一个受感染的原生主动脉瘤继发于一个极其罕见的病原体-痤疮表皮杆菌感染的处理

Annals of vascular surgery. Brief reports and innovations Pub Date : 2025-07-11 DOI:10.1016/j.avsurg.2025.100398

Drake Giese , Buddhi P Hatharaliyadda , Tiziano Tallarita , Noora Jabeen , Yasser Almadani , Jason Beckermann , Indrani Sen

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引用次数: 0

摘要

一位76岁男性因偶然诊断为6.6 cm感染性原生主动脉瘤（INAA）而接受治疗。他报告有明显的慢性背痛；但没有感染性或炎症性动脉瘤的其他临床或影像学特征。他接受了开放性修复；主动脉组织培养对痤疮表皮杆菌阳性。痤疮（以前称为痤疮丙酸杆菌）是一种非常罕见的INAA病因，没有关于开放修复后长期结果的报道。1-4患者接受6周静脉注射头孢曲松治疗，并继续口服阿莫西林治疗慢性抑制，影像学无再感染，背部疼痛无改善。

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Management of an infected native aortic aneurysm secondary to an extremely rare pathogen - Cutibacterium acnes infection

A 76-year-old male was treated for an incidentally diagnosed 6.6 cm infective native aortic aneurysm (INAA). He reported significant chronic back pain; but had no other clinical or radiological features of an infective or inflammatory aneurysm. He underwent open repair; aortic tissue culture was positive for Cutibacterium acnes. C. Acnes (previously known as Propionibacterium acnes) is an extremely rare etiology for INAA, there are no reports of long-term outcomes after open repair.^1-4 He was treated with 6 weeks of IV ceftriaxone and remains on oral amoxicillin for chronic suppression with no reinfection on imaging and improvement in back pain.

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来源期刊

Annals of vascular surgery. Brief reports and innovations Surgery

CiteScore

0.20

自引率

0.00%

发文量

审稿时长

62 days