The Correlation Of MSCT Manifestations Of Pneumocystis Pneumonia And G Test In AIDS

Objective: To study the MSCT manifestations in AIDS patients complicated with pneumocystis pneumonia and the correlation with(1→3)-β-D-Glucan.Method: The clinical materials are collected in the first hospital of JILIN University from January 2013 to January 2016,(1→3)-β-D-Glucan and MSCT manifestations of 35 AIDS patients were analyzed retrospectively,in order to exclude the impact of anti-tuberculosis drugs and antiretroviral drugs,so we remove 5 cases which have been anti-TB treatment and antiretroviral treatment.Therefore,the group has 30 patients,including 29 males,1 female,and the average age of patients(44.5 ± 13.6 years).Results: Twenty-six patients(86.7%)showed(1→3)-β-D-Glucan more than 95 pg/m L,and 1 patient(3.3%)showed from 70 pg/m L to 95 pg/m L,and 3 patients(10.0%)less than70pg/m L;pneumocystis pneumonia imaging studies revealed the(1→3)-β-D-Glucan,all of the types were no difference P > 0.05.All the stages were no difference P > 0.05 too.The correlation coefficient of pneumocystis pneumonia imaging types and(1→3)-β-D-Glucan was-0.056,P = 0.770;The correlation coefficient of pneumocystis pneumonia imaging stages and(1→3)-β-D-Glucan was-0.088,P = 0.644;The correlation coefficient of pneumocystis pneumonia imaging types and stages was 0.969,P = 0.000.Conclusion: When the patients were diagnosed with AIDS,who were not recommended bronchoscopy and other invasive examinations,if their MSCT showed interstitial pneumonia and G test count prompted,patients probability combine with PCP;G test count was significantly increased in AIDS combined with PCP patients,although G test can provide serological reference value for the clinical diagnosis of PCP,but G test count has no related with imging types and stages,and can not be used as an assessment of the severity of the disease and treatment of indicators too.