Etiology and imaging analysis of 59 patients with pulmonary fungal disease

doi:10.3969/j.issn.1674-3806.2014.12.10

Abstract：Objective To observe the etiological distribution and imaging features of pulmonary fungal dis -ease that was diagnosed by pathology in the People′s Hospital of Guangxi Zhuang Autonomous Region .Methods Fif-ty-night patients with pulmonary fungal disease were collected and analyzed in the People ′s Hospital of Guangxi Zhuang Autonomous Region from June 2004 to March 2013 .The diagnosis of all the patients was confirmed by patho-logical examination ,of lung or bronchi tissue that was obtained by bronchoscope , percutaneous lung puncture biopsy or operation.Results Of the 59 patients who were diagnosed having pulmonary fungal disease by pathology , 24 pa-tients(40.7%) suffered from pulmonary aspergillosis ,24 patients(40.7%) suffered from pulmonary cryptococcosis , 5 patients(8.5%) suffered from pulmonary mucormycosis , 4 patients(6.8%) suffered from pulmonary candidiasis , 2 patients(3.4%) suffered from histoplasmosis , 1 patients(1.7%) suffered from actinomycetes pneumonia .Imaging manifestations of chest included lung mass in 23 cases ( 39.0%) , exudative process in 23 cases ( 39.0%) , lung nodes in 8 cases(13.6%), bronchus neoplasm in 3 cases(5.1%), cavitary lesions in 1 cases(1.7%), diffuse le-sions in 1 cases(1.7%).Of the 59 patients, pulmonary fungal disease was misdiagnosed as pneumonia in 12 cases (20.3%), pulmonary tuberculosis in 7 cases(11.9%), and lung cancer in 4 cases(6.8%).Conclusion The pul-monary aspergillosis and cryptococcosis is common in pulmonary fungal disease diagnosed by pathology ,and the ima-ging manifestations of chest mainly include lung mass and exudative process .Imaging manifestations of chest of pul-monary fungal disease are multifarious and have no characteristics .Thus diagnosis should be confirmed by pathologi-cal evidence as soon as possible .