Roentgenology of sporotrichosis.

C Comstock, A H Wolson
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引用次数: 26

Abstract

Localized cutaneous as well as unifocal and multifocal systemic sporotrichosis may all produce roentgenographic findings. Localized cutaneous nodules may occasionally extend to the bone below producing a locally erosive lesion similar to those more commonly found in blastomycosis. More frequently, sporotrichosis involves the joints, either alone or with accompanying skin nodules. The joint changes are those of a pyogenic arthritis of the knees, elbows, hands, or feet which is difficult to distinguish from pyarthrosis produced by other organisms. The pulmonary findings depend upon whether or not the lung is the only site of infection. If there are no other areas of involvement, the pulmonary findings may be indistinguishable from those of secondary tuberculosis. However, if the skin on joints are also involved, small nodules appear and apparently do not proceed to cavitation.

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孢子虫病的x线学。
局部皮肤以及单灶和多灶系统性孢子虫病都可能产生x线检查结果。局部皮肤结节偶尔会延伸到下面的骨骼,产生局部糜烂性病变,类似于在芽菌病中更常见的病变。更常见的是,孢子菌病累及关节,要么单独累及,要么伴发皮肤结节。关节变化是膝关节、肘部、手或脚的化脓性关节炎,很难与其他生物产生的化脓性关节炎区分开来。肺部的表现取决于肺部是否是唯一的感染部位。如果没有其他部位受累,肺部的表现可能与继发性肺结核难以区分。然而,如果关节上的皮肤也受到影响,就会出现小结节,显然不会出现空化。
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