布鲁氏菌病所致霉菌性主动脉瘤。
Mycotic aortic aneurysm due to brucellosis.
作者信息
Alhaizaey Abdullah, Alassiri Mohammed, Alghamdi Musaed, Alsharani Mushabab
机构信息
Division of Vascular Surgery, Aseer Central Hospital, King Khalid University, Abha, Saudi Arabia.
出版信息
J Vasc Surg Cases Innov Tech. 2016 May 20;2(2):50-52. doi: 10.1016/j.jvsc.2016.03.009. eCollection 2016 Jun.
Abstract
Brucellosis is a multisystem zoonotic disease. Mycotic aneurysm due to is rare and has no clear management approach. Here, we present two cases of mycotic aortic aneurysm due to . The first patient was treated with surgical resection of a symptomatic infrarenal abdominal aortic aneurysm combined with lifelong doxycycline and rifampicin. The second patient improved with conservative treatment including a 6-month course of antibiotics and regular clinical and radiologic monitoring. Through these cases, we hope to draw attention to this serious adverse effect of and the importance of management of its local arterial complications, especially in endemic areas.
摘要
布鲁氏菌病是一种多系统人畜共患病。由[未提及具体病因]引起的真菌性动脉瘤罕见且尚无明确的治疗方法。在此，我们报告两例由[未提及具体病因]引起的真菌性主动脉瘤病例。首例患者接受了有症状的肾下腹主动脉瘤手术切除，并联合使用多西环素和利福平进行终身治疗。第二例患者通过包括为期6个月的抗生素疗程以及定期临床和影像学监测在内的保守治疗而病情改善。通过这些病例，我们希望引起对[未提及具体病因]这一严重不良反应及其局部动脉并发症管理重要性的关注，尤其是在流行地区。
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