Aquino S L, Dunagan D P, Chiles C, Haponik E F
Department of Radiology, Wake Forest University School of Medicine, Winston-Salem, NC 27157-1088, USA.
J Comput Assist Tomogr. 1998 Sep-Oct;22(5):795-800. doi: 10.1097/00004728-199809000-00024.
The goal of our study was to describe the herpes simplex virus type 1 (HSV 1) pneumonia patterns on CT scans and chest radiographs.
We retrospectively reviewed clinical records and chest radiographs of 24 patients with HSV 1 pneumonia and 10 with pneumonia from combined HSV and mixed flora infection. We also reviewed CT scans available for eight patients with HSV pneumonia and four with mixed pneumonia.
CT scans of eight patients with HSV pneumonia demonstrated multifocal segmental and subsegmental ground-glass opacities (n = 8), additional focal areas of consolidation (n = 6), scattered distribution (n = 6), and pleural effusions (n = 7). Chest radiographs (23 patients) showed patchy segmental and subsegmental ground-glass opacities and consolidation (n = 23), scattered distribution (n = 20), and pleural effusions (n = 12). Radiographic patterns for isolated HSV pneumonia and mixed flora pneumonia were not significantly different.
With a growing population of at-risk immunosuppressed patients, it is important to recognize CT and chest radiography patterns consistent with, although nonspecific for, HSV 1 pneumonia.
我们研究的目的是描述1型单纯疱疹病毒（HSV-1）肺炎在CT扫描和胸部X光片上的表现模式。
我们回顾性分析了24例HSV-1肺炎患者和10例HSV与混合菌群感染所致肺炎患者的临床记录及胸部X光片。我们还分析了8例HSV肺炎患者和4例混合性肺炎患者的CT扫描结果。
8例HSV肺炎患者的CT扫描显示多灶性节段性和亚节段性磨玻璃影（n = 8）、额外的局灶性实变区域（n = 6）、散在分布（n = 6）以及胸腔积液（n = 7）。胸部X光片（23例患者）显示斑片状节段性和亚节段性磨玻璃影及实变（n = 23）、散在分布（n = 20）以及胸腔积液（n = 12）。单纯HSV肺炎和混合菌群肺炎的影像学表现模式无显著差异。
随着免疫抑制高危患者群体的不断增加，认识与HSV-1肺炎相符（尽管不具有特异性）的CT和胸部X光片表现模式很重要。
