This poster was originally presented at the ESTI 2012 meeting, June 22-24, in London/UK.
www.myESTI.org
Keywords:
Lung, Digital radiography, CT, Diagnostic procedure, Infection
Authors:
J. J. Woo, D. J. Kim, J. K. An; Seoul/KR
DOI:
10.1594/esti2012/E-0041
Materials and Methods
▣We identified 36 patients with culture-proven AB pneumonia over a 3-year period through the computerized infectious disease database . ▣Hosptial acquired pneumonia (n=28)▣Sex: Male-Female ratio 20:8▣Age : 31-94 years,
median age 72.2 years
▣Community acquired pneumonia (n=8)▣Sex: Male-Female ratio 3:5▣Age : 58-86 years,
median age 71.9 years▣We retrospectively reviewed clinical history,
initial chest radiographs and CT scans and follow-up simple radiograph imaging findings of eight patients with community-acquired AB pneumonia.▣Patterns at CT
- focal consolidation
- multifocal consolidation
- ground-glass opacity
- branching centrilobular nodular opacity
- acute lung injury
- associated pleural effusion,
L/N enlargement
▣Chest radiograph▣Bilateral patchy alveolar opacities: 5 patients▣Focal alveolar opacity: 2 patients▣Small nodular opacity: 1 patient▣Large loculated pleural effusion: 1 patient▣CT▣Bilateral multifocal consolidations: 4 patients▣Patchy ground glass opacity: 3 patients▣Patchy peribronchial small branching nodular opacities: 1 patient▣Pleural effusion: 3 patients (1 patient: pleural empyema)▣Reacive L/N enlargements: 3 patients
|
SEX
|
AGE
|
Chest Radiographs
|
CT
|
1
|
F
|
62
|
Patchy consolidation in both lung fields
|
Multifocal consolidation ,
Small nodular opacity,
Reactive mediastinal lymphadenopathy
|
2
|
F
|
58
|
Focal consolidation
|
Focal consolidation,
Pleural empyema, Reactive mediastinal lymphadenopathy
|
3
|
F
|
58
|
CASE
|
Multifocal consolidation,
Ground glass opacity
|
4
|
M
|
86
|
Focal consolidation
|
Focal consolidation,
Ground glass opacity,
Pleural effusion,
Reactive mediastinal lymphadenopathy
|
5
|
M
|
79
|
Focal consolidation
|
Focal consolidation with necrotic foci
|
6
|
F
|
78
|
Patchy small nodular opacity in both lower lung zone
|
Peribronchiolar small nodular opacity
|
7
|
F
|
70
|
Patchy consolidation and small nodular opacity
|
Multifocal consolidation,
Ground glass opacity,
Reactive mediastinal lymphadenopathy
|
8
|
F
|
84
|
Patchy consolidation and small nodular opacity
|
Consolidation,
Ground glass opacity,
Pleural effusion
|
CASE
|
SEX
|
AGE
|
CLINICAL PRESENTATION
|
UNDERLYING DISEASE
|
ANTIBIOTICS
|
Outcome
|
NOTE
|
1
|
F
|
62
|
Dyspnea,
Cough,
Sputum
|
Adrenal insufficiency,
CKD,
CHF
|
Meropenem
|
Survival
|
Allergic reaction to antibiotics
|
2
|
F
|
58
|
Cough,
Sputum,
Rt.
Chest wall pain
|
HTN
|
Ceftriaxone
|
Survival
|
|
3
|
F
|
58
|
Cough,
Fever
|
DM
|
Ceftriaxone
|
Survival
|
Co-infection with Tuberculosis
|
4
|
M
|
86
|
Fever,
Mental change
|
Complete AV block,
DM,
CKD
|
Ciprofloxacin
|
Death due to AKI
|
|
5
|
M
|
79
|
Cough,
Sputum
|
CKD,
DM,
HTN,
CVA
|
Ceftriaxone
|
Death due to septic shock
|
|
6
|
F
|
78
|
Dyspnea
|
COPD,
Asthma
|
Ceftriaxone
|
Death due to cardiogenic shock(AMI)
|
|
7
|
F
|
70
|
Dyspnea
|
COPD,
HTN
|
Tabactam
|
Death due to septic shock
|
|
8
|
F
|
84
|
Dyspnea
|
DM,
HTN
|
Tabactam
|
Death to septic shock
|
|