Nath Alexander F, Clarke Michael J
Northern Vascular Centre, Freeman Hospital, High Heaton, Newcastle Upon Tyne, United Kingdom.
Northern Vascular Centre, Freeman Hospital, High Heaton, Newcastle Upon Tyne, United Kingdom.
Ann Vasc Surg. 2014 Apr;28(3):741.e11-3. doi: 10.1016/j.avsg.2013.07.016. Epub 2013 Oct 25.
Mycotic aneurysms are a relatively uncommon phenomenon that can pose a distinct treatment dilemma for the treating surgeon. It is rare to find Haemophilus influenzae as the causative organism, and it is even more rare to find multiple aneurysms in the same patient. We present the first case to our knowledge to be described in the literature of multiple mycotic aneurysms caused by H. influenzae. The treatment presented-using high-dose antibiotics and cryopreserved homografts-has worked well in this instance. This approach is supported in the literature.
真菌性动脉瘤是一种相对罕见的现象,会给主治外科医生带来独特的治疗难题。罕见流感嗜血杆菌作为致病微生物,更罕见同一患者出现多个动脉瘤。据我们所知,我们报告了文献中首例由流感嗜血杆菌引起的多发性真菌性动脉瘤病例。在此病例中,采用大剂量抗生素和冷冻保存同种异体移植物的治疗方法效果良好。这种方法在文献中得到了支持。