Aronchick J M, Miller W T
Department of Radiology, University of Pennsylvania Medical Center, Philaldelphia 19104.
Semin Roentgenol. 1993 Apr;28(2):150-7. doi: 10.1016/s0037-198x(05)80104-x.
In summary, DNTM is an uncommon cause of infection in non-AIDS immunocompromised patients, but it is seen with increasing frequency as a late complication in AIDS patients who are severely debilitated. Non-AIDS patients may have pulmonary symptoms and parenchymal abnormalities on chest radiographs. These patients apparently may have clinically significant pulmonary infection. In contrast, AIDS patients with DNTM are unlikely to have clinically significant pulmonary disease. Although the lung is a common site of infection in these patients, they usually do not have pulmonary symptoms related to NTMB infection. Chest radiographs in these patients may show hilar or mediastinal adenopathy and/or pleural effusion. It is uncertain whether the parenchymal infiltrates noted in these patients are caused by NTMB or by coexisting processes. It is suspected that pulmonary NTMB in the AIDS patient is not likely to produce pulmonary parenchymal abnormalities on the chest radiograph.
总之，在非艾滋病免疫功能低下患者中，鸟分枝杆菌复合群（NTM）是一种不常见的感染病因，但在严重虚弱的艾滋病患者中，它作为晚期并发症的出现频率越来越高。非艾滋病患者可能有肺部症状，胸部X线片显示实质异常。这些患者显然可能有具有临床意义的肺部感染。相比之下，患有NTM的艾滋病患者不太可能有具有临床意义的肺部疾病。虽然肺部是这些患者常见的感染部位，但他们通常没有与NTM感染相关的肺部症状。这些患者的胸部X线片可能显示肺门或纵隔淋巴结肿大和/或胸腔积液。尚不确定这些患者中观察到的实质浸润是由NTM还是并存的疾病过程引起的。怀疑艾滋病患者肺部的NTM不太可能在胸部X线片上产生肺部实质异常。
