多重耐药肺炎克雷伯杆菌肺部感染临床与CT特征

新发传染病电子杂志 ›› 2018, Vol. 3 ›› Issue (4): 206-209.

多重耐药肺炎克雷伯杆菌肺部感染临床与CT特征

毛旖川, 朱静芬, 李勇刚

苏州大学附属第一医院影像科,江苏苏州 215006

收稿日期:2018-09-18 出版日期:2018-11-30 发布日期:2020-07-09
通讯作者: 李勇刚,Email：liyonggang224@163.com
基金资助:
1.国家自然科学基金面上项目（81671743）; 2.2016年江苏省高层次卫生人才“六个一工程”项目（LGY2016035）

Clinical and CT features of multi-drug resistant Klebsiella pneumoniae pulmonary infection

MAO Yi-chuan, ZHU Jing-fen, LI Yong-gang

Department of Radiology, the First Affiliated Hospital of Soochow University, Jiangsu Suzhou 215006, China

Received:2018-09-18 Online:2018-11-30 Published:2020-07-09

摘要/Abstract

摘要： 目的探讨多重耐药肺炎克雷伯杆菌肺炎的CT影像及临床特点。方法回顾性分析18例临床确诊多重耐药肺炎克雷伯杆菌肺炎患者的临床与CT资料。结果多重耐药肺炎克雷伯杆菌肺部感染好发于长时间住院、侵入性手术治疗及机械通气、免疫力低下且患有基础疾病老年人。18例病人中,胸腔积液、实变及支气管壁增厚较多见,分别为16例、12例及15例;10例患者可见磨玻璃影,9例患者存在散在分布的肺小结节;小叶间隔增厚及小叶内间隔增厚分别为6例和5例。多种影像表现可以并存,且以随机分布为主。结论多重耐药肺炎克雷伯杆菌肺部感染的临床及CT表现具有一些特点,诊断需结合临床症状及CT表现,影像学检查在确定病变的范围及定期随访方面具有一定价值。

关键词: 耐药性, 肺炎克雷伯杆菌肺炎, 医院感染, 体层摄影术/X线计算机

Abstract: Objective To investigate the CT imaging and clinical features of multidrug-resistant Klebsiella pneumonia. Methods The clinical data and CT films of 18 patients who were diagnosed as multidrug-resistant Klebsiella pneumonia were retrospectively analyzed. Results Multidrug-resistant Klebsiella pneumonia is common in the elderly with longer length of hospitalizations, mechanical ventilation, surgical intervention, lower immune functions and underlying diseases. Of the 18 cases reviewed,16 cases, 12 cases and 15 cases had pleural effusion, consolidation and bronchial wall thickening, respectively. 10 cases showed ground-glass attenuation, 9 cases showed scattered pulmonary nodules, interlobular septal thickening could be seen in 6 cases and intralobular reticular opacity could be seen in 5 cases. Multiple imaging manifestations can coexist in patients and the lesions are randomly distributed. Conclusion The CT imaging and clinical features of multidrug-resistant Klebsiella pneumoniae pulmonary infection demonstrate certain characteristics. The diagnosis needs to be combined with clinical signs and CT features. The importance of imaging examination is to determine the extent of the lesions and is useful for follow-up diagnosis during treatment.

Key words: Drug resistance, Klebsiella pneumonia, Nosocomial infection, Tomography/X-ray computed

毛旖川, 朱静芬, 李勇刚. 多重耐药肺炎克雷伯杆菌肺部感染临床与CT特征[J]. 新发传染病电子杂志, 2018, 3(4): 206-209.

MAO Yi-chuan, ZHU Jing-fen, LI Yong-gang. Clinical and CT features of multi-drug resistant Klebsiella pneumoniae pulmonary infection[J]. Electronic Journal of Emerging Infectious Diseases, 2018, 3(4): 206-209.

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