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采用手术清创但不移除移植物治疗的单核细胞增生李斯特菌所致血管内移植物感染

Vascular Endograft Infection with Listeria monocytogenes reated with Surgical Debridement but without Graft Removal.

作者信息

Tanner-Steinmann Beate, Boggian Katia

机构信息

Department of Infectious Diseases, Cantonal Hospital Lucerne, 6000 Lucerne 16, Switzerland.

出版信息

Case Rep Med. 2011;2011:482815. doi: 10.1155/2011/482815. Epub 2011 Jun 27.

Abstract

The awareness of Listeria monocytogenes as a pathogen in meningitis and bacteremia in immunosuppressed patients is high. We report a case of vascular graft infection due to Listeria monocytogenes as an example of a less well-known manifestation of listeriosis and focus on the possible treatment procedures emphasizing a management with surgical debridement but preservation of the endograft, in contrast to the gold standard treatment of vascular graft infections which consists of a removal of the graft.

摘要

在免疫抑制患者中,单核细胞增生李斯特菌作为脑膜炎和菌血症病原体的认知度很高。我们报告一例由单核细胞增生李斯特菌引起的血管移植物感染病例,作为李斯特菌病一种较不为人知的表现形式的示例,并着重讨论可能的治疗方法,强调采用手术清创但保留内移植物的处理方式,这与血管移植物感染的金标准治疗方法(即移除移植物)形成对比。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cd7/3135124/c43a5f05a73c/CRIM2011-482815.001.jpg

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