Klaudija Višković

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Rije~ Uredni{tvaOvaj broj Infektolo{kog glasnika posve}en je primjeni ultrazvu~ne dijagnostike u infektologiji.Ultrazvu~na dijagnostika je digitalna slikovna metoda koja je va`an dio dijagnostike infektivnih bolesti raz-li~itih organskih sustava: vrata, torakalnih organa, abdomena, urogenitalnog trakta i muskuloskeletnog sus-tava. Vaskularni ultrazvuk (obojeni i osna`eni Doppler) omogu}uje neinvazivnu detekciju popratnih mani-festacija infektivnih bolesti kao {to su hipervaskularizacija zbog upale i duboka venska tromboza.Ultrazvuk mo`e pomo}i u utvr|ivanju etiologije infektivnih bolesti, kao {to je npr. detekcija ehinokokneciste stadija CE2 i CE3 po klasifikaciji Svjetske zdravstvene organizacije. Ultrazvuk je tako|er vrlo vrijedna metoda u navo|enju kod dijagnosti~kih i terapijskih punkcija: limfnih~vorova, apscesa u parenhimatoznim organima te pleuralnih izljeva. Brojni intervencijski zahvati vr{e sepod kontrolom ultrazvuka: evakuacija apscesa i empijema, instilacija alkohola u cisti~ne tvorbe, postavlja-nje katetera u {uplje organe i krvne `ile. Ima nekoliko prednosti: relativno je jeftina i dostupna, mo`e seizvoditi uz postelju bolesnika, ne rabi ioniziraju}e zra~enje i prikazuje strukture u stvarnom vremenu.Ograni~enja ultrazvu~ne metode su kvaliteta ure|aja koji se rabi u dijagnostici i kvaliteta rada ultrasoni~ara.Moderni ultrazvu~ni ure|aji imaju razli~ite slikovne modalitete koji nam omogu}uju da vidimo detalje po-jedinih patolo{kih tvorbi, da primijenimo ultrazvu~na kontrastna sredstva i da budemo pouzdaniji u navi-gaciji kod intervencijskih zahvata. ^esto puta je ultrazvuk jedina metoda kojom postavljamo dijagnozu infektivne bolesti ili slu`i kao"probir" za upu}ivanje izabranih bolesnika na daljnju radiolo{ku dijagnostiku: kompjutoriziranu tomografi-ju (CT) i magnetnu rezonanciju (MR). Izborom autora i radova u ovom ~asopisu ` eljela bih pridonijeti informiranosti lije~nika koji se bave in-fektolo{kim bolesnicima o specifi~nim dijagnosti~kim mogu}nostima ultrazvuka u pojedinim patolo{kimstanjima. Gost urednik: dr. sc. Klaudija Vi{kovi}, dr. med.specijalist radiologije-subspecijalist ultrazvukavi{i znanstveni suradnikISSN 1331-2820UDK 616.994Infektolo{ki glasnik 32:3, 94–95 (2012)Croatian Journal of Infection 32:3, 94–95 (2012)95Infektolo{ki glasnik 32:3, 94–95 (2012)Croatian Journal of Infection 32:3, 94–95 (2012)EditorialThis special issue of Infektološki glasnik is dedicated to the topic of ultrasound diagnostics in infectiousdiseases. Ultrasound diagnostics is an important digital imaging method for establishing the diagnosis of in-fectious diseases in different organ systems: neck, thoracic organs, abdomen, urogenital tract and muscu-loskeletal system. Vascular ultrasound (color and power Doppler) enables a noninvasive detection of ac-companying manifestations of infectious diseases such as hypervascularization due to inflammation anddeep vein thrombosis.Ultrasound imaging can also help in determining infectious disease etiology, e.g. in detection ofechinococcosis cysts stages CE2 and CE3 according to the classification proposed by the World HealthOrganization.Ultrasound is also a valuable guidance method for diagnostic and therapeutic punctures: lymph nodes,abscesses in parenchymatous organs and pleural effusions. Numerous interventional procedures are per-formed under ultrasound control: abscess and empyema evacuation, alcohol instillation into cystic forma-tions, catheter insertion into hollow organs and blood vessels. There are several advantages of this method:it is relatively cheap and accessible, can be used at patients’ bedside, it does not use ionizing radiation andimages are captured in real time. The main limitations of ultrasound imaging are the quality of the deviceand skillfulness of ultrasound physician. Modern ultrasound devices have different imaging modalities thatenable us to see pathological lesions in detail, to apply ultrasound contrast media and to be more precisewhen guiding interventional procedures. Ultrasound is often the only method needed to make the diagnosis of infectious diseases or serves as a"screening method" for referring patients to further radiological examinations: computed tomography (CT)and magnetic resonance imaging (MRI). With this selection of authors and papers in this issue of Infektološki glasnik, my goal was to  informphysicians who treat infectious disease patients about specific diagnostic possibilities of ultrasound in cer-tain pathological conditions. Guest Editor: Klaudija Viškoviæ, MD, PhDspecialist in radiology-subspecialist in ultrasound senior research fellowISSN 1331-2820UDK 616.9

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