感染影像：肺孢子菌肺炎——被遗忘了吗？

Infection image: cystic pneumocystis jirovecii pneumonia - forgotten?

作者信息

Hitzenbichler Florian, Fisser Christoph, Schlitt Alexandra, Salzberger Bernd

机构信息

Department of Infection Prevention and Infectious Diseases, University Hospital Regensburg, Franz- Josef-Strauß-Allee 11, 93053, Regensburg, Germany.

Department of Internal Medicine II, University Hospital Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Germany.

出版信息

Infection. 2025 Apr;53(2):763-765. doi: 10.1007/s15010-024-02403-w. Epub 2024 Oct 14.

DOI:10.1007/s15010-024-02403-w

PMID:39400869

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11971127/

Abstract

A 43-year-old male patient presented to the emergency department with progressive dyspnea. CT scan showed pronounced cystic lesions and ground glass opacitiy in both lungs and diagnosis of HIV infection was established. Bronchoscopy confirmed diagnosis of pneumocystis jirovecii pneumonia (PCP). The radiological presentation with perihilar large cysts is typical for PCP in HIV-infected patients, but rarely encountered today.

摘要

一名43岁男性患者因进行性呼吸困难就诊于急诊科。CT扫描显示双肺有明显的囊性病变和磨玻璃影，确诊为HIV感染。支气管镜检查确诊为耶氏肺孢子菌肺炎（PCP）。肺门周围大囊肿的影像学表现是HIV感染患者PCP的典型表现，但如今很少见。