Shah Kairav, Brauch Rebecca, Cherabuddi Kartikeya
Division of Infectious Diseases and Global Medicine, Department of Medicine, University of Florida, College of Medicine, 1600 SW Archer Rd., Gainesville, FL 32610, USA.
Case Rep Infect Dis. 2017;2017:8472930. doi: 10.1155/2017/8472930. Epub 2017 Feb 27.
The clinical spectrum of infection can range from benign gastrointestinal colonization to mild diarrhea and life threatening conditions such as pseudomembranous colitis and toxic megacolon. Extraintestinal manifestations of are rare. Here, we report a patient with a history of an endovascular aortic aneurysm repair (EVAR) presenting with an endovascular leak complicated by bacteremia and a mycotic aneurysm. He was successfully treated with an explant of the EVAR, an aorto-left renal bypass, and aorto-bi-iliac bypass graft placement along with a six-week duration of intravenous vancomycin and oral metronidazole.
感染的临床谱范围可从良性胃肠道定植到轻度腹泻以及危及生命的状况，如假膜性结肠炎和中毒性巨结肠。其肠外表现罕见。在此，我们报告一名有血管内主动脉瘤修复（EVAR）病史的患者，出现血管内漏并并发菌血症和真菌性动脉瘤。他通过切除EVAR、进行主动脉至左肾旁路手术以及放置主动脉至双侧髂动脉旁路移植物，并静脉注射万古霉素六周及口服甲硝唑成功治愈。
