Irreversible long-term pulmonary functional impairments after adenovirus type-7 pneumonia: assessment with xenon-133 ventilation and Tc-99-m MAA perfusion studies
Autor: | Y. Ishikawa, Kazumi Motoyama, Norihiko Kume, Kazuyoshi Suga, Naofumi Matsunaga |
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Rok vydání: | 2000 |
Předmět: |
Pathology
medicine.medical_specialty Pneumonia Viral Air trapping Isotopes of technetium Adenovirus Infections Human Technetium-99 Ventilation-Perfusion Ratio medicine Humans Radiology Nuclear Medicine and imaging Radionuclide Imaging Lung Technetium Tc 99m Aggregated Albumin Neuroradiology medicine.diagnostic_test business.industry Interventional radiology General Medicine medicine.disease respiratory tract diseases Pneumonia Child Preschool Breathing Radiopharmaceuticals medicine.symptom Tomography X-Ray Computed business Perfusion Xenon Radioisotopes |
Zdroj: | European Radiology. 10:1411-1415 |
ISSN: | 1432-1084 0938-7994 |
DOI: | 10.1007/s003300000431 |
Popis: | A 3-year-old child presented with severe type-7 adenoviral pneumonia, after the resolution of diffuse pulmonary infiltrates of the pneumonia. Xenon-133 ventilation and Tc-99-m macroaggregated albumin (MAA) perfusion studies revealed a localized airflow obstruction and matched perfusion defect, and marked air trapping in the remaining lungs, and these abnormalities were not detected and not suspected even with CT. Thereafter, in a relatively short period, the child developed persistent bronchiectatic changes and pulmonary hyperinflation throughout the lungs. However, the scintigraphic findings were not significantly changed. This is the first description of radionuclide scintigraphic findings which clearly showed an irreversible long-term functional effect of adenoviral pneumonia. |
Databáze: | OpenAIRE |
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