Eplinius Franziska, Hädrich Carsten
Institute for Legal Medicine, University of Leipzig, Germany Johannisallee 28, 04103 Leipzig, Germany.
Forensic Sci Int. 2014 Nov;244:e38-41. doi: 10.1016/j.forsciint.2014.08.032. Epub 2014 Sep 6.
Clostridium septicum aortitis is a rare cause of aortic dissection. So far, only 28 cases have been described in literature before. Most of these cases occurred in elderly patients and an association to colonic neoplasms and/or atherosclerosis has been witnessed frequently. Here we report the case of a 32-year-old man with fatal aortic dissection due to aortic infection with C. septicum. Beside a case of a 22-year-old man who died of aortic dissection due to C. septicum aortitis this is the second case of C. septicum aortitis in a young individual with no signs of colonic neoplasms or atherosclerosis.
败血梭状芽孢杆菌性主动脉炎是主动脉夹层的罕见病因。此前文献中仅描述过28例。这些病例大多发生在老年患者中,并且经常发现与结肠肿瘤和/或动脉粥样硬化有关。在此,我们报告一例32岁男性因败血梭状芽孢杆菌感染主动脉导致致命性主动脉夹层的病例。除了一例22岁男性因败血梭状芽孢杆菌性主动脉炎死于主动脉夹层外,这是第二例在没有结肠肿瘤或动脉粥样硬化迹象的年轻个体中发生的败血梭状芽孢杆菌性主动脉炎病例。