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免疫功能正常宿主中表现为类似癌的浸润性肿块的隐球菌性肺炎:平片、CT及MRI表现

Cryptococcal pneumonia occurring as an infiltrative mass simulating carcinoma in an immunocompetent host: plain film, CT, and MRI findings.

作者信息

Flickinger F W, White J E, Stincer E J, Fincher R M

机构信息

Department of Radiology, Medical College of Georgia, Augusta 30912-3910.

出版信息

South Med J. 1993 Apr;86(4):450-2. doi: 10.1097/00007611-199304000-00016.

DOI:10.1097/00007611-199304000-00016
PMID:8465225
Abstract

Cryptococcosis, a potentially fatal pulmonary infection, rarely occurs in advanced form in immunocompetent individuals. Radiographic findings are variable and include single and multiple mass-like infiltrates, nodules, and segmental infiltrates. MRI manifestations of pulmonary cryptococcosis have not been reported previously. We have compared MRI, CT, and plain film radiographic findings in a case of multisegmental cryptococcal pneumonia occurring as a mass simulating carcinoma in an immunocompetent individual; we have also discussed the differential radiographic evaluation of pulmonary cryptococcosis.

摘要

隐球菌病是一种潜在致命的肺部感染,在免疫功能正常的个体中很少以晚期形式出现。影像学表现多样,包括单发和多发的肿块样浸润、结节及节段性浸润。此前尚未有关于肺隐球菌病MRI表现的报道。我们比较了一例免疫功能正常个体中发生的多节段隐球菌肺炎表现为模拟癌的肿块时的MRI、CT及平片影像学表现;我们还讨论了肺隐球菌病的影像学鉴别评估。

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