Whitfield C G, Lonsdale R J, Rahbour G, Parsons H, Dodd P D
Sheffield Vascular Institute, Northern General Hospital, Sheffield, UK.
Eur J Vasc Endovasc Surg. 2008 Jul;36(1):28-30. doi: 10.1016/j.ejvs.2008.01.020. Epub 2008 Mar 19.
Infective abdominal aortic aneurysms due to Haemophilus influenza are rarely reported. We report a case in a 65 year old female presenting with abdominal pain, weight loss, pyrexia and elevated inflammatory markers. The patient was found to have an abdominal aortic aneurysm clinically and on CT scanning. At surgery, an inflammatory aneurysm was successfully repaired using an autogenous vein panel-graft. Tissue samples were analysed using the polymerase chain reaction, identifying H. influenza as the causative organism. H. influenza is a scarcely reported cause of infective aortic aneurysms. The mechanism of infection is unknown. Reference is made to existing reports of such infection.
由流感嗜血杆菌引起的感染性腹主动脉瘤鲜有报道。我们报告一例65岁女性病例,该患者表现为腹痛、体重减轻、发热及炎症标志物升高。临床检查及CT扫描发现该患者患有腹主动脉瘤。手术中,使用自体静脉补片成功修复了炎性动脉瘤。通过聚合酶链反应对组织样本进行分析,确定流感嗜血杆菌为致病微生物。流感嗜血杆菌是感染性主动脉瘤的一种罕见病因。感染机制尚不清楚。文中参考了此类感染的现有报告。