Aspiration pneumonia CT scan: Difference between revisions
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*A chest [[Computed tomography|CT]] could be useful when a [[Chest X-ray|chest x-ray]] has inconclusive signs of pneumonia but the clinical manifestation suggest pneumonia. | *A chest [[Computed tomography|CT]] could be useful when a [[Chest X-ray|chest x-ray]] has inconclusive signs of pneumonia but the clinical manifestation suggest pneumonia.<ref name="DiBardinoWunderink2015">{{cite journal|last1=DiBardino|first1=David M.|last2=Wunderink|first2=Richard G.|title=Aspiration pneumonia: A review of modern trends|journal=Journal of Critical Care|volume=30|issue=1|year=2015|pages=40–48|issn=08839441|doi=10.1016/j.jcrc.2014.07.011}}</ref><ref name="TaylorFleming2013">{{cite journal|last1=Taylor|first1=Joanne K.|last2=Fleming|first2=Gillian B.|last3=Singanayagam|first3=Aran|last4=Hill|first4=Adam T.|last5=Chalmers|first5=James D.|title=Risk Factors for Aspiration in Community-acquired Pneumonia: Analysis of a Hospitalized UK Cohort|journal=The American Journal of Medicine|volume=126|issue=11|year=2013|pages=995–1001|issn=00029343|doi=10.1016/j.amjmed.2013.07.012}}</ref><ref name="HuLee2015">{{cite journal|last1=Hu|first1=Xiaowen|last2=Lee|first2=Joyce S.|last3=Pianosi|first3=Paolo T.|last4=Ryu|first4=Jay H.|title=Aspiration-Related Pulmonary Syndromes|journal=Chest|volume=147|issue=3|year=2015|pages=815–823|issn=00123692|doi=10.1378/chest.14-1049}}</ref><ref name="DiBardinoWunderink2015">{{cite journal|last1=DiBardino|first1=David M.|last2=Wunderink|first2=Richard G.|title=Aspiration pneumonia: A review of modern trends|journal=Journal of Critical Care|volume=30|issue=1|year=2015|pages=40–48|issn=08839441|doi=10.1016/j.jcrc.2014.07.011}}</ref><ref name="LanspaJones2013">{{cite journal|last1=Lanspa|first1=Michael J.|last2=Jones|first2=Barbara E.|last3=Brown|first3=Samuel M.|last4=Dean|first4=Nathan C.|title=Mortality, morbidity, and disease severity of patients with aspiration pneumonia|journal=Journal of Hospital Medicine|volume=8|issue=2|year=2013|pages=83–90|issn=15535592|doi=10.1002/jhm.1996}}</ref><ref name="LanspaJones20132">{{cite journal|last1=Lanspa|first1=Michael J.|last2=Jones|first2=Barbara E.|last3=Brown|first3=Samuel M.|last4=Dean|first4=Nathan C.|title=Mortality, morbidity, and disease severity of patients with aspiration pneumonia|journal=Journal of Hospital Medicine|volume=8|issue=2|year=2013|pages=83–90|issn=15535592|doi=10.1002/jhm.1996}}</ref><ref name="Marik20012">{{cite journal|last1=Marik|first1=Paul E.|title=Aspiration Pneumonitis and Aspiration Pneumonia|journal=New England Journal of Medicine|volume=344|issue=9|year=2001|pages=665–671|issn=0028-4793|doi=10.1056/NEJM200103013440908}}</ref><ref name="DiBardinoWunderink2015">{{cite journal|last1=DiBardino|first1=David M.|last2=Wunderink|first2=Richard G.|title=Aspiration pneumonia: A review of modern trends|journal=Journal of Critical Care|volume=30|issue=1|year=2015|pages=40–48|issn=08839441|doi=10.1016/j.jcrc.2014.07.011}}</ref><ref name="pmid19857224">{{cite journal| author=Japanese Respiratory Society| title=Aspiration pneumonia. | journal=Respirology | year= 2009 | volume= 14 Suppl 2 | issue= | pages= S59-64 | pmid=19857224 | doi=10.1111/j.1440-1843.2009.01578.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19857224 }}</ref><ref name="pmid23052002">{{cite journal| author=Almirall J, Cabré M, Clavé P| title=Complications of oropharyngeal dysphagia: aspiration pneumonia. | journal=Nestle Nutr Inst Workshop Ser | year= 2012 | volume= 72 | issue= | pages= 67-76 | pmid=23052002 | doi=10.1159/000339989 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23052002 }}</ref><ref name="pmid9925081">{{cite journal| author=Marik PE, Careau P| title=The role of anaerobes in patients with ventilator-associated pneumonia and aspiration pneumonia: a prospective study. | journal=Chest | year= 1999 | volume= 115 | issue= 1 | pages= 178-83 | pmid=9925081 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9925081 }}</ref><ref name="pmid23598958">{{cite journal| author=Cordier JF, Cottin V| title=Neglected evidence in idiopathic pulmonary fibrosis: from history to earlier diagnosis. | journal=Eur Respir J | year= 2013 | volume= 42 | issue= 4 | pages= 916-23 | pmid=23598958 | doi=10.1183/09031936.00027913 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23598958 }}</ref><ref name="pmid29500665">{{cite journal| author=Shi X, Zheng J, Yan T| title=Computational redesign of human respiratory syncytial virus epitope as therapeutic peptide vaccines against pediatric pneumonia. | journal=J Mol Model | year= 2018 | volume= 24 | issue= 4 | pages= 79 | pmid=29500665 | doi=10.1007/s00894-018-3613-z | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29500665 }}</ref><ref name="pmid28270104">{{cite journal| author=Shen CF, Wang SM, Ho TS, Liu CC| title=Clinical features of community acquired adenovirus pneumonia during the 2011 community outbreak in Southern Taiwan: role of host immune response. | journal=BMC Infect Dis | year= 2017 | volume= 17 | issue= 1 | pages= 196 | pmid=28270104 | doi=10.1186/s12879-017-2272-5 | pmc=5341368 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28270104 }}</ref> | ||
*[[Computed tomography|CT]] findings in pneumonia include:<ref name="Ichikado2014">{{cite journal|last1=Ichikado|first1=Kazuya|title=High-Resolution Computed Tomography Findings of Acute Respiratory Distress Syndrome, Acute Interstitial Pneumonia, and Acute Exacerbation of Idiopathic Pulmonary Fibrosis|journal=Seminars in Ultrasound, CT and MRI|volume=35|issue=1|year=2014|pages=39–46|issn=08872171|doi=10.1053/j.sult.2013.10.007}}</ref> | *[[Computed tomography|CT]] findings in pneumonia include:<ref name="Ichikado2014">{{cite journal|last1=Ichikado|first1=Kazuya|title=High-Resolution Computed Tomography Findings of Acute Respiratory Distress Syndrome, Acute Interstitial Pneumonia, and Acute Exacerbation of Idiopathic Pulmonary Fibrosis|journal=Seminars in Ultrasound, CT and MRI|volume=35|issue=1|year=2014|pages=39–46|issn=08872171|doi=10.1053/j.sult.2013.10.007}}</ref> | ||
**Airspace [[Consolidation (medicine)|consolidation]] | **Airspace [[Consolidation (medicine)|consolidation]] | ||
Revision as of 16:47, 3 April 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]
Overview
A chest CT scan might be used in patients with aspiration pneumonia if a chest x-ray is not conclusive. CT findings may include lobar consolidation, ground-glass opacities, bronchiectasis, atelectasis, pleural effusion, and consolidation.
CT
- A chest CT could be useful when a chest x-ray has inconclusive signs of pneumonia but the clinical manifestation suggest pneumonia.[1][2][3][1][4][5][6][1][7][8][9][10][11][12]
- CT findings in pneumonia include:[13]
- Airspace consolidation
- Ground-glass opacities
- Pleural effusion
- Bronchiectasis
- atelectasis
- A chest CT can also help to assess reasons for therapy failure and complications, such as lung abscess, and pleural effusions.
References
- ↑ 1.0 1.1 1.2 DiBardino, David M.; Wunderink, Richard G. (2015). "Aspiration pneumonia: A review of modern trends". Journal of Critical Care. 30 (1): 40–48. doi:10.1016/j.jcrc.2014.07.011. ISSN 0883-9441.
- ↑ Taylor, Joanne K.; Fleming, Gillian B.; Singanayagam, Aran; Hill, Adam T.; Chalmers, James D. (2013). "Risk Factors for Aspiration in Community-acquired Pneumonia: Analysis of a Hospitalized UK Cohort". The American Journal of Medicine. 126 (11): 995–1001. doi:10.1016/j.amjmed.2013.07.012. ISSN 0002-9343.
- ↑ Hu, Xiaowen; Lee, Joyce S.; Pianosi, Paolo T.; Ryu, Jay H. (2015). "Aspiration-Related Pulmonary Syndromes". Chest. 147 (3): 815–823. doi:10.1378/chest.14-1049. ISSN 0012-3692.
- ↑ Lanspa, Michael J.; Jones, Barbara E.; Brown, Samuel M.; Dean, Nathan C. (2013). "Mortality, morbidity, and disease severity of patients with aspiration pneumonia". Journal of Hospital Medicine. 8 (2): 83–90. doi:10.1002/jhm.1996. ISSN 1553-5592.
- ↑ Lanspa, Michael J.; Jones, Barbara E.; Brown, Samuel M.; Dean, Nathan C. (2013). "Mortality, morbidity, and disease severity of patients with aspiration pneumonia". Journal of Hospital Medicine. 8 (2): 83–90. doi:10.1002/jhm.1996. ISSN 1553-5592.
- ↑ Marik, Paul E. (2001). "Aspiration Pneumonitis and Aspiration Pneumonia". New England Journal of Medicine. 344 (9): 665–671. doi:10.1056/NEJM200103013440908. ISSN 0028-4793.
- ↑ Japanese Respiratory Society (2009). "Aspiration pneumonia". Respirology. 14 Suppl 2: S59–64. doi:10.1111/j.1440-1843.2009.01578.x. PMID 19857224.
- ↑ Almirall J, Cabré M, Clavé P (2012). "Complications of oropharyngeal dysphagia: aspiration pneumonia". Nestle Nutr Inst Workshop Ser. 72: 67–76. doi:10.1159/000339989. PMID 23052002.
- ↑ Marik PE, Careau P (1999). "The role of anaerobes in patients with ventilator-associated pneumonia and aspiration pneumonia: a prospective study". Chest. 115 (1): 178–83. PMID 9925081.
- ↑ Cordier JF, Cottin V (2013). "Neglected evidence in idiopathic pulmonary fibrosis: from history to earlier diagnosis". Eur Respir J. 42 (4): 916–23. doi:10.1183/09031936.00027913. PMID 23598958.
- ↑ Shi X, Zheng J, Yan T (2018). "Computational redesign of human respiratory syncytial virus epitope as therapeutic peptide vaccines against pediatric pneumonia". J Mol Model. 24 (4): 79. doi:10.1007/s00894-018-3613-z. PMID 29500665.
- ↑ Shen CF, Wang SM, Ho TS, Liu CC (2017). "Clinical features of community acquired adenovirus pneumonia during the 2011 community outbreak in Southern Taiwan: role of host immune response". BMC Infect Dis. 17 (1): 196. doi:10.1186/s12879-017-2272-5. PMC 5341368. PMID 28270104.
- ↑ Ichikado, Kazuya (2014). "High-Resolution Computed Tomography Findings of Acute Respiratory Distress Syndrome, Acute Interstitial Pneumonia, and Acute Exacerbation of Idiopathic Pulmonary Fibrosis". Seminars in Ultrasound, CT and MRI. 35 (1): 39–46. doi:10.1053/j.sult.2013.10.007. ISSN 0887-2171.