成人流感嗜血杆菌肺炎。影像学表现与临床相关性

Hemophilus influenzae pneumonia in the adult. Radiographic appearance with clinical correlation.

作者信息

Pearlberg J, Haggar A M, Saravolatz L, Beute G H, Popovich J

出版信息

Radiology. 1984 Apr;151(1):23-6. doi: 10.1148/radiology.151.1.6608117.

DOI:10.1148/radiology.151.1.6608117

Abstract

Hemophilus influenzae septicemia is an important cause of life-threatening pneumonia in an immunocompromised patient. Eleven cases proved by blood culture were analyzed. Multilobar involvement with lobar or segmental consolidation and pleural effusion were common radiographic findings, but there were no signs of lobar expansion, bulging fissures, or cavitation. In general, predisposing factors such as alcoholism and chemotherapy place patients at risk. Radiographic response to therapy is variable but often lags behind clinical improvement.

摘要

流感嗜血杆菌败血症是免疫功能低下患者发生危及生命的肺炎的重要原因。对11例血培养证实的病例进行了分析。多叶受累伴大叶或节段性实变及胸腔积液是常见的影像学表现，但无大叶膨胀、叶间裂膨出或空洞形成的迹象。一般来说，酗酒和化疗等易感因素会使患者处于危险之中。治疗的影像学反应各不相同，但往往落后于临床改善。