Mahmud Syed Nayer, Baloch Behzad Kaleem, Safdar Muhammed, Saeed Muhammed
Department of Nephrology, Shifa International Hospital, Islamabad.
J Coll Physicians Surg Pak. 2016 Nov;26(11):116-117.
Patients with end stage renal disease need a vascular access like arteriovenous (AV) fistula, AV graft or central venous catheter for hemodialysis. However, AV fistula can be complicated due to infection, stenosis, ulceration etc. Among these, spontaneous rupture of AV fistula is rare and can be due to stenosis or infection. Fungal infection of AV fistula is very rare and the most common organism involved is Candida. Infection of native AV fistula with Aspergillusis not reported in the literature. This case discusses the spontaneous rupture and dissection of an Aspergillusinfected arteriovenous fistula, requiring urgent closure and repairing of vessel.
终末期肾病患者需要动静脉（AV）内瘘、AV移植物或中心静脉导管等血管通路进行血液透析。然而，AV内瘘可能因感染、狭窄、溃疡等而出现并发症。其中，AV内瘘的自发性破裂很罕见，可能是由于狭窄或感染所致。AV内瘘的真菌感染非常罕见，最常见的相关病原体是念珠菌。文献中未报道过曲霉菌感染天然AV内瘘的情况。本病例讨论了一例曲霉菌感染的动静脉内瘘的自发性破裂和夹层形成，需要紧急闭合和修复血管。
