Nakao Shinichiro, Hagiya Hideharu, Kimura Keigo, Mitsui Tomomi, Oyama Akane, Hongyo Kazuhiro, Takahashi Yusuke, Nakagami Futoshi, Tomono Kazunori, Rakugi Hiromi
Department of General Internal Medicine, Osaka University Hospital, Suita, Osaka 565-0871,
Acta Med Okayama. 2018 Apr;72(2):189-192. doi: 10.18926/AMO/55861.
A 65-year-old Japanese man with bilateral carotid atherosclerosis presented with right neck pain and fever. Contrast-enhanced computed tomography suggested carotid arteritis, and carotid ultrasonography showed an unstable plaque. The patient developed a cerebral embolism, causing a transient ischemic attack. Helicobacter cinaedi was detected in blood culture, and H. cinaedi-associated carotid arteritis was diagnosed. Empirical antibiotic therapy was administered for 6 weeks. After readmission for recurrent fever, he was treated another 8 weeks. Although the relationship between H. cinaedi infection and atherosclerosis development remains unclear, the atherosclerotic changes in our patient's carotid artery might have been attributable to H. cinaedi infection.
一名65岁患有双侧颈动脉粥样硬化的日本男性出现右侧颈部疼痛和发热。增强计算机断层扫描提示颈动脉炎，颈动脉超声显示有不稳定斑块。该患者发生脑栓塞，导致短暂性脑缺血发作。血培养检测到嗜人埃希菌，诊断为嗜人埃希菌相关性颈动脉炎。给予经验性抗生素治疗6周。因反复发热再次入院后，又接受了8周治疗。虽然嗜人埃希菌感染与动脉粥样硬化发展之间的关系尚不清楚，但我们患者颈动脉的动脉粥样硬化改变可能归因于嗜人埃希菌感染。
