Type:
Educational Exhibit
Keywords:
Respiratory system, CT-High Resolution, Diagnostic procedure, Infection
Authors:
X. G. MAVROPOULOU1, E. T. PSOMA2, A. Davidhi2, E. Lazaridou2, I. Chryssogonidis2, C. Christoforidis2, A. Dimoulas2, A. Kalogera-Fountzila2; 1THESSALONIKI, Macedonia/GR, 2THESSALONIKI/GR
DOI:
10.26044/ecr2019/C-2518
Findings and procedure details
Patients and Methods: We retrospectively studied 29 cases of invasive aspergillosis (IA) diagnosed in our hospital’s pediatric and pathologic unit between 2005-2008.
The patients were 6 children and 23 adults and presented with clinical signs of lower respiratory tract infection.
They suffered from primary neoplasms,
vasculitis,
drug use and AIDS.
One of them was a transplant recipient.
They were hospitalized in standard rooms without any air filtration system.
The patients underwent thoracic X-ray and thoracic HRCT in every case.
The diagnosis was confirmed with broncho-alveolar lavage (BAL),
biopsy or after successful antifungal therapy against aspergillus.
Their ages ranged from 3-75 years (mean 46).
The statistical analysis was made by Fisher's Exact Test.
Results: The entire imaging spectrum of aspergillosis was found with HRCT,
consisting of 1 or more focuses (nodule with a halo (halo sign) nodule with necrosis,
wedged areas of consolidation with the base to the pleura,
crescent sign,
cystic lesions and pleural fluid).
Cystic lesions were especially sizeable in children and they were accompanied by wedged areas of consolidation with the base to the pleura.