Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Department of Radiology, Mayo Clinic, Rochester, MN, USA.
Emerg Radiol. 2024 Aug;31(4):543-550. doi: 10.1007/s10140-024-02248-8. Epub 2024 Jun 5.
Pulmonary infections contribute substantially to emergency department (ED) visits, posing a considerable health burden. Lower respiratory tract infections are prevalent, particularly among the elderly, constituting a significant percentage of infectious disease-related ED visits. Timely recognition and treatment are crucial to mitigate morbidity and mortality. Imaging studies, primarily chest radiographs and less frequently CT chests, play a pivotal role in diagnosis. This article aims to elucidate the imaging patterns of both common and rare pulmonary infections (bacterial and viral) in the post COVID-19 era, emphasizing the importance of recognizing distinct radiological manifestations. The integration of clinical and microbiological evidence aids in achieving accurate diagnoses, and guiding optimal therapeutic interventions. Despite potential overlapping manifestations, a nuanced understanding of radiological patterns, coupled with comprehensive clinical and microbiological information, enhances diagnostic precision in majority cases.
肺部感染在急诊科(ED)就诊中占很大比例,对健康造成了相当大的负担。下呼吸道感染很常见,特别是在老年人中,占传染病相关 ED 就诊的很大比例。及时识别和治疗对于降低发病率和死亡率至关重要。影像学检查,主要是胸部 X 线摄影,较少采用 CT 胸部扫描,在诊断中起着关键作用。本文旨在阐明在后 COVID-19 时代常见和罕见(细菌和病毒)肺部感染的影像学模式,强调识别不同放射学表现的重要性。临床和微生物学证据的综合应用有助于做出准确诊断,并指导最佳治疗干预。尽管可能存在重叠表现,但细致了解放射学模式,并结合全面的临床和微生物学信息,可提高大多数情况下的诊断准确性。