were round. Two cases accompanied micronodules and one case cavitation. Although no "tree-in-bud" appearance was observed, pulmonary cryptococcosis mimics tuberculosis. (C) 2004 Elsevier Inc. All rights reserved.
引用
收藏
页码:191 / 195
页数:5
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