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金黄色葡萄球菌菌血症并发股动脉霉菌性动脉瘤:一例报告

Mycotic aneurysm of the femoral artery complicating Staphylococcus aureus bacteremia: a case report.

作者信息

Carvalho Patrícia Margarida Serra, Mota Joana Decq, Dias Patricia Gloria Dinis, da Mota Antonio Oscar Carmona, de Moura Jose Julio Alves

机构信息

Serviço de Medicina II, Hospitais da Universidade Coimbra, Av. Bissaya Barreto e Praceta Prof. Mota Pinto, 3000-075, Coimbra, Portugal.

出版信息

Cases J. 2009 Dec 22;2:9386. doi: 10.1186/1757-1626-2-9386.

Abstract

INTRODUCTION

Staphylococcus aureus is the major cause of bacteremia, with the potential for some complications, namely mycotic aneurysms, defined as irreversible dilatation of an artery due to destruction of the vessel wall by infection.

CASE PRESENTATION

The authors present the case of a 52 year-old-Caucasian male, admitted with Staphylococcus aureus bacteremia and mycotic aneurysm of the right superficial femoral artery, associated with advanced atherosclerotic process.

CONCLUSION

Mycotic aneurysms are rare, and a high index of suspicion is needed, because appropriate treatment will certainly affect the outcome, as they are associated with high morbidity and mortality.

摘要

引言

金黄色葡萄球菌是菌血症的主要病因,具有引发某些并发症的可能性,即感染性动脉瘤,其定义为因感染破坏血管壁而导致的动脉不可逆扩张。

病例介绍

作者报告了一例52岁的白种男性病例,该患者因金黄色葡萄球菌菌血症和右股浅动脉感染性动脉瘤入院,同时伴有晚期动脉粥样硬化病变。

结论

感染性动脉瘤较为罕见,需要高度怀疑,因为恰当的治疗肯定会影响预后,因其与高发病率和高死亡率相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a05b/2806398/5b0b6d0dabc7/1757-1626-2-9386-1.jpg

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