艾滋病合并肺结核187例患者胸部CT表现
The Chest CT Features of 187 Pulmonary Tuberculosis with AIDS

作者: 张荣萍 , 王涛 , 宋立江 , 苏国华 , 马 力 , 高俊 :凉山州第一人民医院放射科,四川 西昌;

关键词: 获得性免疫缺陷综合征肺结核CT表现AIDS Pulmonary Tuberculosis CT Features

摘要: 目的:通过总结艾滋病(AIDS)合并肺结核的胸部CT表现,探讨其影像学特征。方法:回顾性分析187例AIDS合并肺结核病人的胸部CT影像资料。结果:157例患者双肺均受累,170例累及两叶及两叶以上;CT表现为粟粒性肺结核者98例,干酪样肺炎35例,空洞样病变24例,并发纵隔淋巴结肿大101例,胸腔积液80例,心包积液22例。结论:艾滋病合并肺结核患者胸部CT表现多不典型,病变部位不典型,累及范围广泛,以粟粒样结核干酪样肺炎常见,常合并纵膈淋巴结肿大及胸腔积液,CT能显示AIDS合并肺结核的各种影像特征。

Abstract: Objective: To explore the CT imaging features by summarizing the chest CT image of AIDS patients with pulmonary tuberculosis. Methods: The chest CT imagines of 187 AIDS patients with pulmonary tuberculosis were retrospectively analyzed. Results: 157 cases of patients with two lung are involved, 170 cases involve more than two leaves and two leaves; CT showed miliary tuberculosis 98 cases, 35 cases of pneumonia-like cheese, hole-like lesions in 24 cases, 101 cases of concurrent mediastinal lymphadenopathy. Pleural effusion was 80 cases, 22 cases of pericardial effusion. Con- clusion: The chest CT finding of AIDS patients with pulmonary tuberculosis is atypical, the lesion is not typical, involving a wide range, with miliary tuberculosis Caseous pneumonia common, often associated with mediastinal lymphadenopathy and pleural effusion. Imaging features of pulmonary tuberculosis with AIDS can be showed by CT.

文章引用: 张荣萍 , 王涛 , 宋立江 , 苏国华 , 马 力 , 高俊 (2016) 艾滋病合并肺结核187例患者胸部CT表现。 医学诊断, 6, 1-4. doi: 10.12677/MD.2016.61001

参考文献

[1] Dokubo, E.K., Baddeley, A., Pathmanathan, I., et al. (2014) Provision of Antiretroviral Therapy for HIV-Positive TB Patients—19 Countries, Sub-Saharan Africa, 2009-2013. Morbidity and Mortality Weekly Report, 63, 1104-1107.

[2] Ford, N., Shubber, Z., Meintjes, G., et al. (2015) Causes of Hospital Admission among People Living with HIV Worldwide: A Systematic Review and Meta-Analysis. Lancet HIV, 2, e438-e444.
http://dx.doi.org/10.1016/S2352-3018(15)00137-X

[3] Ford, N. and Getahun, H. (2015) Service Integration to Reduce HIV-Associated TB Mortality. Public Health Action, 5, 204.
http://dx.doi.org/10.5588/pha.15.0073

[4] Suresh, S., Sharath, B.N., et al. (2015) TB-HIV Co-Infection among Pregnant Women in Karnataka, South India: A Case Series. Journal of Infection and Public Health, 11.

[5] 李宏军, 张玉忠, 程敬亮. 艾滋病合并肺结核的CT表现多样性与CD4_T淋巴细胞计数的关系[J]. 放射性实践, 2009, 24(9): 959-963.

[6] Gj, C., Snowden, M.A., Hokey, D., et al. (2015) The Safety and Immunogenicity of an Adenovirus Type 35-Vectored TB Vaccine in HIV-Infected, BCG-Vaccinated Adults with CD4+ T Cell Counts >350 cells/mm3. Vaccine, 33, 1890- 1895.
http://dx.doi.org/10.1016/j.vaccine.2015.02.004

[7] Haridas, V., Pean, P., Asenosky, L.D., et al. (2015) TB-IRIS, T-Cell Activation, and Remodeling of the T-Cell Compartment in Highly Immunosuppressed HIV-Infected Patients with TB. Aids, 29, 263-273.
http://dx.doi.org/10.1097/QAD.0000000000000546

[8] 王青, 夏俊, 罗泽斌. 艾滋病合并肺结核的临床及影像学特征的研究进展[J]. 医学综述, 2013, 19(7): 1284-1286.

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