Altreuther Martin, Lange Conrad, Myhre Hans Olav, Hannula Raisa
Department of Vascular Surgery, St Olavs Hospital, Trondheim, Norway.
Vascular. 2013 Feb;21(1):6-9. doi: 10.1258/vasc.2011.cr0299. Epub 2012 Feb 28.
Infections with Streptococcus equi zooepidemicus are rare and are associated with contact with animals or animal products. There are very few reports about infected vascular grafts or aneurysms with this etiology. We present two patients. The first is a 77-year-old man with an infected bifurcated graft four years after an open operation for an abdominal aortic aneurysm (AAA). The second is a 72-year-old man with a symptomatic mycotic AAA, treated with endovascular aneurysm repair. Both received prolonged treatment with bactericidal antibiotics and responded well. Follow-up time at present is 5.5 years for the first, and 4.5 years for the second, patient.
马链球菌兽疫亚种感染较为罕见，与接触动物或动物产品有关。关于由这种病因导致的血管移植物或动脉瘤感染的报道非常少。我们报告两例患者。第一例是一名77岁男性，在腹主动脉瘤（AAA）开放手术后四年，其分叉移植物发生感染。第二例是一名72岁男性，患有有症状的真菌性AAA，接受了血管内动脉瘤修复治疗。两人均接受了长时间的杀菌抗生素治疗，且反应良好。目前，第一例患者的随访时间为5.5年，第二例患者为4.5年。
