一名感染人类免疫缺陷病毒（HIV）的患者发生由单核细胞增生李斯特菌引起的霉菌性腹主动脉瘤。
A mycotic abdominal aortic aneurysm caused by Listeria monocytogenes in a patient with HIV infection.
作者信息
Gunst Jesper Damsgaard, Jensen-Fangel Søren
机构信息
Department of Infectious Diseases, Aarhus University Hospital, Aarhus N, Denmark.
出版信息
BMJ Case Rep. 2014 Jan 17;2014:bcr2013202712. doi: 10.1136/bcr-2013-202712.
A 65-year-old man with HIV infection presented with acute severe abdominal pain radiating to the back. A CT scan revealed an infrarenal abdominal aortic aneurysm, and an aortobifemoral bypass was undertaken. Subsequently, tissue specimens from the aortic wall grew Listeria monocytogenes. The patient received 8 weeks of intravenous antibiotic treatment followed by oral sulfotrim as secondary prophylaxis and made an uneventful recovery.
一名65岁的艾滋病毒感染男性出现急性严重腹痛并放射至背部。CT扫描显示肾下腹主动脉瘤，遂进行了主动脉双股动脉搭桥术。随后，主动脉壁组织标本培养出单核细胞增生李斯特菌。患者接受了8周的静脉抗生素治疗，随后口服复方磺胺甲恶唑作为二级预防，恢复过程顺利。
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