A retrospective analysis of CT features of primary varicella pneumonia in 31 adults

doi:10.19871/j.cnki.xfcrbzz.2022.04.014

Abstract

Abstract: Objective To summarize the chest CT characteristics of primary varicella pneumonia (PVP) in adult, and to improve the medical staff's understanding of this disease. Methods Chest CT images of 31 adult patients cared at Beijing You'an Hospital, Capital Medical University between January 2013 and March 2021 with varicella pneumonia were retrospectively analyzed and collected, and the imaging features of PVP were summarized. Results All the chest CT images of 31 patients with varicella pneumonia presented pulmonary nodules with halo sign, with diameters of 2-12mm. There was no trend in the distribution of pulmonary nodules in each lobe of the lungs, which were more common near the pleura of both lungs. And nodules with halo sign were typical manifestations. The lungs of 10 patients showed patchy ground glass density, and consolidation was observed in 2 patients with a slightly more serious condition. Conclusion The CT manifestations of adult PVP are mainly ground glass opacity nodules with halo sign.

Key words: Varicella-zoster virus, Primary varicella pneumonia, Computed tomography, Diagnostic imaging

Wang Sudan, Zhang Yanyan, Wang Wei, Li Hongjun. A retrospective analysis of CT features of primary varicella pneumonia in 31 adults[J]. Electronic Journal of Emerging Infectious Diseases, 2022, 7(4): 61-64.

References

[1] WEAVER BA.Herpes zoster overview: natural history and incidence[J]. J Am Osteopath Assoc, 2009, 109(6 Suppl 2):S2-6.
[2] 高睿迪, 杨慧兰, 刘仲荣, 等. 水痘-带状疱疹病毒研究进展[J].中国麻风皮肤病杂志, 2014, 4(4):216-219.
[3] 向薇, 杨华, 方诗容, 等. 成人重症原发性水痘肺炎二例报道并文献复习[J]. 实用心脑肺血管病杂志, 2019, 27(4):117-120.
[4] 苏炜. 突破性水痘临床特征分析[J]. 中国全科医学, 2011, 14(35):4111-4113.
[5] 李兰娟,任红. 传染病学[M].9版. 北京:人民卫生出版社,2018. 85-88.
[6] GERSHON AA, BREUER J, COHEN JI, et al., Varicella zoster virus infection[J]. Nat Rev Dis Primers, 2015, 2(1):15016.
[7] 丁一, 黄汝刚. 238例水痘患者肺部影像学分析[J]. 放射学践, 2021, 36(11):1382-1385.
[8] 沈水军, 周金柱, 经齐峰, 等. 成人水痘肺炎肺部CT表现分析[J]. 浙江临床医学, 2020, 22(5):735-736.
[9] 刘占辉, 任庆云, 李若旭, 等. 成人非重症水痘病毒性肺炎薄层CT表现[J]. 中国医学影像技术, 2020, 36(8):1262-1264.
[10] 王崇军, 聂红琴, 樊青青. 水痘病毒性肺炎的MSCT特点及动态改变分析[J]. 影像研究与医学应用, 2022, 6(1):139-141.
[11] KIM JS, RYU CW, LEE SI, et al.High-resolution CT findings of varicella-zoster pneumonia[J]. AJR Am J Roentgenol, 1999,172(1):113-116.
[12] 郭庆强, 刘帆. 病毒性肺炎薄层CT影像演变特征[J]. 中国卫生标准管理, 2021, 12(24):63-67.
[13] TAGA S, NAKAMURA S, MAKITA M, et al.Adult primary varicella pneumonia: high-resolution computed tomography findings[J]. Intern Med, 2014, 53(4):331-332.
[14] 中村一野,金泽实,山口一弘, 等. 肺炎を発症した慢性関節リウマチの1例[J]. 日胸疾会誌, 1996, 34(5):610-615.
[15] 李伟, 王越. 病毒性肺炎胸部CT特点分析[J]. 中国社区医师, 2014, 30(12):105.
[16] 卢连伟, 吕欢. 多层螺旋CT在水痘性肺炎中的诊断效果及影像学特点研究[J]. 糖尿病天地, 2018, 15(6):113.
[17] MAHER TM, GUPTA NK, BURKE MM, et al.CT findings of varicella pneumonia after lung transplantation[J]. AJR Am J Roentgenol, 2007, 188(6):W557-559.
[18] 郑广平,张倩倩,谭卫国,等.非活动性肺结核合并肺曲霉菌感染的临床影像分析[J/CD]. 新发传染病电子杂志,2018,3(1):34-36,40.
[19] 漆婉玲, 夏青, 李志, 等. 结节肿块型肺隐球菌病的CT诊断及鉴别诊断[J/CD]. 新发传染病电子杂志, 2017, 2(1):35-39.