エキスパートはこう考える第7回 回答

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<Key words>ブラ壁肥厚、菌球、fungus ball、 アスペルギルス症、アスペルギローマ、aspergilloma, invasive aspergillosis, semi-invasive aspergillosis, ABPA, 宿主や局所の免疫状態

<論文>

日本語のまとまった肺真菌症のPDF
国立病院機構東京病院臨床研究部長 倉島 篤行 のPDFより引用リンク
http://medical.radionikkei.jp/abbott/final/pdf/051125.pdf

Agarwal R, Gupta D, Aggarwal AN, et al.
Clinical significance of hyperattenuating mucoid impaction in allergic bronchopulmonary aspergillosis: an analysis of 155 patients.
Chest. 2007 Oct;132(4):1183-90. Epub 2007 Jul 23.
http://chestjournal.chestpubs.org/content/132/4/1183.full.pdf+html

Jeong YJ, Kim KI, Seo IJ, et al.
Eosinophilic lung diseases: a clinical, radiologic, and pathologic overview.
Radiographics. 2007 May-Jun;27(3):617-37; discussion 637-9.

Kobashi Y, Fukuda M, Yoshida K, Miyashita N, Niki Y, Oka M.
Chronic necrotizing pulmonary aspergillosis as a complication of pulmonary Mycobacterium avium complex disease.
Respirology. 2006 Nov;11(6):809-13.

Althoff Souza C, Muller NL, Marchiori E, et al.
Pulmonary invasive aspergillosis and candidiasis in immunocompromised patients: a comparative study of the high-resolution CT findings.
J Thorac Imaging. 2006 Aug;21(3):184-9.

Agarwal R, Gupta D, Aggarwal AN, et al.
Allergic bronchopulmonary aspergillosis: lessons from 126 patients attending a chest clinic in north India.
Chest. 2006 Aug;130(2):442-8.
http://chestjournal.chestpubs.org/content/130/2/442.full.pdf+html

Brodoefel H, Vogel M, Hebart H, et al.
Long-term CT follow-up in 40 non-HIV immunocompromised patients with invasive pulmonary aspergillosis: kinetics of CT morphology and correlation with clinical findings and outcome.
AJR Am J Roentgenol. 2006 Aug;187(2):404-13.
http://www.ajronline.org/cgi/reprint/187/2/404

Horger M, Hebart H, Einsele H, et al.
Initial CT manifestations of invasive pulmonary aspergillosis in 45 non-HIV immunocompromised patients: association with patient outcome?
Eur J Radiol. 2005 Sep;55(3):437-44. Epub 2005 Jan 28

Lee YR, Choi YW, Lee KJ, et al.
CT halo sign: the spectrum of pulmonary diseases.
Br J Radiol. 2005 Sep;78(933):862-5. Review.
http://bjr.birjournals.org/cgi/reprint/78/933/862

Horger M, Einsele H, Schumacher U, Wehrmann M, Hebart H, Lengerke C, Vonthein R, Claussen CD, Pfannenberg C.
Invasive pulmonary aspergillosis: frequency and meaning of the “hypodense sign” on unenhanced CT.
Br J Radiol. 2005 Aug;78(932):697-703.
http://bjr.birjournals.org/cgi/reprint/78/932/697

Sonnet S, Buitrago-Tellez CH, Tamm M, et al.
Direct detection of angioinvasive pulmonary aspergillosis in immunosuppressed patients: preliminary results with high-resolution 16-MDCT angiography.
AJR Am J Roentgenol. 2005 Mar;184(3):746-51.
http://www.ajronline.org/cgi/reprint/184/3/746

Andreu J, Caceres J, Pallisa E, et al.
Radiological manifestations of pulmonary tuberculosis.
Eur J Radiol. 2004 Aug;51(2):139-49.

Franquet T, Gimenez A, Hidalgo A.
Imaging of opportunistic fungal infections in immunocompromised patient.
Eur J Radiol. 2004 Aug;51(2):130-8.

Buckingham SJ, Hansell DM
Aspergillus in the lung: diverse and coincident forms.
Eur Radiol. 2003 Aug;13(8):1786-800. Epub 2003 May 29.

Kang EY, Kim DH, Woo OH, et al.
Pulmonary aspergillosis in immunocompetent hosts without underlying lesions of the lung: radiologic and pathologic findings.
AJR Am J Roentgenol. 2002 Jun;178(6):1395-9.
http://www.ajronline.org/cgi/reprint/178/6/1395

Franquet T, Serrano F, Gimenez A, et al.
Necrotizing aspergillosis of large airways: CT findings in eight patients.
J Comput Assist Tomogr. 2002 May-Jun;26(3):342-5.

Kato T, Usami I, Morita H, et al.
Chronic necrotizing pulmonary aspergillosis in pneumoconiosis: clinical and radiologic findings in 10 patients.
Chest. 2002 Jan;121(1):118-27.
http://chestjournal.chestpubs.org/content/121/1/118.full.pdf+html

Soubani AO, Chandrasekar PH
The clinical spectrum of pulmonary aspergillosis.
Chest. 2002 Jun;121(6):1988-99.
http://chestjournal.chestpubs.org/content/121/6/1988.full.pdf+html

Franquet T, Muller NL, Gimenez A, et al.
Spectrum of pulmonary aspergillosis: histologic, clinical, and radiologic findings.
Radiographics. 2001 Jul-Aug;21(4):825-37. Review.
http://radiographics.rsna.org/content/21/4/825.full.pdf+html

Kim MJ, Lee KS, Kim J, et al.
Crescent sign in invasive pulmonary aspergillosis: frequency and related CT and clinical factors.
J Comput Assist Tomogr. 2001 Mar-Apr;25(2):305-10.

Aquino SL, Kee ST, Warnock ML, et al.
Pulmonary aspergillosis: imaging findings with pathologic correlation.
AJR Am J Roentgenol. 1994 Oct;163(4):811-5.
http://www.ajronline.org/cgi/reprint/163/4/811

Greene R
The pulmonary aspergilloses: three distinct entities or a spectrum of disease.
Radiology 1981 Aug;140(2):527-30.

Klein DL, Gamus G
Thoracic manifestations of aspergillosis.
AJR Am J Roentgneol. 1980 Mar;134(3):543-52.
http://www.ajronline.org/cgi/reprint/134/3/543
単純写真のみをまとめたレビュー論文

内科系論文
Bulpa P, Dive A, Sibille Y.
Invasive pulmonary aspergillosis in patients with chronic obstructive pulmonary disease.
Eur Respir J. 2007 Oct;30(4):782-800.
http://erj.ersjournals.com/cgi/reprint/30/4/782

Muquim A, Dial S, Menzies D.
Invasive aspergillosis in patients with chronic obstructive pulmonary diseases.
Can Respir J. 2005 May-Jun;12(4):199-204.
http://www.ncbi.nlm.nih.gov/sites/pubmed  右上のFull text article pulsus をクリックした後、さらに PDF/Free をクリックするとPDFが入手可能

 

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1 年前の胸部単純写真1 年前の胸部単純写真 1 年前の胸部 CT1 年前の胸部 CT
今回の胸部単純写真初回今回の胸部単純写真初回 今回の胸部単純写真左上肺野拡大今回の胸部単純写真左上肺野拡大
今回の胸部単純写真左下肺野今回の胸部単純写真左下肺野 今回の CT1今回の CT1
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今回の CT 矢状断今回の CT 矢状断

第6回(その2) 単純写真とCTの問題(難易度易)

臨床症状:84才 男性 咳。 診断は?

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第五回(その2) 単純写真とCTの問題(難易度易)

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エキスパートはこう考える第四回 CTの問題

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エキスパートはこう考える 第三回 臨床症状:20代 男性 乾性咳持続

単純写真とCTの問題(難易度易)

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