Mincheff Thomas V, Cooler Arthur W
Carolina Pines Regional Medical Center, Hartsville, South Carolina, USA.
Am Surg. 2008 Jan;74(1):73-5.
Infections of the major vessels can result in the formation of mycotic aneurysms, which can ultimately rupture and can be associated with a high mortality rate. Mycotic aneurysms can pose a diagnostic dilemma for the clinicians and successful treatment of this condition often requires a very high index of suspicion. We report an unusual case of a 65-year-old black female who initially presented with bacterial meningitis due to Streptococcus pneumoniae and 1 week later died from a ruptured undetected mycotic aneurysm. A similar case, in which a mycotic aneurysm initially presented with bacterial meningitis, could not be found in the literature.
大血管感染可导致感染性动脉瘤的形成，这些动脉瘤最终可能破裂，且死亡率较高。感染性动脉瘤会给临床医生带来诊断难题，而成功治疗这种病症通常需要高度的怀疑指数。我们报告了一例不同寻常的病例，一名65岁的黑人女性最初因肺炎链球菌感染患有细菌性脑膜炎，1周后死于一个未被发现的破裂感染性动脉瘤。文献中未发现类似的因感染性动脉瘤最初表现为细菌性脑膜炎的病例。
