Chest ultrasonography in patients with HIV: a case series and review of the literature

被引：23

作者：

Heuvelings, Charlotte C. ^{[1
,2
]}

Belard, Sabine ^{[1
,3
]}

Janssen, Saskia ^{[1
,4
]}

Wallrauch, Claudia ^{[5
]}

Grobusch, Martin P. ^{[1
,4
]}

Brunetti, Enrico ^{[6
]}

Giordani, Maria Teresa ^{[7
]}

Heller, Tom ^{[1
]}

机构：

[1] Univ Amsterdam, Acad Med Ctr, Dept Infect Dis, Div Internal Med,Ctr Trop Med & Travel Med, Meibergdreef 9, NL-1105 AZ Amsterdam, Netherlands

[2] Univ Cape Town, Dept Paediat & Child Hlth, Red Cross War Mem Childrens Hosp, Cape Town, South Africa

[3] Charite, Dept Pediat Pneumol & Immunol, Augustenburger Pl 1, D-13353 Berlin, Germany

[4] Univ Cape Town, Inst Infect Dis & Mol Med, ZA-7925 Cape Town, South Africa

[5] Klinikum Muenchen Perlach, Dept Med, Munich, Germany

[6] Univ Pavia, San Matteo Hosp Fdn, Div Infect & Trop Dis, Via Palestro 3, I-27100 Pavia, Italy

[7] San Bortolo Hosp, Infect & Trop Dis Unit, Vicenza, Italy

来源：

INFECTION | 2016年 / 44卷 / 01期

关键词：

HIV; Pulmonary; Infection; Chest ultrasonography; Diagnostic imaging; Lung disease; NON-HODGKINS-LYMPHOMA; LUNG ULTRASOUND; MEDIASTINAL LYMPHADENOPATHY; CYTOMEGALOVIRUS PNEUMONIA; IMMUNOCOMPROMISED PATIENTS; PULMONARY MANIFESTATIONS; PLEURAL EFFUSIONS; INFECTED PATIENTS; CT FINDINGS; FOLLOW-UP;

D O I：

10.1007/s15010-015-0780-z

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Pulmonary disease is common in HIV-infected patients. Diagnostic means, however, are often scarce in areas where most HIV patients are living. Chest ultrasonography has recently evolved as a highly sensitive and specific imaging tool for diagnosing chest conditions such as pneumothorax, pneumonia and pulmonary edema in critically ill patients. This article addresses the issue of imaging and differentiating common pulmonary conditions in HIV-infected patients by chest ultrasonography. We report chest ultrasound features of five different common pulmonary diseases in HIV-infected patients (bacterial pneumonia, Pneumocystis jirovecii pneumonia, tuberculosis, cytomegalovirus pneumonia and non-Hodgkin lymphoma) and review the respective literature. We observed characteristic ultrasound patterns especially in Pneumocystis jirovecii pneumonia and pulmonary lymphoma. Further exploration of chest ultrasonography in HIV-infected patients appears promising and may translate into new diagnostic approaches for pulmonary conditions in patients living with HIV.

引用

页码：1 / 10

页数：10

共 60 条

[1] Comparison of ultrasound with plain radiography and CT for the detection of mediastinal lymphadenopathy in children with tuberculosis [J].