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One of the most serious complications of IPA is infarction pneumonia

Author:Bioplasm  UpdateTime:2019-04-20

At the early stage of IPA development (fever) radiographic examination has revealed interstitial changes in 22% of patients. In 19% of patients nidi were registered. Roentgenograms showed absence of any changes in 75% of studied patients. During studies in dynamics repeated roentgenograms of a thorax at progressing process revealed multiple nidi, foci and areas of lung tissue infiltration in 40%, 47% and 25% correspondingly. Lungs affection was ambilateral in 75% of cases. In 2 (3.6%) patients on 3-4 week IPA pathognomonic symptom was detected.

At the same time detecting of this symptom concurred with finishing of agranulemia period. It should be noted that even at application of corresponding antimycotic therapy and positive clinical dynamics, changes in lungs significantly increased after neutropaenia period was over. This condition was registered in 15 (27%) of patients. After continuous therapeutic interventions we detected decreasing of amount and intensity of changes in lungs.

Bioplasm 9d nls-semiotics of IPA varied. Table 1 shows data about various types of changes in lungs, registered in patients with neutropaenia.

He most frequently registered change of pulmonary parenchyma at IPA were nidi and foci of hyperchromogeneity (5-6 points at Fleindler’s scale) of pulmonary tissue – 75%.

Alveolar infiltration was detected in 1/3 of patients approximately.

One of the most serious complications of IPA is infarction pneumonia-pneumonia; it was registered by Bioplasm 9d nls-graphy in 7 (13%) patients. At the same time we detected areas of hyperchromogeneity of pulmonary tissue of conical form, adjoining pleura with broad side. With the same frequency hydrothorax development was revealed.

It should be notes that revealed nidi, foci and pulmonary tissue infiltration areas in majority of cases had subpleural location.

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