Franquet Tomás
Department of Radiology, Thoracic Radiology Section, Hospital de Sant Pau, Universitat Autónoma de Barcelona, Barcelona, Spain.
Eur Radiol. 2006 Mar;16(3):707-18. doi: 10.1007/s00330-005-0008-1. Epub 2005 Oct 14.
Non-AIDS immunocompromised patients are susceptible to infections by a wide range of organisms. In the past several decades, advances in the treatment of cancer, organ transplantation, and immunosuppressive therapy have resulted in large numbers of patients who develop abnormalities in their immune system. Moreover, mildly impaired host immunity as it occurs in chronic debilitating illness, diabetes mellitus, malnutrition, alcoholism, advanced age, prolonged corticosteroid administration, and chronic obstructive lung disease have also been regarded as predisposing factors of pulmonary infections. Imaging plays a crucial role in the detection and management of patients with pulmonary infectious diseases. When pulmonary infection is suspected, knowledge of the varied radiographic manifestations will narrow the differential diagnosis, helping to direct additional diagnostic measures and serving as an ideal tool for follow-up examinations. Combination of pattern recognition with knowledge of the clinical setting is the best approach to pulmonary infection occurring in the immunocompromised patients.
非艾滋病免疫功能低下患者易受多种病原体感染。在过去几十年中,癌症治疗、器官移植和免疫抑制疗法的进展导致大量患者免疫系统出现异常。此外,慢性衰弱性疾病、糖尿病、营养不良、酗酒、高龄、长期使用皮质类固醇以及慢性阻塞性肺疾病等导致的轻度宿主免疫功能受损也被视为肺部感染的易感因素。影像学在肺部感染性疾病患者的检测和管理中起着关键作用。当怀疑有肺部感染时,了解各种影像学表现将缩小鉴别诊断范围,有助于指导进一步的诊断措施,并作为随访检查的理想工具。将模式识别与临床情况相结合是免疫功能低下患者肺部感染的最佳诊断方法。