Actualización en los patrones de infecciones pulmonares en pacientes inmunocompetentes

Autores/as

  • José David Brito Araújo Hospital Universitario San Ignacio, Pontificia Universidad Javeriana https://orcid.org/0000-0003-0114-7277
  • Felipe Aluja Jaramillo Hospital Universitario San Ignacio, Pontificia Universidad Javeriana https://orcid.org/0000-0002-3093-2509
  • Alberto Latorre Pinto Hospital Universitario San Ignacio, Pontificia Universidad Javeriana
  • Liliana Arias Álvarez Hospital Universitario San Ignacio
  • Helí Rueda Chaparro Hospital Universitario San Ignacio
  • Julia Andrea Rodríguez Hospital Universitario San Ignacio

DOI:

https://doi.org/10.53903/01212095.354

Palabras clave:

Neumonía, Bronconeumonía, Pulmón, Tomografía computarizada por rayos X, Radiografía torácica

Resumen

Múltiples agentes patógenos pueden infectar el pulmón y desencadenar neumonía en pacientes inmunocompetentes. Estos agentes incluyen principalmente bacterias, pero también virus, hongos y parásitos. El reconocimiento de los patrones radiológicos en radiografías y tomografías computarizadas del tórax es crucial para identificar los patógenos causantes, así como las posibles complicaciones y optimizar la estrategia clínica del tratamiento. Una aproximación precisa facilita la administración de terapias efectivas, lo que puede mejorar significativamente el pronóstico del paciente.

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Referencias bibliográficas

Martínez-Vernaza S, McKinley E, Soto MJ, Gualtero S. Neumonía adquirida en la comunidad: una revisión narrativa. Univ Med. 2018;59(4):1-10. http://dx.doi.org/10.11144/Javeriana.umed59-4.neum.

Jain V, Vashisht R, Yilmaz G, et al. Pneumonia pathology. [Updated 2023 Jul 31]. En: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan. https://www.ncbi.nlm.nih.gov/books/NBK526116/

Franquet T, Chung JH. Imaging of pulmonary infection. En: Hodler J, Kubik-Huch R, von Schulthess G, editors. Diseases of the chest, breast, heart and vessels 2019-2022. IDKD Springer Series. Springer, Cham; 2019. https://doi.org/10.1007/978-3-030-11149-6_7.

Jokerst C. Acute respiratory illness in immunocompetent patients. American College of Radiology. 2024. https://acsearch.acr.org/docs/69446/Narrative/.

McLoud TC, Boiselle PM. Pulmonary infections in the normal host. Thoracic Radiology. 2010:80-120. https://doi.org/10.1016/B978-0-323-02790-8.00003-2.

Garg M, Prabhakar N, Gulati A, Agarwal R, Dhooria S. Spectrum of imaging findings in pulmonary infections. Part 1: Bacterial and viral. Pol J Radiol. 2019;84:e205-e213. https://doi.org/10.5114/pjr.2019.85812.

Infections of the lung and pleura. Webb WR, Higgins CB, editors. Imaging diseases of the chest. 5th ed. Philadelphia: Elsevier Saunders; 2017. p. 351–416.

Reynolds JH, McDonald G, Alton H, Gordon SB. Pneumonia in the immunocompetent patient. Br J Radiol. 2010;83:998-1009. https://doi.org/10.1259/bjr/31200593.

Felson L, Rosenberg L, Hamburger M. Roentgen findings in acute Friedlander’s pneumonia. Radiology. 1949;53:559-65.

Holmes R. Friedlander’s pneumonia. AJR Am J Roentgenol. 1956;75:728-47.

Groskin SA, Panicek DM, Ewing DK, et al. Bacterial lung abscess: a review of the radiographic and clinical features of 50 cases. J Thorac Imaging. 1991;6:62-7.

Bartlett JG, Finegold SM. Anaerobic infections of the lung and pleural space. Am Rev Respir Dis. 1974;110:56-77.

Levison ME. Anaerobic pleuropulmonary infection. Curr Opin Infect Dis. 2001;14: 187-91.

Mojon P. Oral health and respiratory infection. J Can Dent Assoc. 2002;68:340-5.

Franquet T. Imaging of pneumonia: trends and algorithms. Eur Respir J. 2001;18:196-208.

Landay MJ, Christensen EE, Bynum LJ, et al. Anaerobic pleural and pulmonary infections. AJR Am J Roentgenol. 1980;134:233-40.

Gupta R, Espinal MA, Raviglione MC. Tuberculosis as a major global health problem in the 21st century: a WHO perspective. Semin Respir Crit Care Med. 2004;25:245-53.

Dye C, Scheele S, Dolin P, et al. Consensus statement. Global burden of tuberculosis: estimated incidence, prevalence, and mortality by country. WHO Global Surveillance and Monitoring Project. JAMA. 1999;282:677-86.

Woodring JH, Vandiviere HM, Fried AM, et al. Update: the radiographic features of pulmonary tuberculosis. AJR Am J Roentgenol. 1986;146:497–506.

Baran R, Tor M, Tahaoglu K, et al. Intrathoracic tuberculous adenopathy: clinical and bronchoscopic features in 17 adults without parenchymal lesions. Chest. 1996;51:87-9.

Berger HW, Granada MG. Lower lung field tuberculosis. Chest. 1974;65:522-6.

Im JG, Itoh H, Han MC. CT of pulmonary tuberculosis. Semin Ultrasound CT MR. 1995;16(5):420-34.

Rossi SE, Franquet T, Volpacchio M, Gimenez A, Aguilar G. Tree-in-bud pattern at thinsection CT of the lungs: radiologic-pathologic overview. Radiographics. 2005;25(3):789-801.

Kendall BA, Winthrop KL. Update on the epidemiology of pulmonary nontuberculous mycobacterial infections. Semin Respir Crit Care Med. 2013;34(1):87-94.

Falkinham JO III. Nontuberculous mycobacteria in the environment. Clin Chest Med. 2002;23:529-51.

Glassroth J. Pulmonary disease due to nontuberculous mycobacteria. Chest. 2008;133:243-51.

Ellis SM, Hansell DM. Imaging of non-tuberculous (atypical) mycobacterial pulmonary infection. Clin Radiol. 2002;57:661-9.

Contreras MA, Cheung OT, Sanders DE, et al. Pulmonary infection with nontuberculous mycobacteria. Am Rev Respir Dis. 1988;137:149-52.

O’Brien RJ. The epidemiology of nontuberculous mycobacterial disease. Clin Chest Med. 1989;10:407-18.

Daltro P, Santos EN, Gasparetto TD, et al. Pulmonary infections. Pediatr Radiol. 2011;41(Suppl 1):S69-S82.

Beigelman-Aubry C, Godet C, Caumes E. Lung infections: the radiologist’s perspective. Diagn Interv Imaging. 2012;93:431-40.

Kim EA, Lee KS, Primack SL, et al. Viral pneumonias in adults: radiologic and pathologic findings. RadioGraphics. 2002;22:S137-49.

Kwee TC, Kwee RM. Chest CT in COVID-19: What the radiologist needs to know. Radiographics. 2020;40(7):1848-65.

World Health Organization. Coronavirus. 2025. https://www.who.int/healthtopics/coronavirus#tab=tab_1.

World Health Organization. Pneumonia of unknown cause: China. 2025. https://www.who.int/csr/don/05-january-2020-pneumonia-of-unkown-cause-china/en/.

World Health Organization. WHO announces COVID-19 outbreak a pandemic. 2020. http://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/news/news/2020/3/who-announces-covid-19-outbreak-a-pan-demic.

Koo HJ, Lim S, Choe J, Choi SH, Sung H, Do KH. Radiographic and CT features of viral pneumonia. Radiographics. 2018;38(3):719-39.

Severo LC, Oliveira FM, Irion K, et al. Histoplasmosis in Rio Grande do Sul, Brazil: a 21-year experience. Rev Inst Med Trop Sao Paulo. 2001;43:183-7.

Johnson P, Sarosi G. Histoplasmosis. Semin Respir Med. 1987;9:145-51.

Gurney JW, Conces DJ. Pulmonary histoplasmosis. Radiology. 1996;199:297-306.

Baum G, Schwarz J. Chronic pulmonary histoplasmosis. Am J Med. 1962;33:873-9.

Franquet T, Muller NL, Giménez A, Guembe P, de La Torre J, Bague S. Spectrum of pulmonary aspergillosis: histologic, clinical, and radiologic findings. Radiographics. 2001;21(4):825-37.

Gefter WB. The spectrum of pulmonary aspergillosis. J Thorac Imaging. 1992;7(4):56-74.

Garg M, Prabhakar N, Gulati A, Agarwal R, Dhooria S. Spectrum of imaging findings in pulmonary infections. Part 2: Fungal, mycobacterial, and parasitic. Pol J Radiol. 2019;84:e214-e223.

Prasad A, Agarwal K, Deepak D, Atwal SS. Pulmonary aspergillosis: What CT can offer before it is too late! J Clin Diagn Res. 2016;10:TE01-TE05.

Franquet T, Müller NL, Oikonomou A, Flint JD. Aspergillus infection of the airways: computed tomography and pathologic findings. J Comput Assist Tomogr. 2004;28:10-6.

Barreto MM, et al. Thoracic paracoccidioidomycosis: Radiographic and CT findings. RadioGraphics. 2012;32(1):71-84.

Funari M, Kavakama J, Shikanai-Yasuda MA, et al. Chronic pulmonary paracoccidioidomycosis (South American blastomycosis): high-resolution CT findings in 41 patients. AJR Am J Roentgenol. 1999;173(1):59-64.

do Valle AC, Guimarães RR, Lopes DJ, Capone D. Thoracic radiologic aspects in paracoccidioidomycosis [en Portugues]. Rev Inst Med Trop Sao Paulo. 1992;34(2):107-15.

Ferreira MS. Paracoccidioidomycosis. Paediatr Respir Rev. 2009;10(4):161-5.

Benard G, Kavakama J, Mendes-Giannini MJ, Kono A, Duarte AJ, Shikanai-Yasuda MA. Contribution to the natural history of paracoccidioidomycosis: identification of the primary pulmonary infection in the severe acute form of the disease-a case report. Clin Infect Dis. 2005;40(1):e1-e4.

Souza AS Jr, Gasparetto EL, Davaus T, Escuissato DL, Marchiori E. High-resolution CT findings of 77 patients with untreated pulmonary paracoccidioidomycosis. AJR Am J Roentgenol. 2006;187(5):1248-52.

Johnson RJ, Johnson JR. Paragonimiasis in Indochinese refugees. Roentgenographic findings with clinical correlations. Am Rev Respir Dis. 1983;128:534-8.

Ogakwu M, Nwokolo C. Radiological findings in pulmonary paragonimiasis as seen in Nigeria: a review based on one hundred cases. Br J Radiol. 1973;46:699-705.

Taylor CR, Swett HA. Pulmonary paragonimiasis in Laotian refugees. Radiology. 1982;143:411-2.

Shamsuzzaman SM, Hashiguchi Y. Thoracic amebiasis. Clin Chest Med. 2002;23:479-92.

Evans A, Gleeson F. Radiology in pleural disease: state of the art. Respirology. 2004;9:300-12.

Janet E. Complex diseases of the pleural space: radiographic and CT interpretation. Radiographics. 1997;17:63-79.

Kraus G. The split pleura sign. Radiology. 2007;243:297-8.

Stark DD, Federle MP, Goodman PC, Podrasky AE, Webb WR. Differentiating lung abscess and empyema: radiography and computed tomography. AJR Am J Roentgenol. 1983;141(1):163-7.

Bankier AA, MacMahon H, Colby T, Gevenois PA, Goo JM, Leung ANC, Lynch DA, Schaefer-Prokop CM, Tomiyama N, Travis WD, Verschakelen JA, White CS, Naidich DP. Fleischner Society: glossary of terms for thoracic imaging. Radiology. 2024;310(2):e232558. https://doi.org/10.1148/radiol.232558.

Quigley MJ, Fraser RS. Pulmonary pneumatocele: pathology and pathogenesis. AJR Am J Roentgenol. 1988;150(6):1275-7.

Publicado

2024-12-30

Cómo citar

(1)
Brito Araújo, J. D.; Aluja Jaramillo, F.; Latorre Pinto, A.; Arias Álvarez, L.; Rueda Chaparro, H.; Andrea Rodríguez, J. Actualización En Los Patrones De Infecciones Pulmonares En Pacientes Inmunocompetentes. Rev. colomb. radiol. 2024, 35, 6259-6272.

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