血液透析血管移植物作为持续性 Q 热的焦点。
Hemodialysis vascular graft as a focus of persistent Q fever.
机构信息
Department of Nephrology, AP-HM Hôpital de la Conception, Aix-Marseille University, 147 Boulevard Baille, 13005, Marseille, France.
Department of Nuclear Medicine, AP-HM Hôpital de la Timone, Aix-Marseille University, Boulevard Jean Moulin, 13005, Marseille, France.
出版信息
Infection. 2018 Dec;46(6):881-884. doi: 10.1007/s15010-018-1206-5. Epub 2018 Oct 27.
Vascular access infection is a frequent complication in hemodialysis patients. We report the second case worldwide of a prosthetic hemodialysis vascular graft infection by Coxiella burnetii, with intense hypermetabolism on PET-CT, Q fever serology consistent with persistent infection, and positive C. burnetii DNA in the blood and removed vascular graft.
血管通路感染是血液透析患者的常见并发症。我们报告了全球第二例由贝氏柯克斯体引起的人造血液透析血管移植物感染，PET-CT 显示代谢极度活跃，Q 热血清学检查符合持续性感染，血液和移除的血管移植物中均检出贝氏柯克斯体 DNA。
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