肺部感染影像学和病理

1、会计学1肺部感染影像学和病理肺部感染影像学和病理第1页/共58页第2页/共58页第3页/共58页第4页/共58页第5页/共58页第6页/共58页第7页/共58页第8页/共58页Chest radiograph shows areas of consolidation in the right upper and left lower lobes. The patient was a 23-year-old man With bronchopneumonia 第9页/共58页第10页/共58页第11页/共58页第12页/共58页Bulging fissure sign. Posteroanter

2、ior chest radiograph shows dense right upper lobe airspace consolidation with downward bulging of the minor fissure. The patient was a 66-year-old man with pneumococcal pneumonia. 第13页/共58页第14页/共58页 病原菌：金葡菌（儿童），PCP（免疫抑制的成人） 特点：薄壁含气空洞，数天或周内扩大，可导致气胸，数周或数月吸收第15页/共58页第16页/共58页image (A) shows two vessels

3、 apparently coursing into a nodule (feeding vessel sign ）image (B) demonstrates that the only vessel in close contact with the nodule is a draining vein (arrow). 第17页/共58页第18页/共58页第19页/共58页第20页/共58页第21页/共58页第22页/共58页第23页/共58页第24页/共58页第25页/共58页第26页/共58页第27页/共58页第28页/共58页第29页/共58页Bronchopneumonia due

4、to Staphylococcus aureus. Chest radiograph shows bilateral poorly defined nodular opacities and patchy areas of consolidation. Also noted is a central venous line. The patient was a 70-year-old man with MRSA pneumonia. 第30页/共58页Empyema due to Staphylococcus aureus. The patient was a 44-year-old man

5、and an intravenous drug user. He had no radiologic evidence of septic embolism. 第31页/共58页Septic embolism due to Staphylococcus aureus . The patient was a 43-year-old man with positive blood cultures for Staphylococcus aureus. 第32页/共58页第33页/共58页Autopsied lung with severe pneumonia in a patient with d

6、egenerative neuronal Disorder。Numerous large and long pathogens are dispersed within the edematous alveolar space. The pathogens are not phagocytized by neutrophils (HE, low power).第34页/共58页Lobar pneumonia due to Klebsiella pneumoniae. The patient was a 73-year-old woman with K. pneumoniae pneumonia

7、. 第35页/共58页Klebsiella pneumoniae pneumonia and abscess formation 。The patient was a 53-year-old man .C ,D(3 days later)第36页/共58页第37页/共58页Bronchopneumonia due to Escherichia coli .Chest radiograph shows poorly defined nodular opacities (arrows) in the right upper lobe and small bilateral foci of cons

8、olidation. 第38页/共58页第39页/共58页左上，右上:Perivascular cuffing 征，左下：美兰细菌染色。右下：痰图片染色（胶质铁染色）第40页/共58页左：胶质铁染色 右：革兰染色第41页/共58页Severe pneumonia due to Pseudomonas. 第42页/共58页第43页/共58页图左：Neonatal pneumonia caused by Haemophilus influenzae infection图右：阳性痰涂片第44页/共58页Bronchiolitis and bronchopneumonia due to Haemoph

9、ilus influenza .The patient was a 50-year-old man with H. influenza pneumonia. 第45页/共58页第46页/共58页Fatal hospital-acquired pneumonia seen in a premature infant。left）The lung is massively infiltrated by macrophages (HE) right）Numerous short rods are seen in the cytoplasm of alveolar macrophages 第47页/共5

10、8页 希门尼斯染色，巨噬细胞胞浆可见军团菌第48页/共58页Lobar pneumonia due to Legionella pneumophila. The patient was a 77-year-old man with legionella pneumonia. 第49页/共58页Mass-like consolidation due to Legionella micdadei Contrast-enhanced computed tomography (CT) scan image shows dense focal consolidation in the left uppe

11、r lobe adjacent to the aortic arch. 第50页/共58页第51页/共58页第52页/共58页第53页/共58页第54页/共58页Bulging fissure sign. Posteroanterior chest radiograph shows dense right upper lobe airspace consolidation with downward bulging of the minor fissure. The patient was a 66-year-old man with pneumococcal pneumonia. 第55页/共58页第56页/共58页Septic embolism due to Staphylococcus aureus . The patient was a 43-year-old man with