Differential diagnosis of radiological features of parasitic lung disease
https://doi.org/10.18093/0869-0189-2016-26-4-453-458
Abstract
The aim of this study was to determine diagnostic radiological signs of atypical parasitic lung injury that could help differentiate it from tumors and inflammatory diseases. Methods. We analyzed radiological findings of 28 patients with atypical manifestations of parasitic lung diseases admitted with initial diagnosis of pneumonia, pulmonary alveolar proteinosis, idiopathic pulmonary fibrosis, lung abscess, pulmonary tuberculous, canrcinoma, or metastatic lung lesion. Results. Common imaging signs of some parasitic lung diseases were fluid-containing cysts and septal structures (echinococcosis, alveococcosis, cysticercosis), absence of bronchial injury, no or slight contrast enhancement of pathological changes on bolus contrast-enhanced CT (paragonimiasis, schistosomiasis, toxoplasmosis, pneumocystosis). Conclusion. CT-monitoring is one of the main differentiating methods in atypical manifestations of parasitic lung diseases.
About the Authors
P. M. Kotlyarov
Federal Russian Academic Radiology Center, Healthcare Ministry of Russia: 86, Profsoyuznaya str., Moscow, Russia
Russian Federation
Russian Federation
MD, Professor, the Head of Scientific Research Departmentof New Technologies Andsemioticsof Radiation Diagnosisof Organs and Systems Diseases Russian Scientific Center of Roentgenoradiology (RSCRR), Affiliation ID: 60105123; тel.: (495) 334-81-86;
E. V. Egorova
Federal Russian Academic Radiology Center, Healthcare Ministry of Russia: 86, Profsoyuznaya str., Moscow, Russia
Russian Federation
Russian Federation
PhD, Senior Researcher at Research Department of Novel Technologies and Radiological Diagnosis of Diseases, Federal Russian Academic Radiology Center, Healthcare Ministry of Russia; тel.: (495) 334 81 86
References
1. Vozianova Zh.I. Infectious and Parasitic Diseases. Kiev: Zdorov'ya, 2000; T. 1 (in Russian).
2. Kamalova K.Ts. Ultrasonic diagnosis of echinococcosis: Diss. Moscow; 2007 (in Russian).
3. Kotlyarov P.M. Radiological diagnosis of parasitic lung diseases. In: Thoracic Radiology. A Human and a Health. Saint-Petersburg; 2010: 97–103 (in Russian).
4. Kotlyarov P.M. Radiological diagnosis of parasitic lung diseases. Vestnik Rossiyskogo nauchnogo tsentra rentgenoradiologii. 2015; 15 (3). Available at: http://vestnik-rncrr.ru/vestnik/v15/papers/kotlyarov_v15.htm (in Russian).
5. Rozenshtraukh L.S. Parasitic diseases. In: Rozenshtraukh L.S., Lindenbraten L.D., Vinner M.G., eds. Clinical Radiology.1983; T. 1: 311–329 (in Russian).
6. Kharchenko V.P., Kotlyarov P.M., Shrekhsta Kh.G. et al. Radiological diagnosis of pulmonary echinococcosis. Meditsinskaya radiologiya i radiatsionnaya bezopasnost'. 2007; 52 (2): 31–36 (in Russian).
7. Shrekhsta N.K. Computed tomography in diagnosis of echinococcosis. Diss. Moscow, 2007 (in Russian).
8. Sakakibara A., Baba K., Niwa S. et. аl. Visceral larva migrans due to Ascaris suum which presented with eosinophilic pneumonia and multiple intra-hepatic lesions with severe eosinophil inltration. Intern. Med. 2002; 41 (7): 574–577.
9. Giassi K.S., Costa A.N., Apanavicius A. et al. Tomographic findings of acute pulmonary toxoplasmosis in immunocompetent patients. BMC Pulm. Med. 2014; 14:185–188.
10. Lambertucci J., Moreira R., Barbosa A. Solitary pulmonary nodule caused by Schistosoma mansoni in a patient with medullary thyroid carcinoma. Revista da Sociedade Brasileira de Medicina Tropical. 2009; 38 (6): 134–138.
11. Rodrigues G.C., Lacerda D.C., Gusmão E.S. et al. Pseudotumoral presentation of chronic pulmonary schistosomiasis without pulmonary hypertension. J. Bras. Pneumol. 2009; 35 (5): 112–115.
12. Shrechsta H.K. Radiology of hydatid disease. Katmandu: Kishor Offset Press ltd; 2006: 134.
13. Wang Jing, Xing Yan, Ren Bo et al. Alveolar echinococcosis: correlation of imaging type with PNM stage and diameter of lesions. Chinese Med. J. 2011; 124 (18): 2824–2828.
14. Won-Hyung Choi, Jong-Phil Chu, Meihua Jiang et al. Analysis of parasitic diseases diagnosed by tissue biopsy specimens at KyungHee Medical Center (1984–2005) in Seoul Korea. Korean J. Parasitol. 2010; 48 (1): 85–88.
Review
For citations:
Kotlyarov P.M., Egorova E.V. Differential diagnosis of radiological features of parasitic lung disease. PULMONOLOGIYA. 2016;26(4):453-458. (In Russ.) https://doi.org/10.18093/0869-0189-2016-26-4-453-458
Views:
2008
Email this article 