Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Pneumonia in febrile neutropenic patients: radiologic diagnosis
Autore:
Maschmeyer, G;
Indirizzi:
Humboldt Univ, Univ Hosp, Charite, Robert Roessle Canc Ctr, D-13125 Berlin, Germany Humboldt Univ Berlin Germany D-13125 e Canc Ctr, D-13125 Berlin, Germany
Titolo Testata:
CURRENT OPINION IN ONCOLOGY
fascicolo: 4, volume: 13, anno: 2001,
pagine: 229 - 235
SICI:
1040-8746(200107)13:4<229:PIFNPR>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
INVASIVE PULMONARY ASPERGILLOSIS; RESOLUTION COMPUTED-TOMOGRAPHY; ALLOGENEIC BMT RECIPIENTS; IMMUNOCOMPROMISED PATIENTS; HEMATOLOGIC MALIGNANCIES; FUNGAL-INFECTIONS; CHEST RADIOGRAPHY; BONE-MARROW; CT; MANAGEMENT;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
40
Recensione:
Indirizzi per estratti:
Indirizzo: Maschmeyer, G Humboldt Univ, Univ Hosp, Charite, Robert Roessle Canc Ctr, Lindenberger Weg 80, D-13125 Berlin, Germany Humboldt Univ Lindenberger Weg80 Berlin Germany D-13125 ny
Citazione:
G. Maschmeyer, "Pneumonia in febrile neutropenic patients: radiologic diagnosis", CURR OPIN O, 13(4), 2001, pp. 229-235

Abstract

Pneumonia in febrile neutropenic cancer patients should be diagnosed as early as possible, because prompt institution of targeted therapeutic measures might be essential for their prognosis. Conventional chest radiographs frequently fail to detect lung infiltrates at an early stage, meaning that a normal chest radiograph finding must be interpreted with caution. Thoracic computed tomograph scans provide a much higher yield and are therefore recommended in patients at risk for a complicated pulmonary infection. Lung infiltrates documented by computed tomograph scans (eg, nodular infiltrates with or without a halo, ground-glass opacities, or cavitations with or without air crescent signs) open up a wide range of differential diagnoses, such as invasive pulmonary aspergillosis, other types of pneumonia, hemorrhage, infiltration by the underlying malignancy, drug toxicity, alveolar proteinosis, or acute respiratory distress syndrome. High-resolution techniques or magnetic resonance imaging may provide further details to help distinguish inflammatory processes from processes that may not require an antimicrobialintervention. Sequential nonculture-based monitoring for invasive fungal infections, using Aspergillus antigen sandwich enzyme-linked immunosorbent assay, and panfungal or Aspergillus-specific polymerase chain reaction, may add important tools in the early identification of patients who may benefitfrom systemic antifungal treatment. (C) 2001 Lippincott Williams & Wilkins, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/09/20 alle ore 02:16:30