Moseley Brian, Mwirigi Nicola W, Bowen Juan
Department of Neurology, Mayo Clinic Rochester, 200 First Street SW, Rochester, MN 55905, USA.
Case Rep Med. 2010;2010:121728. doi: 10.1155/2010/121728. Epub 2010 Mar 7.
Clostridium septicum aortitis is a rare infection that is highly associated with underlying malignancy. We present a case of an 82-year-old male diagnosed with both C. septicum aortitis and a high-grade cecal tubulovillous adenoma. The patient was offered aortic resection; however, he opted for only suppressive antibiotic therapy and a right hemicolectomy with ileocolonic anastomosis. He ultimately passed away 75 days following admission. The authors report on the connection between C. septicum aortitis and malignancy. The authors also discuss the need for prompt treatment with antibiotics once the infection is identified and the consideration of aortic resection given the risk of aneurysmal change with aortic dissection or rupture.
败血梭状芽孢杆菌性主动脉炎是一种罕见的感染，与潜在的恶性肿瘤高度相关。我们报告一例82岁男性患者，诊断为败血梭状芽孢杆菌性主动脉炎和高级别盲肠管状绒毛状腺瘤。该患者接受了主动脉切除术；然而，他选择了仅进行抑制性抗生素治疗以及右半结肠切除术并进行回结肠吻合术。他最终在入院75天后去世。作者报告了败血梭状芽孢杆菌性主动脉炎与恶性肿瘤之间的联系。作者还讨论了一旦确诊感染需及时使用抗生素治疗，以及鉴于主动脉夹层或破裂导致动脉瘤改变的风险而考虑进行主动脉切除术。
