一例肺炎克雷伯菌霉菌性动脉瘤致死病例。
A Fatal Case of Klebsiella pneumoniae Mycotic Aneurysm.
作者信息
Chao Chien-Ming, Lee Kun-Kuang, Wang Chia-Sheng, Chen Ping-Jen, Yeh Tsung-Chih
机构信息
Department of Surgery, Chi Mei Medical Center, Liouying, Tainan 736, Taiwan ; Department of Intensive Care Medicine, Chi Mei Medical Center, Liouying, Tainan 736, Taiwan.
出版信息
Case Rep Emerg Med. 2011;2011:498545. doi: 10.1155/2011/498545. Epub 2011 Nov 29.
Mycotic aneurysm is a serious clinical condition with significant morbidity and mortality. Staphylococcus aureus and Salmonella species are the most common causative pathogens. Klebsiella pneumoniae was rarely reported as a possible pathogen causing mycotic aneurysm; therefore, we describe a K. pneumoniae-related fatal bacteremia mycotic aneurysm in a patient in spite of appropriate antimicrobial agents and surgical management.
霉菌性动脉瘤是一种严重的临床病症，具有较高的发病率和死亡率。金黄色葡萄球菌和沙门氏菌是最常见的致病病原体。肺炎克雷伯菌作为导致霉菌性动脉瘤的可能病原体鲜有报道；因此，我们描述了一例尽管采用了适当的抗菌药物和手术治疗，但仍因肺炎克雷伯菌引发致命菌血症性霉菌性动脉瘤的病例。
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