Abdikarim M, Shahari S, Idris M A, Hanafiah H, Kosai N R, Das S
Department of Surgery, Vascular Unit, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, 56000, Kuala Lumpur, Malaysia.
Department of Anatomy, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abd Aziz, 50300, Kuala Lumpur, Malaysia.
Clin Ter. 2014;165(4):199-201. doi: 10.7417/CT.2014.1733.
Infected aneurysm is a life threatening clinical condition that is associated with significant morbidity and mortality. Early detection is essential for a rapid and efficacious initial treatment for better prognosis. Since the introduction of antibiotic therapy and concomitant decline of endocarditis, true mycotic aneurysms are rarely seen. The usual treatment consists of antibiotics along with aggressive surgical debridement of the infected tissue and vascular reconstruction, if needed. We here describe an infected aneurysm presenting as pyrexia of unknown origin and discuss the clinical features and challenges encountered in the treatment.
感染性动脉瘤是一种危及生命的临床病症，与显著的发病率和死亡率相关。早期检测对于进行快速有效的初始治疗以获得更好的预后至关重要。自从引入抗生素治疗以及心内膜炎随之减少以来，真正的霉菌性动脉瘤已很少见。通常的治疗包括使用抗生素，以及在必要时对感染组织进行积极的手术清创和血管重建。我们在此描述一例表现为不明原因发热的感染性动脉瘤，并讨论其临床特征及治疗中遇到的挑战。
