Yoon William J, Conley Alexandria, Herrera Sara, Van Dorp Dennis, Lorelli David R
Division of Vascular Surgery, Department of Surgery, St. John Hospital and Medical Center, Detroit, MI.
Division of Vascular Surgery, Department of Surgery, St. John Hospital and Medical Center, Detroit, MI.
Ann Vasc Surg. 2016 Aug;35:204.e1-4. doi: 10.1016/j.avsg.2016.01.027. Epub 2016 May 26.
Despite a high incidence of Staphylococcus aureus bacteremia in hemodialysis patients, bacterial invasion with aortic wall infection resulting in a pseudoaneurysm rarely occurs. This report describes a case of mycotic pseudoaneurysm of the abdominal aorta that grew rapidly and ruptured into the distal vena cava causing persistent bacteremia in a patient undergoing hemodialysis complicated with oxacillin-resistant S. aureus bacteremia.
尽管血液透析患者中金黄色葡萄球菌菌血症的发生率很高,但细菌侵袭主动脉壁导致感染并形成假性动脉瘤的情况很少见。本报告描述了一例腹主动脉霉菌性假性动脉瘤病例,该假性动脉瘤生长迅速并破裂进入下腔静脉,导致一名合并耐苯唑西林金黄色葡萄球菌菌血症的血液透析患者持续菌血症。