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获得性免疫缺陷综合征合并免疫重建炎性综合征和中枢神经系统结核感染的MRI影像学表现

马倩 王国英 齐唐凯 施裕新

诊断学理论与实践Issue(1):27-30,4.
诊断学理论与实践Issue(1):27-30,4.DOI:10.3969/j.issn.1671-2870.2015.01.007

获得性免疫缺陷综合征合并免疫重建炎性综合征和中枢神经系统结核感染的MRI影像学表现

MRI findings of central nervous system tuberculosis and immune reconstitution inflammatory syndrome in AIDS patients

马倩 1王国英 2齐唐凯 3施裕新3

作者信息

  • 1. 南京医科大学第一附属医院放射科,江苏 南京 210029
  • 2. 上海市公共卫生临床中心放射科,上海 201508
  • 3. 上海市公共卫生临床中心放射科,上海 201508
  • 折叠

摘要

Abstract

Objective: To study the MRI findings of central nervous system (CNS) tuberculosis and immune reconsti-tution inflammatory syndrome (IRIS) in AIDS patients after highly active antiretroviral therapy (HAART). Methods: The clinical data and MRI findings of 14 AIDS patients with CNS tuberculosis and IRIS after HAART were collected and ana-lyzed retrospectively. Results:Of the 14 patients, tuberculoma at different location of brain were detected in 7 patients. The other findings were diffuse meningeal enhancement (n=6), edema around lesion (n=5), hydrocephalus (n=4), space occu-pying effect (n=2), and brain abscess (n=1). Conclusions: Tuberculoma and meningeal enhancement are the predominant MRI finding of CNS IRIS in AIDS patients, the other MRI findings are hydrocephalus, space occupying effect and brain abscess.

关键词

获得性免疫缺陷综合征/免疫重建炎性综合征/结核性脑膜炎/磁共振成像

Key words

Acquired immune deficiency syndrome/Immune reconstitution inflammatory syndrome/Tuberculosis meningitis/Magnetic resonance imaging

分类

医药卫生

引用本文复制引用

马倩,王国英,齐唐凯,施裕新..获得性免疫缺陷综合征合并免疫重建炎性综合征和中枢神经系统结核感染的MRI影像学表现[J].诊断学理论与实践,2015,(1):27-30,4.

基金项目

国家自然科学基金 ()

诊断学理论与实践

OACSTPCD

1671-2870

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