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肺部真菌感染:免疫功能正常和免疫功能低下患者的影像学表现

Pulmonary fungal infection: imaging findings in immunocompetent and immunocompromised patients.

作者信息

Chong Semin, Lee Kyung Soo, Yi Chin A, Chung Myung Jin, Kim Tae Sung, Han Joungho

机构信息

Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50, Ilwon-Dong, Kangnam-Ku, Seoul 135-710, Republic of Korea.

出版信息

Eur J Radiol. 2006 Sep;59(3):371-83. doi: 10.1016/j.ejrad.2006.04.017. Epub 2006 May 24.

Abstract

Histoplasmosis is the most common endemic mycosis in North America, and is followed by coccidioidomycosis and blastomycosis. Although the majority of these infections in immunocompetent persons are self-limited, some patients can develop severe pneumonitis or various forms of chronic pulmonary infection. Cryptococcoci, Aspergillus, Candidas, and Mucorals are ubiquitous organisms, which may affect immunocompromised patients. Specific imaging findings can be expected, depending on the organisms involved, underlying patients' conditions (immune status), and specific situations after immune depleting procedures.

摘要

组织胞浆菌病是北美最常见的地方性真菌病,其次是球孢子菌病和芽生菌病。虽然免疫功能正常者的这些感染大多为自限性,但一些患者可能会发展为严重肺炎或各种形式的慢性肺部感染。隐球菌、曲霉菌、念珠菌和毛霉菌是普遍存在的生物体,可能会影响免疫功能低下的患者。根据所涉及的生物体、患者的基础状况(免疫状态)以及免疫耗竭程序后的具体情况,可预期会出现特定的影像学表现。

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