Ando Hitoshi, Minami Rumi, Takahama Soichiro, Yamamoto Masahiro
Department of Immunology and Infectious Diseases, Clinical Research Institute, Kyushu Medical Center, National Hospital Organization, Fukoka, Japan.
Intern Med. 2010;49(12):1237-41. doi: 10.2169/internalmedicine.49.3389. Epub 2010 Jun 15.
We herein report a case study of an HIV-1-infected 64-year-old Japanese man who presented, with an abdominal aortic aneurysm due to non-typhoidal Salmonella. He was admitted with a 7-day history of intermittent left back pain. A culture of a blood specimen yielded gram-negative bacilli, which were identified as non-typhoidal Salmonella. Computed tomography showed an abdominal aortic aneurysm due to the non-typhoidal Salmonella infection. Since such a complication is frequently fatal, its management, especially the timing of surgery, is difficult. Further studies are needed to determine the optimal treatment strategy, however, early diagnosis and prompt careful treatment can reduce mortality.
我们在此报告一例病例研究，患者为一名64岁感染HIV-1的日本男性，因非伤寒沙门氏菌感染出现腹主动脉瘤。他因间歇性左背痛7天入院。血液标本培养出革兰氏阴性杆菌，经鉴定为非伤寒沙门氏菌。计算机断层扫描显示因非伤寒沙门氏菌感染导致的腹主动脉瘤。由于这种并发症通常是致命的，其治疗，尤其是手术时机，很困难。需要进一步研究以确定最佳治疗策略，然而，早期诊断和及时仔细的治疗可降低死亡率。
