X-ray and CT findings of soft tissue and bone infections secondary to acquired immunodeficiency syndrome
JIANG Song-feng, LIU Jin-xin, CHEN Bi-hua, ZHANG Lie-guang, GAN Qing-xin, HUANG De-yang
Published 2011-12-10
Cite as Chin J Radiol, 2011,45(12): 1162-1165. DOI: 10.3760/cma.j.issn.1005-1201.2011.12.022
Abstract
Objective To summarize X-ray and CT findings of soft tissue and bone infections secondary to acquired immunodeficiency syndrome (AIDS).Methods The data of X-ray and CT findings of soft tissue and bone infections in 18 patients with AIDS were retrospectively collected and analyzed.Results Of 18 patients with AIDS,the CT features of soft tissue demonstrated that subcutaneous patchy high density in 1 case which considered as cellulitis,round low density lesions with ring enhancement in 6 cases which considered as soft tissue abscesses,heterogeneous density lesions with peripheral enhancement in 1 case which considered as pyomyositis.Of 18 patients with AIDS,septic arthritis was found in 4 cases involving knee lesion in 3 cases and hip lesion.In the 4 case,the X-ray films showed bony destruction in 2 cases and the CT showed bone destruction in 3 cases and arthroedema in 4 cases.Of 18 patients with AIDS,osteomyelitis was found in 9 cases of which tuberculosis was considered in 8 cases and vertebral involvement in 6 cases.In the 9 cases,the X-ray films and CT displayed bony destruction,hyperostosis,small sequestra,and intervertebral space narrowing.Of 18 patients with AIDS,costal lesions were found in 3 cases in which the CT showed expandable bony destruction.Of 18 patients with AIDS,ilium and cacroihac joint lesions were found in 1 case in which the X-ray films and CT showed bony destruction,sequestra,and joint widening.Of 18 patients with AIDS,chronic pyogenic osteomyelitis of femur was found in 1 case in which the X-ray films showed bony destruction,hyperostosis osteosclerosis,and periosteal reaction.Conclusion The X-ray and CT features of soft tissue and bone infections secondary to AIDS are characterized.The X-ray and CT are useful tools to early diagnose soft tissue and bone infections secondary to AIDS.
Key words:
Acquired immunodeficiency syndrome; Muscle; skeleton; Infection; Tomography; X-ray computed; Radiography
Contributor Information
JIANG Song-feng
Department of Radiology, Eighth People's Hospital of Guangzhou, Guangzhou 510060, China
LIU Jin-xin
Department of Radiology, Eighth People's Hospital of Guangzhou, Guangzhou 510060, China
CHEN Bi-hua
Department of Radiology, Eighth People's Hospital of Guangzhou, Guangzhou 510060, China
ZHANG Lie-guang
Department of Radiology, Eighth People's Hospital of Guangzhou, Guangzhou 510060, China
GAN Qing-xin
Department of Radiology, Eighth People's Hospital of Guangzhou, Guangzhou 510060, China
HUANG De-yang
Department of Radiology, Eighth People's Hospital of Guangzhou, Guangzhou 510060, China