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Computed tomography features of pulmonary nocardiosis in immunocompromised and immunocompetent patients

Computed tomography features of pulmonary nocardiosis ...

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dc.contributor.author Mehrian, Payam pl
dc.contributor.author Esfandiari, Ehsan pl
dc.contributor.author Karimi, Mohammad Ali pl
dc.contributor.author Memari, Behzad pl
dc.date.accessioned 2017-07-06T08:57:42Z
dc.date.available 2017-07-06T08:57:42Z
dc.date.issued 2015 pl
dc.identifier.issn 1733-134X pl
dc.identifier.uri http://ruj.uj.edu.pl/xmlui/handle/item/42428
dc.language eng pl
dc.rights Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska *
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode *
dc.title Computed tomography features of pulmonary nocardiosis in immunocompromised and immunocompetent patients pl
dc.type JournalArticle pl
dc.description.physical 13-17 pl
dc.description.additional Bibliogr. s. 16-17 pl
dc.abstract.en Background: Nocardiosis primarily occurs in the setting of immunocompromising conditions. However, it may also occur in immunocompetent patients. We described computed tomography features of pulmonary nocardiosis and compared immunocompetent and immunocompromised patients. Material and Methods: CT images of 25 patients (Mean age of 39.5 years; 76% male) with pulmonary nocardiosis proved by bronchoalveolar lavage or biopsy were reviewed by two experienced pulmonary radiologists and detailed findings were reported on. Fourteen patients (56%) were immunocompetent, while 44% had an underlying immunocompromising condition, including chronic granulomatous disease (CGD) (n=4), diabetes mellitus (DM) (n=2), malignancy (n=2), HIV (n=1), concomitant CGD and DM (n=1), and steroid therapy for nephrotic syndrome (n=1). Results: Most patients had bilateral involvement with no zonal predominance. Multiple pulmonary nodules (96%) were the most common CT findings, followed by consolidation (76%) and cavity (52%). Other findings included bronchiectasis (48%), pleural thickening (40%), ground glass opacity (32%), mass-like consolidation (20%), intrathoracic lymphadenopathy (16%), pleural effusion (12%), reticular infiltration (4%), and pericardial effusion (4%). There was no statistically significant difference in the CT findings of immunocompromised and immunocompetent groups. Conclusions: Pulmonary nocardiosis presents mainly as multiple pulmonary nodules, consolidations, and cavity in both immunocompromised and immunocompetent patients. However, these features are more suggestive of nocardiosis in the setting of an underling immunocompromised condition. pl
dc.subject.en immunocompetence pl
dc.subject.en immunocompromised host pl
dc.subject.en lung diseases pl
dc.subject.en fungal pl
dc.subject.en multidetector computed tomography pl
dc.subject.en nocardia infections pl
dc.description.volume 80 pl
dc.identifier.doi 10.12659/PJR.892042 pl
dc.identifier.eissn 1899-0967 pl
dc.title.journal Polish Journal of Radiology pl
dc.language.container eng pl
dc.subtype Article pl
dc.rights.original CC-BY-NC-ND; otwarte czasopismo; ostateczna wersja wydawcy; w momencie opublikowania; 0; pl


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Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska Except where otherwise noted, this item's license is described as Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska