Department of Respiratory Medicine, Asakura Medical Association Hospital, Japan.
Jpn J Radiol. 2010 Nov;28(9):688-91. doi: 10.1007/s11604-010-0473-6. Epub 2010 Nov 27.
Mycoplasma pneumoniae infection is known to produce infiltrative and/or nodular opacities that are often localized. A patient presented to us with diffuse centrilobular, peribronchovascular, and perilobular opacities after documented Mycoplasma pneumoniae infection. A surgical biopsy proved the lung disease to be organizing pneumonia, which dramatically resolved in response to treatment with corticosteroid. This case represents an unusual radiological manifestation associated with M. pneumoniae infection, thereby stressing the importance of this disease in the differential diagnosis for patients with diffuse opacities of the lungs.
肺炎支原体感染已知可产生浸润性和/或结节性混浊，通常为局灶性。我们曾遇到一位患者，在确诊肺炎支原体感染后出现弥漫性小叶中心性、支气管血管周围和小叶周围混浊。外科活检证实肺部疾病为机化性肺炎，经皮质类固醇治疗后显著缓解。该病例代表了与肺炎支原体感染相关的一种不常见的影像学表现，因此强调了该疾病在弥漫性肺混浊患者鉴别诊断中的重要性。
