Galanski M, Nischelsky J
Abteilung Diagnostische Radiologie I, Medizinischen Hochschule Hannover.
Radiologe. 1987 Oct;27(10):446-9.
In former times Pneumocystis carinii (PC) primarily affected premature infants. More recently, it has proved to be one of the major infectious complications among immunocompromised patients, particularly those with AIDS. The most frequent radiographic feature is diffuse, bilateral alveolar and interstitial perihilar shadowing, spreading in a butterfly pattern. The typical findings may mimic other infectious diseases, but the presence of large pleural effusions of hilar adenopathy is evidence against the diagnosis of PC-pneumonia.
从前,卡氏肺孢子菌(PC)主要感染早产儿。最近,它已被证明是免疫功能低下患者,尤其是艾滋病患者的主要感染并发症之一。最常见的影像学特征是弥漫性、双侧肺泡和肺门周围间质阴影,呈蝶形分布。典型表现可能与其他传染病相似,但大量胸腔积液或肺门淋巴结肿大则不支持PC肺炎的诊断。