Analysis of CT imaging and clinical manifestations of pulmonary infection with Schizophyllum commune

TANG Meiyan; FANG Guijiang; WU Jianhui; DENG Xinyu; ZHANG Canhui; LIANG Peng; XUE Qing

doi:10.3969/j.issn.1673-3827.2024.06.010

Abstract：Objective To study the CT imaging manifestations and clinical features of Schizophyllum commune-induced pulmonary infection,to explore its CT imaging features,to improve the accuracy of its imaging diagnosis,and to create con-ditions for early clinical diagnosis and treatment.Methods Nine patients with Schizophyllum commune-induced pulmonary infection admitted to our hospital between November 2018 and November 2023 were selected,four of them had a history of contact with rotting wood.All patients received CT plain examination of the lungs before diagnosis of Schizophyllum com-mune infection,and their lung CT imaging manifestations were retrospectively analyzed to summarize the CT imaging fea-tures of the disease.Results In addition to respiratory symptoms such as cough,sputum,asthma,etc.,chest imaging of Schizophyllum commune-induced pulmonary infection suggested solid mass shadow in the lungs,partial sputum thrombus formation,nodules,local bronchial dilatation,etc.,which should be taken into account as a possible cause of the disease,and it was crucial to actively improve bronchoscopy and pathogenicity delivery to improve the level of clinicians' understanding of the disease.Conclusion The imaging of Schizophyllum commune-induced pulmonary infection has the above common signs.According to the pulmonary CT imaging hints,early differential screening of Schizophyllum commune-induced pul-monary infection is conducive to early clinical diagnosis,and has important clinical significance for disease treatment and prognosis.