Martínez Santiago, Restrepo C Santiago, Carrillo Jorge A, Betancourt Sonia L, Franquet Tomás, Varón Claudia, Ojeda Paulina, Giménez Ana
Department of Radiology, Hospital de San José, Fundación Universitaria de Ciencias de la Salud, Bogotá, Colombia.
Radiographics. 2005 Jan-Feb;25(1):135-55. doi: 10.1148/rg.251045043.
Parasitic infections are distributed worldwide and affect hundreds of millions of individuals-primarily those living in endemic areas or in regions with a high rate of immigration from endemic areas-causing significant morbidity and mortality. A broad spectrum of parasitic infections (eg, amebiasis, malaria, trypanosomiasis, ascariasis, strongyloidiasis, dirofilariasis, cystic echinococcosis, schistosomiasis, paragonimiasis) frequently affect the lungs, mediastinum, and thoracic wall, manifesting with abnormal imaging findings that often make diagnosis challenging. Although most of these infections result in nonspecific abnormalities, familiarity with their imaging features as well as their epidemiologic, clinical, and physiopathologic characteristics may be helpful to the radiologist in formulating an adequate differential diagnosis.
寄生虫感染遍布全球,影响着数亿人,主要是那些生活在流行地区或来自流行地区移民率高的地区的人,会导致严重的发病率和死亡率。多种寄生虫感染(如阿米巴病、疟疾、锥虫病、蛔虫病、类圆线虫病、恶丝虫病、囊性棘球蚴病、血吸虫病、肺吸虫病)常累及肺、纵隔和胸壁,表现为异常的影像学表现,这常常使诊断具有挑战性。尽管这些感染大多导致非特异性异常,但熟悉其影像学特征以及流行病学、临床和生理病理特征可能有助于放射科医生做出充分的鉴别诊断。