Viswanathan R, Khee T K, Chong C F
Department of Laboratory Services, RIPAS Hospital, Ministry Of Health, Bandar Seri Begawan, Brunei Darussalam.
Singapore Med J. 2008 Jul;49(7):e183-5.
A 70-year-old man with abdominal aortic aneurysm repair presented with fever accompanied by rigors and abdominal pain one month after the procedure. Radiological investigations showed a perigraft collection. The collection was drained and the abscess cavity was lavaged. Cultures of pus and blood both yielded Group D Salmonella (non-typhi), which was treated with ceftriaxone and ciprofloxacin. The patient was followed-up for the past eight months without any further symptoms. Perigraft infections post abdominal aortic aneurysm repair could be caused by enteric organisms and must be treated with long-term appropriate antibiotics, depending on the microbiological finding, besides surgical drainage and lavage.
一名接受腹主动脉瘤修复术的70岁男性，术后1个月出现发热伴寒战及腹痛。影像学检查显示移植物周围有积液。对积液进行了引流，并对脓肿腔进行了灌洗。脓液和血液培养均检出D组沙门菌（非伤寒型），给予头孢曲松和环丙沙星治疗。在过去8个月的随访中，患者未出现任何进一步症状。腹主动脉瘤修复术后移植物周围感染可能由肠道微生物引起，除手术引流和灌洗外，还必须根据微生物学检查结果使用长期合适的抗生素进行治疗。
