CT diagnosis of AIDS combined with pneumocystis carinii pneumonia and AIDS with tuberculosis
YUE Xuan-tong1, WU Ying-hua2, WANG Tao1, ZHANG Rong-ping1, ZHOU Chao-xin1, WANG Yue2, YANG Yang2
1. Department of Radiology, the First People’s Hospital of Liangshan Prefecture, Xichang Sichuan 615000, China；
2. Chengdu University of TCM, Chengdu 610075, China
Abstract：Objective: To explore the CT diagnosis and differential diagnosis of acquired immune deficiency syndrome(AIDS) combined with pneumocystis carinii pneumonia(PCP) and AIDS with tuberculosis(TB). Methods: The CT images of 16 cases of AIDS combined with PCP and 36 cases of AIDS combined with TB were analyzed retrospectively. Results: PCP patients with AIDS all showed two pulmonary multilobed lesions, with the distribution of central or pulmonary hilum symmetry.TB patients with AIDS mainly involved multiple lobes of both lungs, with non tuberculous predilection sites. There were significant differences in CT findings such as ground glass shadow, grid/stripe shadow, nodule shadow, mediastinal lymph node enlargement and pleural thickening(P<0.05), in which the ground glass shadow and grid/stripe shadow in group PCP were more than those in group TB, while the multiple nodules, mediastinal lymph node enlargement and pleural thickening in group TB were more than those in group PCP. Conclusion: The CT manifestations of AIDS with PCP and AIDS with TB have certain specificity, which is helpful for CT diagnosis and differential diagnosis.
岳炫彤1，邬颖华2，王 涛1，张荣萍1，周朝鑫1，汪 悦2，杨 阳2. 艾滋病合并卡氏肺孢子虫肺炎与其合并肺结核的CT诊断[J]. 中国临床医学影像杂志, 2018, 29(10): 696-698.
YUE Xuan-tong1, WU Ying-hua2, WANG Tao1, ZHANG Rong-ping1, ZHOU Chao-xin1, WANG Yue2, YANG Yang2. CT diagnosis of AIDS combined with pneumocystis carinii pneumonia and AIDS with tuberculosis. JOURNAL OF CHINA MEDICAL IMAGING, 2018, 29(10): 696-698.
