Comparison of clinical and radiological features of pneumocystis pneumonia between malignancy cases and acquired immunodeficiency syndrome cases: A multicenter study

スポンサーリンク

概要

• 論文の詳細を見る

• Background: The clinical features of pneumocystis pneumonia (PCP) differ according to the predisposing factors responsible for immunosuppression. Although PCP in patients with acquired immunodeficiency syndrome (AIDS) has been extensively described, its characteristics in non-AIDS patients, such as those with malignancies, are not thoroughly documented. Study objective: To characterize and compare the clinical and imaging features of PCP in patients with malignancies with those in AIDS patients. Design: A multi-center retrospective study. Patients and Measurements: We evaluated the clinical and radiological features of PCP in 21 patients with malignancies and in 17 with AIDS. Clinical presentation, serum markers, oxygenation, CT findings, and outcome were examined. Results: The patients with malignancies showed shorter durations of symptoms before PCP was diagnosed. The levels of serum markers and the oxygenation index did not differ. CT showed diffuse or widespread ground-glass opacity (GGO) in all of the patients evaluated. None of the AIDS patients demonstrated consolidation, whereas half of the patients with malignancy showed consolidation along with GGO. The extent of GGO scored on CT images was significantly greater in the AIDS patients. No correlation was observed between the CT findings and other clinical parameters. All of the AIDS patients recovered from PCP, whereas six patients with malignancies died within a month after the onset of PCP. Conclusion: The characteristics of the CT images differed between the patient groups with different underlying disorders, although it remains to be determined whether CT findings are associated with other clinical features or are predictive of the outcome of PCP. © 2010 The Japanese Society of Internal Medicine.

著者

• Yasui Masahide

  Respiratory Medicine Cellular Transplantation Biology Kanazawa University Graduate School Of Medicin

• JOHKOH TAKESHI

  Department of Medical Physics, Osaka University Graduate School of Medicine

• Tateda Kazuhiro

  Department Of Microbiology And Infectious Disease Toho University School Of Medicine

• Goto Hajime

  Department of Respiratory Medicine, Kyorin University School of Medicine

• Sakai Fumikazu

  Department of Diagnostic Radiology, Saitama International Medical Center, Saitama Medical University

• Tokuda Hitoshi

  Department Of Internal Medicine Social Insurance Central General Hospital

• Kikuchi Yoshimi

  Division Of Aids Research Center International Medical Center Of Japan

• Ohta Hiromitsu

  Department Of Mechanical Engineering National Fishery University

• Tasaka Sadatomo

  Division Of Pulmonary Medicine Department Of Medicine Keio University School Of Medicine

• Fujii Takeshi

  Department Of Applied Biological Science Faculty Of Science And Technology Science University Of Tok

• Araoka Hideki

  Department Of Infectious Diseases Toranomon Hospital

• Johkoh Takeshi

  Department of Radiology, Kinki Central Hospital

• Yasui Masahide

  Division of Respiratory Medicine, Kanazawa Municipal Hospital

• Ohmagari Norio

  Division of Infectious Diseases, Shizuoka Cancer Center

• Goto Hajime

  AIDS Clinical Center, International Medical Center of Japan

• Inuzuka Kanako

  Department of Respiratory Medicine, Kyorin University School of Medicine

• SAKAI Fumikazu

  Department of Diagnostic Radiology, International Medical Center, Saitama Medical University

• Johkoh Takeshi

  Department of Diagnostic and Interventional Radiology, Osaka University Graduate School of Medicine

関連論文

• Involvement of endotoxin in the mortality of mice with gut-derived sepsis due to methicillin-resistant Staphylococcus aureus
• Increased macrophage colony-stimulating factor levels in patients with Graves' disease
• Mycophenolate mofetil is effective and well tolerated in the treatment of refractory acute and chronic graft-versus-host disease
• Effect of Combined Therapy of Danaparoid Sodium and Tranexamic Acid on Chronic Disseminated Intravascular Coagulation Associated With Abdominal Aortic Aneurysm
• ポリグルタミン病SCA1責任遺伝子の多型解析
• ヒト臍帯中重金属濃度の経年的比較マンガン・クロム・銅
• ヒト臍帯中重金属濃度の経年的比較 : 総水銀・カドミウム・鉛
• 4.日本人臓器重量の正常標準値 : 2.脳, 脾臓および膵臓
• Computational Flow Dynamics in Abdominal Aortic Aneurysm Using Multislice Computed Tomography
• Evaluation of Coronary Artery Bypass Grafts Using Multidetector-row CT with Japanese Patients
• Voxel Dimensions Required for Micromorphologic Evaluation of Ground-glass Opacity on Lung High-resolution CT
• PACS for Multi-slice CT : Seamless Integration Implementing 3D and 4D Workstations
• Evaluation of Major Aortopulmonary Collateral Arteries (MAPCAs) Using Three-dimensional CT Angiography : Two Case Reports
• Real-time Estimation System for Mean Glandular Dose in Mammography
• Coronal Multiplanar Reconstruction View from Whole Lune Thin-section CT by Multidetector-row CT : Determination of Malignant or Benign Lesions and Differential Diagnosis in 68 Cases of Solitary Pulmonary Nodule
• Coronal Multiplanar Reconstruction View from Isotropic Voxel Data Sets Obtained with Multidetector-row CT : Assessment of Detection and Size of Mediastinal and Hilar Lymph Nodes
• Technical Application of Three-dimensional Visualization and Measurement for Breast Cancer Using Multidetector-row CT Scanner
• Evaluation of Compressed Lung CT Image Quality Using Quantitative Analysis
• Evaluation of Image Quality and Spatial Resolution of Low-dose High-pitch Multidetector-row Helical High-resolution CT in 11 Autopsy Lungs and a Wire Phantom
• Pitfalls in the Interpretation of Multidetector-row Helical CT Images at Window Width and Level Setting for Lung Parenchyma
• Sputum Eosinophilia, Airway Hyperresponsiveness and Airway Narrowing in Young Adults with Former Asthma
• Eosinophilic pneumonia (EP) associated with rheumatoid arthritis in which drug-induced eosinophilic pneumonia could be ruled out
• Eosinophilic pneumonia and thoracic metastases as an initial manifestation of prostatic carcinoma
• Primary pulmonary artery sarcoma detected with a pulmonary infarction
• Progression of interstitial lung disease upon overlapping of systemic sclerosis with polymyositis
• Extrinsic allergic alveolitis with eosinophil infiltration induced by 1,1,1,2-tetrafluoroethane (HFC-134a): A case report
• Acute Eosinophilic Pneumonia Following Cigarette Smoking : A Case Report Including Cigarette-Smoking Challenge Test
• Potential Activity of Carrageenan to Enhance Antibacterial Host-Defense Systems in Mice
• A Simple Technique for Performing Laparoscopic Purse-String Suturing During Circular Stapling Anastomosis
• Totally Laparoscopic Distal Gastrectomy Using the Hand-Sewn Billroth-I Anastomotic Technique : Report of a Case
• Complete Response of Highly Advanced Colon Cancer with Multiple Lymph Node Metastases to Irinotecan Combined with UFT : Report of a Case
• Design of an endoscopic solo surgery simulator for quantitative evaluation of the human-machine interface in robotic camera positioning systems
• Preoperative Concurrent Chemotherapy and Radiation Therapy Followed by Surgery for Esophageal Cancer
• Preoperative Intranasal Mupirocin Ointment Significantly Reduces Postoperative Infection with Staphylococcus aureus in Patients Undergoing Upper Gastrointestinal Surgery
• Increased Urinary Excretion of Bilirubin Metabolites in Association with Hyperbilirubinemia After Esophagectomy
• Primary Malignant Melanoma of the Esophagus Associated with Adenocarcinoma of the Lung
• Clinical and Radiological Features of Acute-Onset Diffuse Interstitial Lung Diseases in Patients with Rheumatoid Arthritis Receiving Treatment with Biological Agents: Importance of Pneumocystis Pneumonia in Japan Revealed by a Multicenter Study
• Presumption of a suspect based on the skin fragment attached the rope
• Standard weight of the normal brain, spleen and pancreas in Japanese
• Sexual discrimination on the soft X-ray findings of Japanese thyreoideal cartilages
• Changes in chromium concentration in organs of Japanese
• Changes in Chromium Concentration in Organs of Japanese
• Changes in human liver weight in forensic autopsy cases between 1962 and 1992
• Evaluation of usefulness of color digital summation radiography for solitary pulmonary nodules on chest radiographs
• Evaluation of the usefulness of color digital summation radiography in temporally sequential digital radiographs : a phantom study
• Novel Display Technique for Reference Images for Visibility of Temporal Change on Radiographs : Color Digital Summation Radiography
• Image Quality of High-resolution CT with 16-channel Multidetector-row CT : Comparison between Helical Scan and Conventional Step-shoot Scan
• Can Acute Interstitial Pneumonia Be Differentiated from Bronchiolitis Obliterans Organizing Pneumonia by High-resolution CT?
• Scintigraphic and MR Perfusion Imaging in Preoperative Evaluation for Lung Volume Reduction Surgery:Pilot Study Results
• Acute and Subacute Non-infectious Lung Diseases:Usefulness of HRCT for Evaluation of Activity Especially in Follow-up
• Visualization of Air-trapping Area Expiratory CT in Hypersensitivity Pneumonitis
• Living-donor lobar lung transplantation for broncho-bronchiolitis obliterans after allogeneic hematopoietic stem cell transplantation: does bronchiolitis obliterans recur in transplanted lungs?
• Comparison of clinical and radiological features of pneumocystis pneumonia between malignancy cases and acquired immunodeficiency syndrome cases: A multicenter study
• Preoperative assessment of thymic veins on multidetector row CT : optimization of contrast material volume
• MR imaging of thymic epithelial tumors : correlation with World Health Organization classification
• Aortic Compliance in Patients with Aortic Regurgitation : Evaluation with Magnetic Resonance Imaging
• Air Microbubbles as MR Susceptibility Contrast Agent at 1.5 Tesla
• Sepsis Caused by Food-borne Infection with Escherichia coli
• In Vitro and In Vivo Antibacterial Activities of Quinupristin-Dalfopristin, a Novel Injectable Streptogramin, against Gram-Positive Cocci and Gram-Negative Respiratory Tract Pathogens
• Role of Motility in the Endogenous Pseudomonas aeruginosa Sepsis after Burn
• Bacterial Translocation of Intestinal Pseudomonas aeruginosa in Post-Burn Infection of Mice
• 毛髪の引張強度と伸張率に関する研究
• 日本人の体内に蓄積している汚染化学物質の経年的推移について-PCB
• 日本人恥骨結合部の超軟X線像の面像処理による年齢推定
• 日本人臓器重量の正常標準値 : 1.心臓, 肝臓および腎臓
• 23.ヒト臓器・組織片の加齢的変化と年齢推定 : 1.日本人臓器重量の正常標準値
• Bronchial biopsy and sequential bronchoalveolar lavage in atopic cough: In view of the effect of histmine H_1-receptor antagonists
• Significance of Decreased Plasma D-Dimer Levels following Lipopolysaccharide-Induced Disseminated Intravascular Coagulation in Rats
• Suppression of Pseudomonas aeruginosa quorum-sensing systems by macrolides : a promising strategy or an oriental mystery?
• 3-02 Pseudomonas aeruginosa Las quorum-sensing autoinducer suppresses expression of virulence factors and biofilm formation in Legionella species(Symbiosis/Cell to cell communication,Oral presentation)
• P-534 Studies on the Regulation of the Host Immune System by Pseudomonas Quorum-Sensing Autoinducer, 3-Oxo-Dodecanoylhomoserine Lactone
• Prevalence of Chlamydophila pneumoniae among Bangladeshi children under age 5 years with acute respiratory infections
• Evaluation of a rapid antigen detection test for Neisseria gonorrhoeae in urine sediment for diagnosis of gonococcal urethritis in males
• High frequency of erythromycin A resistance and distribution of mefE and ermB genes in clinical isolates of Streptococcus pneumoniae in Japan
• Potential of macrolide antibiotics to inhibit protein synthesis of Pseudomonas aeruginosa : suppression of virulence factors and stress response
• In Vitro and In Vivo Evaluation of DU6859a, A New Fluoroquinolone, among Injectable Antibacterials Tested ageinst Clinical Isolates
• A case of pulmonary arteriovenous malformations with systemic supply
• A Case of Acute Interstitial Pneumonia Indistinguishable from Bronchiolitis Obliterans Organizing Pneumonia/Cryptogenic Organizing Pneumonaia: High-Resolution CT Findings and Pathologic Correlation
• Usefulness of High - Resolution CT for Differential Diagnosis of Multi - Focal Pulmonary Consolidation
• 最近10年間の大阪府内におけるバラバラ殺人事件
• 20.過去30年間に大阪府内で発生した土中死体隠蔽事件について
• The respiratory motion analysis of the rib using 3-D images
• The First Recognized Patient with legionella pneumophila Serogroup 9 Pneumonia in Japan
• プラスミノーゲンのDNA多型解析
• 日本人におけるプラスミノーゲンの遺伝的多型に関する研究
• Therapeutic Efficacies of Penicillin G, Cefotaxime, and Imipenem/Cilastatin against Penicillin-Resistant Pneumococcal Pneumonia in CBA/J Mice
• Hypersensitivity Pneumonitis and Bronchial Asthma Attacks Caused by Environmental Fungi
• Chronic hypersensitivity pneumonitis caused by Aspergillus complicated with pulmonary aspergilloma
• Elevated Serum SP-A Levels in Patients with Bacterial Pneumonia and with Eosinophilic Pneumonia
• Full-size Digital Storage Phosphor Chest Radiography : Effect of 4K versus 2K Matrix Size on Observer Performance in Detection of Subtle Interstitial Abnormalities
• Clinical and Radiological Features of Pneumocystis Pneumonia in Patients with Rheumatoid Arthritis, in comparison with Methotrexate Pneumonitis and Pneumocystis Pneumonia in Acquired Immunodeficiency Syndrome: A Multicenter Study
• 過去30年間に大阪府内で発生した土中死体隠蔽事件について
• Acute eosinophilic pneumonia following cigarette smoking: A case report including cigarette-smoking challenge test
• Interleukin-1 deficiency in combination with macrophage depletion increases susceptibility to Pseudomonas aeruginosa bacteremia
• Nonspecific Interstitial Pneumonia Associated with Collagen Vascular Disease: Analysis of CT Features to Distinguish the Various Types
• Development of interpretive criteria for tebipenem disk diffusion susceptibility testing with Staphylococcus spp. and Haemophilus influenzae
• Roles of Pseudomonas aeruginosa Autoinducers and their Degradation Products, Tetramic acids, in Bacterial Survival and Behavior in Ecological Niches
• Roles of Pseudomonas aeruginosa Autoinducers and their Degradation Products, Tetramic acids, in Bacterial Survival and Behavior in Ecological Niches
• Radiological features and therapeutic responses of pulmonary nontuberculous mycobacterial disease in rheumatoid arthritis patients receiving biological agents : a retrospective multicenter study in Japan
• Pulmonary sarcoidosis with usual interstitial pneumonia distributed predominantly in the lower lung fields

もっと見る 閉じる

スポンサーリンク