Review article
Ultrasound diagnostics of infectious diseases of the neck and thoracic organs
Klaudija Višković
orcid.org/0000-0002-5927-3201
; Klinika za infektivne bolesti "Dr. Fran Mihaljević", Zagreb, Hrvatska
Bruno Baršić
; Klinika za infektivne bolesti "Dr. Fran Mihaljević", Zagreb, Hrvatska
Josip Vincelj
; KB Dubrava, Zagreb, Hrvatska
Diana Miklić
; KBC "Sr. milosrdnice", Zagreb, Hrvatska
Zoran Brnić
; KB "Merkur", Zagreb, Hrvatska
Igor Čikara
; KB Dubrava, Zagreb, Hrvatska
Ika Kardum-Skelin
; KB "Merkur", Zagreb, Hrvatska
Dario Gluvačević
; Zdravstveno veleučilište, Zagreb, Hrvatska
Abstract
Ultrasound (US) remains one of the most frequently used and valuable modalities for imaging and guiding interventional procedures in the neck and thoracic infectious diseases. Indications for neck US include evaluation for a palpable neck mass, workup of neck mass discovered incidentally and screening imaging technique in patients with fever of unknown origin. Chest US is a useful tool for assessing disease activity in the peripheral lung parenchyma, chest wall, diaphragm, and mediastinum. About 50% of patients with sepsis show myocardial involvement characterized by biventricular enlargement, reduced contractility and diastolic dysfunction that should be diagnosed by US. Echocardiography has become the noninvasive imaging diagnostic procedure of choice in patients with suspected endocarditic lesions. It has proved useful not only for visualizing vegetative lesions, but also for detecting complications of endocarditis, such as perivalvular abscess and significant valvular destruction leading to regurgitation. This review discusses the US appearances of different pathologies of the neck, thorax and heart, emphasizing sonographic features associated with infectious diseases.
Keywords
Ultrasound diagnostics; soft tissue infections of the neck; reversible myocardial dysfunction; sepsis; infectious diseases of pulmonary parenchyma and pleural space; endocarditis
Hrčak ID:
98596
URI
Publication date:
30.9.2012.
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