Park Sang-Jun, Kim Mi-Na, Kwon Tae-Won
Department of Surgery, Ulsan University Hospital, University of Ulsan College of Medicine Ulsan, Seoul, Korea.
J Vasc Surg. 2007 Dec;46(6):1277-9. doi: 10.1016/j.jvs.2007.06.043.
This case report describes an infected aneurysm caused by Brucella abortus. To the best of our knowledge, this case represents the first reported occurrence of an infected abdominal aortic aneurysm caused by this pathogen. The clinical findings included mild fever, fatigue, cold sweats, and abdominal pain. The diagnosis was reached by computed tomography scanning. The patient was treated by urgent surgery, which consisted of resection of the aneurysmal sac, prosthetic graft replacement, and omental wrapping. Antibiotics were administrated for 3 months. A bacteriologic specimen was isolated from the blood culture. At 1 year 10 months after surgery, the patient remains in good health.
本病例报告描述了一例由流产布鲁氏菌引起的感染性动脉瘤。据我们所知，该病例是首次报道由这种病原体引起的感染性腹主动脉瘤。临床症状包括低热、乏力、盗汗和腹痛。通过计算机断层扫描做出诊断。患者接受了紧急手术治疗，包括切除动脉瘤囊、置换人工血管以及大网膜包裹。给予抗生素治疗3个月。血培养分离出细菌学标本。术后1年10个月，患者健康状况良好。
