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《Radiologic Practice》 2010-01
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Radiological Findings of Cytomegalovirus Pneumonitis in AIDS Patients with Pathological Correlation

SONG Wen-yan,LI Hong-jun.Department of Radiology,Youan Hospital of Captial Medial University,Beijing 100069,P.R.China  
Objective:To study the imaging findings of cytomegalovirus pneumonitis in AIDS patients.Methods:The imaging features of 5 AIDS patients complicated with cytomegalovirus pneumonitis were retrospectively analyzed and correlated with pathology.5 cases had CT,4 cases had digital radiography(DR) of chest;2 cases had CT guided needle aspiration biopsy of lung and 1 case had autopsy.2 cases had marked improvement after anti-cytomegalovirus therapy.The imaging materials were correlated with pathology.Results:Of the 5 AIDS patients complicated with cytomegalovirus pneumonitis,there were pulmonary hilar mass(3 cases,1 in the left and 2 in the right),atelectasis(2 cases),interstitial abnormalities(3 cases),pulmonary patchy opacities(3 cases) and lymphadenopathy(2 cases).The pathologic findings included typical intranuclear inclusions accompanied with inflammatory changes of lung on HE staining.Conclusion:The imaging findings of AIDS complicated with CMV pneumonitis varied,with certain characteristic yet non-specific features.The final diagnosis depended on the examination of CMV antibody or the histo-pathology features of biopsy.
【CateGory Index】: R512.91;R521;R816.4
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【References】
Chinese Journal Full-text Database 1 Hits
1 LI Hong-jun, QI Shi, SONG Wen-yan, BAO Dong-ying Department of Diagnositc Imaging, Affiliated Beijing You’an Hospital, Capital Medical University;Diagnostic Imaging of AIDS-related Pulmonary Infections[J];Chinese Computed Medical Imaging;2010-05
【Co-references】
Chinese Journal Full-text Database 4 Hits
1 LI Hong-jun,MENG Zhi-hao,HUANG Kui,et al.Department of Diagnostic Radiology and the 4th Department of Hepatology,Affiliated Beijing You′an Hospital of Capital Medical University,Beijing 100069,P.R.China;Imaging Findings of AIDS Complicated with Pulmonary Rhodococcus Equi Infection and Correlated with Pathology[J];Radiologic Practice;2009-09
2 LI Hong-jun,ZHANG Yu-zhong.Department of Radiology,Beijing Youan Hospital Affiliated to Capital Medical University,Beijing 100054,P.R.China;CT Manifestation of Penicillium Marneffei Pneumonia in AIDS Patients[J];Radiologic Practice;2009-09
3 LUO hong,LIANG ling;Research Progress in Epidemiology of Penicillium Marneffei[J];The Chinese Journal of Dermatovenereology;2006-10
4 CAO Bin *, ZHU Yuanjue, XU Wenbing, LI Longyun, XIE Xiuli, WANG Peng, ZHOU Weixun, CUI Quancai, LI Xiaoguang, *Department of Respirology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences,Beijing 100730, China;Retrospective analysis of seven cases of pulmonary cryptococcosis[J];Chinese Journal of Tuberculosis and Respiratory Diseases;2002-10
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