Patz E F, Swensen S J, Erasmus J
Department of Radiology, Duke University Medical Center, Durham, North Carolina, USA.
Radiol Clin North Am. 1995 Jul;33(4):719-29.
Thoracic nontuberculous or atypical mycobacterial infections typically occur in patients who have underlying lung disease or an immunologic abnormality. These infections are usually indolent and the diagnosis is often difficult to establish and, even if confirmed, is of questionable clinical significance. The most common radiologic pattern is fibronodular opacities in the upper lobes similar to those seen with tuberculosis. Less commonly, patients may have scattered nodularity associated with bronchiectasis. If suspected by radiologic and clinical findings, culture should be obtained for diagnosis. This review focuses on nontuberculous mycobacterial disease in the thorax of the immunocompetent host.
胸内非结核分枝杆菌或非典型分枝杆菌感染通常发生在有潜在肺部疾病或免疫异常的患者中。这些感染通常进展缓慢，诊断往往难以确立，即使确诊，其临床意义也存在疑问。最常见的放射学表现是上叶的纤维结节状阴影，类似于肺结核所见。较少见的是，患者可能有与支气管扩张相关的散在结节。如果根据放射学和临床发现怀疑感染，应进行培养以明确诊断。本综述聚焦于免疫功能正常宿主胸部的非结核分枝杆菌病。
