Ahuja Jitesh, Kanne Jeffrey P
Department of Radiology, School of Medicine and Public Health, University of Wisconsin, 600 Highland Avenue, MC 3252, Madison, WI 53792-3252, USA.
Radiol Clin North Am. 2014 Jan;52(1):121-36. doi: 10.1016/j.rcl.2013.08.010. Epub 2013 Sep 14.
Infections account for approximately 75% of all pulmonary complications in immunocompromised patients, and early and accurate diagnosis is essential because of associated high morbidity and mortality. The number of immunocompromised patients continues to increase because of greater use of immunosuppressive agents. Certain organisms are likely to cause infection with certain types of immunosuppression and during specific times during the course of immunosuppression. Knowledge of the acuity of the patient's illness, environmental exposures, nature of the underlying immune defect(s), and duration and severity of immunodeficiency can help the radiologist provide a more accurate differential diagnosis for the cause of pulmonary infection.
感染约占免疫功能低下患者所有肺部并发症的75%,由于其相关的高发病率和死亡率,早期准确诊断至关重要。由于免疫抑制剂使用的增加,免疫功能低下患者的数量持续上升。某些生物体在特定类型的免疫抑制以及免疫抑制过程中的特定时期可能会引发感染。了解患者疾病的严重程度、环境暴露情况、潜在免疫缺陷的性质以及免疫缺陷的持续时间和严重程度,有助于放射科医生对肺部感染的病因做出更准确的鉴别诊断。