Rajadhyaksha Anjali, Sonawale Archana, Rathod Krantikumar, Khare Shruti, Kalal Chetan
Department of Medicine, Seth G.S. Medical College and KEM Hospital, Mumbai.
J Assoc Physicians India. 2011 Oct;59:664-7.
Mycotic aneurysm (MA) is an infrequent complication of infective endocarditis (IE), reported in 3 to 15% of the patients with IE. The commonest site for such aneurysm is intracranial vessels (65%) followed by abdominal and then the peripheral vessels. We describe a case of 32 year old man with recently diagnosed rheumatic heart disease and mitral regurgitation. He had infective endocarditis (IE) and developed a large mycotic popliteal artery aneurysm (MPAA) and a small profunda femoris arterial aneurysm (PFAA) while he was on antibiotic therapy. The patient was successfully treated with prolonged antibiotic therapy and embolisation of the MPAA while PFAA was managed conservatively.
真菌性动脉瘤（MA）是感染性心内膜炎（IE）的一种罕见并发症，在3%至15%的IE患者中有所报道。此类动脉瘤最常见的部位是颅内血管（65%），其次是腹部血管，然后是外周血管。我们描述了一例32岁男性患者，他最近被诊断为风湿性心脏病和二尖瓣反流。他患有感染性心内膜炎（IE），在接受抗生素治疗期间出现了一个大型腘动脉真菌性动脉瘤（MPAA）和一个小型股深动脉动脉瘤（PFAA）。该患者通过延长抗生素治疗和对MPAA进行栓塞成功治愈，而PFAA则采取保守治疗。
