Unosawa Satoshi, Niino Tetsuya
Department of Cardiovascular Surgery, National Hospital Organization Disaster Medical Center, Tokyo, Japan.
Ann Vasc Dis. 2015;8(4):318-20. doi: 10.3400/avd.cr.15-00050. Epub 2015 Sep 11.
We present a rare case of an infected abdominal aortic aneurysm due to Helicobacter cinaedi that was detected by blood culture. A 79-year-old man with lumbago and left lower quadrant pain was admitted for the treatment of an infected abdominal aortic aneurysm. H. cinaedi was isolated from a blood culture, which was obtained on admission. The aneurysm was successfully treated with antibiotic therapy, aneurysmectomy, debridement, replacement of a bifurcated Dacron prosthesis, and omental wrapping. Our present case suggests that H. cinaedi should be considered as the causative agent of an infected aortic aneurysm.
我们报告一例罕见的因嗜沫嗜二氧化碳噬纤维菌感染导致的腹主动脉瘤病例，该病例通过血培养检测确诊。一名79岁男性，因腰痛和左下腹疼痛入院治疗感染性腹主动脉瘤。入院时采集的血培养分离出嗜沫嗜二氧化碳噬纤维菌。通过抗生素治疗、动脉瘤切除术、清创术、分叉涤纶人工血管置换术和网膜包裹术，成功治疗了该动脉瘤。我们目前的病例提示，嗜沫嗜二氧化碳噬纤维菌应被视为感染性主动脉瘤的病原体。
