由母鸡巴尔通体引起的肾下真菌性腹主动脉瘤1例

S. Schimansky , P.A. Naughton
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引用次数: 1

摘要

巴尔通体是一种非常罕见的真菌性动脉瘤的病因。我们描述了第一例感染主动脉瘤继发于免疫功能低下患者的亨塞巴尔通体心内膜炎。报告一名72岁女性,表现为严重的左下腹疼痛。计算机断层血管造影显示肾下真菌性动脉瘤,经食管超声心动图显示主动脉瓣植被。血清学证实存在母鸡b型心内膜炎。考虑到患者的合并症,动脉瘤通过血管内修复和抗生素治疗成功治疗。血管内支架移植是不适合开放性修复的高风险患者的真菌性动脉瘤的另一种治疗选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Case of an Infrarenal Mycotic Abdominal Aortic Aneurysm Caused by Bartonella henselae

Introduction

Bartonella spp. is a highly unusual cause of mycotic aneurysms. We describe the first case of an infected aortic aneurysm secondary to Bartonella henselae endocarditis in an immunocompromised patient.

Report

A 72-year-old woman presented with severe left lower quadrant pain. Computed tomography angiography showed an infrarenal mycotic aneurysm, and transoesophageal echocardiogram revealed aortic valve vegetation. Serology confirmed the presence of B. henselae endocarditis. Given the patient's comorbidities, the aneurysm was successfully treated by endovascular repair and antibiotic therapy.

Discussion

Endovascular stent-grafting is an alternative treatment option for mycotic aneurysms in high-risk patients who are unsuitable for open repair.

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