Zhang Tao, Ji Donghua, Wang Feng
Department of Interventional Therapy, First Affiliated Hospital of Dalian Medical University, Dalian, China.
Medicine (Baltimore). 2017 Oct;96(42):e7666. doi: 10.1097/MD.0000000000007666.
In very rare cases, a primary infected abdominal aortic aneurysm (IAAA) is caused by a species of Brucella. In this report, we report such a case that was successfully treated with a novel approach. To the best of our knowledge, this was the first case occurring in China, in which an infection of the abdominal aortic aneurysm was caused by a Brucella species.
The clinical findings included high fever, fatigue, and abdominal pain.
The diagnosis was confirmed by computed tomography angiography and by bacteriologic isolation from the patient's blood culture.
The patient was given endovascular aneurysm repair (EVAR) and Brucella-sensitive antibiotics for 6 weeks.
During the 10-month follow-up, the patient's clinical course remained uneventful.
Our case study supports the premise that endovascular aneurysm repair is an appropriate alternative strategy to treat an infected abdominal aortic aneurysm. Compared with conventional surgical treatment, EVAR with long-term oral antibiotics is a simpler, less traumatic, and more efficient procedure. However, this needs to be further evaluated through long-term follow-up.
在极少数情况下，原发性感染性腹主动脉瘤（IAAA）由布鲁氏菌属引起。在本报告中，我们报告了这样一例采用新方法成功治疗的病例。据我们所知，这是中国首例由布鲁氏菌属引起的腹主动脉瘤感染病例。
临床症状包括高热、乏力和腹痛。
通过计算机断层扫描血管造影和从患者血培养中进行细菌分离确诊。
患者接受了血管内动脉瘤修复术（EVAR）并使用对布鲁氏菌敏感的抗生素治疗6周。
在10个月的随访期间，患者的临床病程平稳。
我们的病例研究支持血管内动脉瘤修复术是治疗感染性腹主动脉瘤的一种合适替代策略这一前提。与传统手术治疗相比，长期口服抗生素的EVAR是一种更简单、创伤更小且更有效的手术。然而，这需要通过长期随访进一步评估。
