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Cytomegalovirus Pneumonia: High-Resolution CT Findings in Ten Non-AIDS Immunocompromised Patients

OBJECTIVE: To describe the HRCT findings of cytomegalovirus (CMV) pneumonia in non-AIDS immunocompromised patients. MATERIALS AND METHODS: This retrospective study involved the ten all non-AIDS immunocompromised patients with biopsy-proven CMV pneumonia and without other pulmonary infection encounte...

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Autores principales: Moon, Jeung Hee, Kim, Eun A, Lee, Kyung Soo, Kim, Tae Sung, Jung, Kyung-Jae, Song, Jae-Hoon
Formato: Texto
Lenguaje:English
Publicado: The Korean Radiological Society 2000
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2718167/
https://www.ncbi.nlm.nih.gov/pubmed/11752933
http://dx.doi.org/10.3348/kjr.2000.1.2.73
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author Moon, Jeung Hee
Kim, Eun A
Lee, Kyung Soo
Kim, Tae Sung
Jung, Kyung-Jae
Song, Jae-Hoon
author_facet Moon, Jeung Hee
Kim, Eun A
Lee, Kyung Soo
Kim, Tae Sung
Jung, Kyung-Jae
Song, Jae-Hoon
author_sort Moon, Jeung Hee
collection PubMed
description OBJECTIVE: To describe the HRCT findings of cytomegalovirus (CMV) pneumonia in non-AIDS immunocompromised patients. MATERIALS AND METHODS: This retrospective study involved the ten all non-AIDS immunocompromised patients with biopsy-proven CMV pneumonia and without other pulmonary infection encountered at our Medical Center between January 1997 and May 1999. HRCT scans were retrospectively analysed by two chest radiologists and decisions regarding the findings were reached by consensus. RESULTS: The most frequent CT pattern was ground-glass opacity, seen in all patients, with bilateral patchy (n = 8) and diffuse (n = 2) distribution. Other findings included poorly-defined small nodules (n = 9) and consolidation (n = 7). There was no zonal predominance. The small nodules, bilateral in eight cases and unilateral in one, were all located in the centrilobular region. Consolidation (n = 7), with patchy distribution, was bilateral in five of seven patients (71%). Pleural effusion and bilateral areas of thickened interlobular septa were seen in six patients (60%). CONCLUSION: CMV pneumonia in non-AIDS immunocompromised patients appears on HRCT scans as bilateral mixed areas of ground-glass opacity, poorly-defined centrilobular small nodules, and consolidation. Interlobular septal thickening and pleural effusion are frequently associated.
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spelling pubmed-27181672009-07-30 Cytomegalovirus Pneumonia: High-Resolution CT Findings in Ten Non-AIDS Immunocompromised Patients Moon, Jeung Hee Kim, Eun A Lee, Kyung Soo Kim, Tae Sung Jung, Kyung-Jae Song, Jae-Hoon Korean J Radiol Original Article OBJECTIVE: To describe the HRCT findings of cytomegalovirus (CMV) pneumonia in non-AIDS immunocompromised patients. MATERIALS AND METHODS: This retrospective study involved the ten all non-AIDS immunocompromised patients with biopsy-proven CMV pneumonia and without other pulmonary infection encountered at our Medical Center between January 1997 and May 1999. HRCT scans were retrospectively analysed by two chest radiologists and decisions regarding the findings were reached by consensus. RESULTS: The most frequent CT pattern was ground-glass opacity, seen in all patients, with bilateral patchy (n = 8) and diffuse (n = 2) distribution. Other findings included poorly-defined small nodules (n = 9) and consolidation (n = 7). There was no zonal predominance. The small nodules, bilateral in eight cases and unilateral in one, were all located in the centrilobular region. Consolidation (n = 7), with patchy distribution, was bilateral in five of seven patients (71%). Pleural effusion and bilateral areas of thickened interlobular septa were seen in six patients (60%). CONCLUSION: CMV pneumonia in non-AIDS immunocompromised patients appears on HRCT scans as bilateral mixed areas of ground-glass opacity, poorly-defined centrilobular small nodules, and consolidation. Interlobular septal thickening and pleural effusion are frequently associated. The Korean Radiological Society 2000 2000-06-30 /pmc/articles/PMC2718167/ /pubmed/11752933 http://dx.doi.org/10.3348/kjr.2000.1.2.73 Text en Copyright © 2000 The Korean Radiological Society http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Moon, Jeung Hee
Kim, Eun A
Lee, Kyung Soo
Kim, Tae Sung
Jung, Kyung-Jae
Song, Jae-Hoon
Cytomegalovirus Pneumonia: High-Resolution CT Findings in Ten Non-AIDS Immunocompromised Patients
title Cytomegalovirus Pneumonia: High-Resolution CT Findings in Ten Non-AIDS Immunocompromised Patients
title_full Cytomegalovirus Pneumonia: High-Resolution CT Findings in Ten Non-AIDS Immunocompromised Patients
title_fullStr Cytomegalovirus Pneumonia: High-Resolution CT Findings in Ten Non-AIDS Immunocompromised Patients
title_full_unstemmed Cytomegalovirus Pneumonia: High-Resolution CT Findings in Ten Non-AIDS Immunocompromised Patients
title_short Cytomegalovirus Pneumonia: High-Resolution CT Findings in Ten Non-AIDS Immunocompromised Patients
title_sort cytomegalovirus pneumonia: high-resolution ct findings in ten non-aids immunocompromised patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2718167/
https://www.ncbi.nlm.nih.gov/pubmed/11752933
http://dx.doi.org/10.3348/kjr.2000.1.2.73
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