Radiology of Chronic Cavitary Infections

被引:9
作者
Ketai, Loren [1 ]
Currie, Bart J. [2 ,3 ]
Holt, Michael R. [4 ,6 ]
Chan, Edward D. [5 ,7 ,8 ,9 ]
机构
[1] Univ New Mexico, Dept Radiol, Albuquerque, NM 87131 USA
[2] Royal Darwin Hosp, Darwin, NT, Australia
[3] Menzies Sch Hlth Res, Darwin, NT, Australia
[4] Univ Colorado Denver, Dept Med, Aurora, CO USA
[5] Denver Vet Affairs Med Ctr, Pulm Sect, Denver, CO USA
[6] Natl Jewish Hlth, Div Mycobacterial & Resp Infect, Denver, CO USA
[7] Natl Jewish Hlth, Dept Med, Denver, CO USA
[8] Natl Jewish Hlth, Program Cell Biol, Denver, CO USA
[9] Univ Colorado, Div Pulm Sci & Crit Care Med, Anschutz Med Campus, Denver, CO 80202 USA
关键词
pneumonia; mycobacterial infections; fungal infections; melioidosis; AVIUM-INTRACELLULARE COMPLEX; COMPUTED-TOMOGRAPHY; PULMONARY INFECTION; CLINICAL SPECTRUM; CT FINDINGS; LUNG; MANIFESTATIONS; HISTOPLASMOSIS; ASPERGILLOSIS; BLASTOMYCOSIS;
D O I
10.1097/RTI.0000000000000346
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
Chronic cavitary lung disease is an uncommon manifestation of pulmonary infection, and is a pattern which worldwide is most commonly caused by reactivation tuberculosis. Other organisms, however, can cause similar radiologic patterns. Endemic fungi have long been recognized as potential causes of this pattern in North and South America, but the frequency with which these diseases present with chronic cavities in North America is relatively small. Nontuberculous mycobacteria and chronic aspergillus infections are recognized with increasing frequency as causes of this pattern. Melioidosis, a bacterial infection that can also cause chronic lung cavities, was previously understood to be relevant primarily in Southeast Asia, but is now understood to have a wider geographic range. While cultures, serologies, and other laboratory methods are key to identifying the infectious causes of chronic lung cavities, radiologic evaluation can contribute to the diagnosis. Differentiating the radiologic patterns of these diseases from reactivation tuberculosis depends on subtle differences in imaging findings and, in some cases, appreciation of underlying lung disease.
引用
收藏
页码:334 / 343
页数:10
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