Endemic mycoses in children in North America: a review of radiologic findings

被引:1
|
作者
Campbell, Abraham. P. P. [1 ]
Qiu, Lisa [1 ]
Dillman, Jonathan. R. R. [1 ,2 ]
Trout, Andrew. T. T. [1 ,2 ,3 ]
Szabo, Sara [3 ,4 ]
Lopez-Nunez, Oscar. F. F. [4 ]
Pugmire, Brian. S. S. [5 ]
Schapiro, Andrew. H. H. [1 ,2 ]
机构
[1] Cincinnati Childrens Hosp Med Ctr, Dept Radiol, MLC 5031, 3333 Burnet Ave, Cincinnati, OH 45229 USA
[2] Univ Cincinnati, Coll Med, Dept Radiol, Cincinnati, OH 45267 USA
[3] Univ Cincinnati, Coll Med, Dept Pediat, Cincinnati, OH USA
[4] Univ Cincinnati, Coll Med, Dept Pathol & Lab Med, Cincinnati, OH USA
[5] Rady Childrens Hosp San Diego, Dept Radiol, San Diego, CA USA
关键词
Blastomycosis; Children; Coccidioidomycosis; Endemic fungal infection; Histoplasmosis; Imaging; CENTRAL-NERVOUS-SYSTEM; DISSEMINATED HISTOPLASMOSIS; PULMONARY BLASTOMYCOSIS; FIBROSING MEDIASTINITIS; RESPIRATORY-DISTRESS; SURGICAL PATHOLOGY; FUNGAL-INFECTIONS; IMAGING FEATURES; INVASIVE FUNGAL; DIAGNOSIS;
D O I
10.1007/s00247-023-05636-3
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Clinically significant endemic mycoses (fungal infections) in the United States (U.S.) include Blastomyces dermatitidis, Histoplasma capsulatum, and Coccidioides immitis/posadasii. While the majority of infections go clinically unnoticed, symptomatic disease can occur in immunocompromised or hospitalized patients, and occasionally in immune-competent individuals. Clinical manifestations vary widely and their diagnosis may require fungal culture, making the rapid diagnosis a challenge. Imaging can be helpful in making a clinical diagnosis prior to laboratory confirmation, as well as assist in characterizing disease extent and severity. In this review, we discuss the three major endemic fungal infections that occur in the U.S., including mycology, epidemiology, clinical presentations, and typical imaging features with an emphasis on the pediatric population.
引用
收藏
页码:984 / 1004
页数:21
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