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由肠炎沙门氏菌引起的升主动脉和主动脉弓霉菌性动脉瘤。

A mycotic aneurysm of the ascending aorta and aortic arch induced by Salmonella Enteritidis.

作者信息

Schneider S, Krülls-Münch J, Knörig J

机构信息

Medizinische Klinik, Carl-Thiem-Klinikum Cottbus, Thiemstr. 111, 03048 Cottbus, Germany.

出版信息

Z Kardiol. 2004 Dec;93(12):964-7. doi: 10.1007/s00392-004-0139-4.

DOI:10.1007/s00392-004-0139-4
PMID:15599571
Abstract

In very rare cases, salmonella infection may be associated with extra-intestinal manifestations. Of these, a mycotic aneurysm represents a life-threatening complication that is characterised by a high mortality rate. Prompt treatment with a combination of antibiotic therapy and surgical intervention is urgently required. We report on the case of a 60-year-old woman who presented with salmonella bacteraemia and the rare complication of an infected aneurysm of the ascending aorta and aortic arch.

摘要

在极少数情况下,沙门氏菌感染可能与肠外表现有关。其中,霉菌性动脉瘤是一种危及生命的并发症,其特点是死亡率高。迫切需要联合抗生素治疗和手术干预进行及时治疗。我们报告了一例60岁女性病例,该患者出现沙门氏菌血症以及升主动脉和主动脉弓感染性动脉瘤这一罕见并发症。

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Unexpected source of bacteraemia.菌血症的意外来源。
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Case report of an unusual combination of purulent pericarditis and false aneurysm of the ascending aorta.一例化脓性心包炎与升主动脉假性动脉瘤罕见组合的病例报告。

本文引用的文献

1
The Gulstonian Lectures, on Malignant Endocarditis.关于恶性心内膜炎的古尔斯顿讲座
Br Med J. 1885 Mar 7;1(1262):467-70. doi: 10.1136/bmj.1.1262.467.
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Atheromatous disease of the thoracic aorta and systemic embolism. Clinical picture and therapeutic challenge.胸主动脉动脉粥样硬化疾病与系统性栓塞。临床表现及治疗挑战。
Z Kardiol. 2004 Jan;93(1):10-7. doi: 10.1007/s00392-004-1030-z.
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Extraintestinal infection by group C Salmonella: a case report and review of the literature.
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Congenital left ventricular apical aneurysm or diverticulum mimicking infarct aneurysm and a right ventricular diverticulum in an adult.成人先天性左心室心尖部动脉瘤或憩室,类似梗死性动脉瘤及右心室憩室。
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Ruptured mycotic thoracoabdominal aortic aneurysms: a report of three cases and a systematic review.破裂性霉菌性胸腹主动脉瘤:三例报告及系统评价
J Vasc Surg. 2001 Apr;33(4):861-7. doi: 10.1067/mva.2001.111977.
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The risk of vascular infection in adult patients with nontyphi Salmonella bacteremia.非伤寒沙门菌菌血症成年患者的血管感染风险
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Clin Infect Dis. 1999 Apr;28(4):822-7. doi: 10.1086/515186.
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Aortitis due to Salmonella: report of 10 cases and comprehensive review of the literature.沙门氏菌所致主动脉炎:10例报告及文献综述
Clin Infect Dis. 1999 Oct;29(4):862-8. doi: 10.1086/520450.
8
Salmonella mycotic aneurysm of the aortic arch: case report and review.主动脉弓沙门氏菌霉菌性动脉瘤:病例报告及文献复习
Clin Infect Dis. 1995 Sep;21(3):523-8. doi: 10.1093/clinids/21.3.523.
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Salmonella aortitis. A report of a successfully treated case with a comprehensive review of the literature.沙门氏菌性主动脉炎。一例成功治疗病例报告并对文献进行全面综述。
Arch Intern Med. 1993 Feb 22;153(4):517-25. doi: 10.1001/archinte.153.4.517.
10
Bacteremia due to non-typhi Salmonella: analysis of 64 cases and review.
Clin Infect Dis. 1994 Oct;19(4):693-6. doi: 10.1093/clinids/19.4.693.