布氏沙门氏菌：霉菌性动脉瘤的罕见病因

[Salmonella bredney: a rare cause of mycotic aneurysm].

作者信息

Jammal M H, Guidon J, Chiche L, Tselikas L, Tiev K-P, Tolédano C, Josselin-Mahr L, Gain M, Cabane J, Kettaneh A

机构信息

Service de médecine interne, hôpital Saint-Antoine, 184 rue du Faubourg-Saint-Antoine, Paris cedex, France.

出版信息

Rev Med Interne. 2011 Jan;32(1):e12-4. doi: 10.1016/j.revmed.2009.10.440.

DOI:10.1016/j.revmed.2009.10.440

PMID:20537442

Abstract

Mycotic aneurysms are rare, remain asymptomatic for a long time, and may be life threatening by their rupture if therapy is delayed. Historically associated with Streptococcus pyogenes and Staphylococcus aureus, they now frequently involve Salmonella species in elderly or immunodeficient patients, and complicate vascular investigation or surgical procedures. Frequently located in the abdominal aorta, they can also be found rarely in other location. Therapy associates antibiotics and surgical debridement with reestablishment of vascular continuity. We report a case of ruptured popliteal aneurysm with Salmonella bredney bacteraemia.

摘要

真菌性动脉瘤较为罕见，长期无症状，若治疗延迟，可能因破裂而危及生命。历史上与化脓性链球菌和金黄色葡萄球菌相关，如今在老年或免疫功能低下患者中常涉及沙门氏菌属，且会使血管检查或外科手术复杂化。它们常位于腹主动脉，也很少见于其他部位。治疗方法包括使用抗生素、手术清创以及重建血管连续性。我们报告一例伴有布氏沙门氏菌血症的腘动脉瘤破裂病例。