Akkersdijk G J, Sypkens Y, Buurke E J, Puylaert J B, de Vries A C
Afd. Heelkunde, Westeinde Ziekenhuis, Den Haag.
Ned Tijdschr Geneeskd. 1992 May 9;136(19):931-3.
Bacterial aortitis is a rare but serious condition. Even when treated surgically, the prognosis is poor. Prompt diagnosis is mandatory. In the absence of specific clinical signs, radiological assessment by means of ultrasound and CT is most valuable. The treatment of choice is early surgical drainage, debridement and arterial reconstruction, preferably through uncontaminated tissue combined with antibiotic therapy. We report the case of a man aged 80 with Salmonella aortitis in whom the diagnosis of bacterial aortitis was made by means of ultrasound and CT, following which successful intervention was carried out.
细菌性主动脉炎是一种罕见但严重的病症。即便接受手术治疗，预后也很差。迅速诊断至关重要。在缺乏特异性临床体征的情况下，借助超声和CT进行影像学评估最具价值。首选的治疗方法是早期手术引流、清创和动脉重建，最好通过未受污染的组织并结合抗生素治疗。我们报告一例80岁男性沙门氏菌性主动脉炎病例，该病例通过超声和CT诊断为细菌性主动脉炎，随后进行了成功的干预。
