Liječnički vjesnik, Vol. 142 No. 3-4, 2020.
Review article
https://doi.org/10.26800/LV-142-3-4-16
Computed tomography of pulmonary complications of community-acquired pneumonia
Neva Coce
; Medicinski fakultet Sveučilišta u Zagrebu, Klinički bolnički centar Zagreb, Zagreb
Silvana Giljanović Jacmenović
; Medicinski fakultet Sveučilišta u Zagrebu, Klinički bolnički centar Zagreb, Zagreb
Luka Filipović-Grčić
; Medicinski fakultet Sveučilišta u Zagrebu, Klinički bolnički centar Zagreb, Zagreb
Ivana Kuhtić
; Medicinski fakultet Sveučilišta u Zagrebu, Klinički bolnički centar Zagreb, Zagreb
Abstract
Community-acquired pneumonia (CAP) is a pneumonia acquired in normal, daily life. The causes of CAP are bacteria and viruses, and the treatment is usually empiric since the pathogen is positively identified in
only 5% of the cases. Its course can vary from mild to severe and even life-threatening. Today CAP is readily diagnosed by chest radiogram. Computed tomography (CT) and transthoracic ultrasound are used as imaging methods to diagnose pulmonary complications of CAP like pleural effusion, empyema, pneumothorax, pneumatocele and lung abscess. The empyema and effusion are presented as a collection of fluid in the pleural space, and if the collection is located in the pulmonary parenchyma bounded by a thick wall, it is called an abscess. An air-filled cystic lesion of the pulmonary parenchyma is called pneumocele, which can rupture to cause pneumothorax - pathological presence of air in the pleural space. In this review article we present an image series of CT
findings of pulmonary complications of CAP in patients with lung abscess, empyema, pneumothorax, and pneumatocele with bronchogenic fistula.
Keywords
PNEUMONIA – complications; COMMUNITY-ACQUIRED INFECTIONS – complications; PNEUMOTHORAX – diagnostic imaging, etiology; CYSTS – diagnostic imaging, etiology; LUNG ABSCESS – diagnostic imaging, etiology; PLEURAL EFFUSION – diagnostic imaging, etiology; EMPYEMA – diagnostic imaging, etiology; TOMOGRAPHY, X-RAY COMPUTED
Hrčak ID:
238511
URI
Publication date:
8.6.2020.
Visits: 2.211 *