Source:http://linkedlifedata.com/resource/pubmed/id/12898175
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
2004-1-29
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pubmed:abstractText |
Radiologists have a special role in the management of neutropenic patients. The appropriate investigational technique, frequently targeted differential diagnosis, and the special needs of these patients, need to be understood. Early detection of a focus is the major goal in febrile neutropenic patients. As pneumonia is the most common focus, chest imaging is a special radiological task. The sensitivity of chest X-ray, especially in supine position, is known to be low; therefore, the very sensitive high-resolution CT (HRCT) became gold standard in neutropenic hosts and will probably be replaced by thin-section multislice CT (MSCT) in the near future. Costs of high-resolution CT are low in comparison to antibiotics. An infiltrate needs to be localised, so that a physician can utilise this information as a guidance for invasive procedures for further microbiological work-up. The radiological characterisation of infiltrates gives a first and rapid hint to differentiate between different sorts of infectious (typical bacterial, atypical bacterial, fungal) and non-infectious aetiologies. Follow-up investigations need careful interpretation according to disease and concomitant treatment. Due to an increased incidence of fungal infiltrates even with appropriate therapy, follow-up of an infiltrate must use further parameters in addition to lesion size. Temporary exclusion of infectious involvement of the lung with high accuracy remains of special interest for clinicians.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0938-7994
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
14
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
256-71
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:12898175-Diagnosis, Differential,
pubmed-meshheading:12898175-Early Diagnosis,
pubmed-meshheading:12898175-Follow-Up Studies,
pubmed-meshheading:12898175-Humans,
pubmed-meshheading:12898175-Neutropenia,
pubmed-meshheading:12898175-Opportunistic Infections,
pubmed-meshheading:12898175-Pneumonia,
pubmed-meshheading:12898175-Risk Factors,
pubmed-meshheading:12898175-Tomography, Spiral Computed,
pubmed-meshheading:12898175-Tomography, X-Ray Computed
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pubmed:year |
2004
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pubmed:articleTitle |
Pneumonia in neutropenic patients.
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pubmed:affiliation |
Department of Radiology, Johannes Gutenberg University, Langenbeckstrasse 1, 55131 Mainz, Germany. heussel@uni-mainz.de
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pubmed:publicationType |
Journal Article,
Review
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