Imaging features of fungal pneumonia in haematopoietic stem cell transplant patients

Jonathan W Revels; Shaimaa A Fadl; Sherry S Wang; Heta Ladumor; Haodong Xu; Gregory Kicska

doi:10.5114/pjr.2021.107057

Imaging features of fungal pneumonia in haematopoietic stem cell transplant patients

Pol J Radiol. 2021 Jun 7:86:e335-e343. doi: 10.5114/pjr.2021.107057. eCollection 2021.

Authors

Jonathan W Revels¹, Shaimaa A Fadl², Sherry S Wang³, Heta Ladumor⁴, Haodong Xu⁵, Gregory Kicska⁵

Affiliations

¹ Department of Radiology, University of New Mexico, MSC 10 5530, 1 University of New Mexico, Albuquerque, NM, USA.
² Department of Radiology, Virginia Commonwealth University, West Hospital, Richmond, VA, USA.
³ Department of Radiology and Imaging Sciences, University of Utah, Salt Lake City, UT, USA.
⁴ Weill Cornell Medicine - Qatar, Qatar Foundation - Education City, Doha, Qatar.
⁵ Department of Radiology, University of Washington Medical Center, Seattle, WA, USA.

Abstract

Patients who have received haematopoietic stem cell transplantation (HSCT) have a high rate of pulmonary complications, and in this immunosuppressed population, fungal pneumonia is of great concern. Fungal pneumonia can have a similar appearance to non-infectious pulmonary processes in HSCT patients, and radiologists should be familiar with the subtle features that may help to differentiate these disease entities. The focus of this article is on the diagnosis of fungal pneumonia in HSCT patients with an emphasis on radiologists' roles in establishing the diagnosis of fungal pneumonia and the guidance of clinical management.

Keywords: CT; fungal; haematopoietic stem cell transplant; infection; radiology.

Publication types

Review