Pulmonary gangrene and the air crescent sign.
نویسنده
چکیده
BACKGROUND A study was carried out to increase familiarity with the aetiology, pathogenesis, and radiographic features that characterise pulmonary gangrene. PATIENTS Four patients with one of the disorders vasoinvasive aspergillosis, infarcted tuberculous cavity, chronic necrotising aspergillosis, and gangrene due to Pseudomonas aeruginosa were selected because they showed the variations of the typical radiographic pattern and illustrated the pathogenesis. A fifth case is also presented, in which pulmonary gangrene was simulated by the invagination of a loculated pleural effusion into the wall of a contiguous lung abscess. CONCLUSIONS Evolution of a crescent or rim of air within a homogeneous shadow is the feature that both heralds the development and facilitates the recognition of pulmonary gangrene. It is most often the result of vascular thrombosis induced by the infecting organism. The outcome of treatment is often unfavourable, principally because of the severity of the predisposing systemic or local underlying disorder, although a delay in diagnosis, possibly due to unfamiliarity with the radiographic pattern, may have contributed to the adverse outcome in some instances.
منابع مشابه
Fluid rim sign: a new ultrasonographic sign of soft tissue aspergillosis.
The air crescent sign is a well-known important diagnostic finding in invasive pulmonary aspergillosis. Herein we report a distinctive but rare ultrasonographic appearance in a patient with myositis secondary to Aspergillus flavus infection, which can be considered as the soft tissue counterpart of the air crescent sign.
متن کاملگزارش یک مورد آسپرژیلومای متعدد ریوی
Âspergilloma can be defined as a conglomeration of intertwined aspergillos hyphea matted together with fibrin, mucus and cellular debris within pulmonary cavity or ecstatic bronchus (usually cavitary tuberculosis). Âlthough most patients are asymptomatic, hemoptysis is a common symptom of pulmonary aspergilloma and results in fetal asphyxiation. Most often there is one or two aspergilloma in ...
متن کاملReply: Teratoma: another cause of the air-crescent sign.
We read with great interest the well-written article by Tseng and Chen, 1 who described the case of a 65-year-old woman who presented with hemoptysis and a cavitary lesion in the right lung with an air crescent sign and an intracavitary fungus ball-like mass. The final diagnosis was lung carcinoma. The authors highlighted the importance of cavity wall thickness for the differential diagnosis, r...
متن کاملSignificance of halo, reversed halo and air crescent signs in lymphomatoid granulomatosis and pulmonary fungal infections.
We read with interest the article by Lota et al. The authors report a case of lymphomatoid granulomatosis (LG) with an atypical CT finding of crescent sign for LG. Typically, LG patients with lung involvement can present with pulmonary infiltration and may later develop a reversed halo sign, a focal round area of ground-glass attenuation and surrounding airspace consolidation of crescent shape....
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عنوان ژورنال:
- Thorax
دوره 48 1 شماره
صفحات -
تاریخ انتشار 1993