Alsheef Mohammed, Alsaleh Saud, Alanezi Nahar, Bakhsh Nizar, AlDosary Rana, AlSharif Lina, Mian Arshad, Ahsan Azeem, AlFayyad Isamme
Department of Internal Medicine, King Fahad Medical City, P.O. Box 59046, Riyadh 11525, Saudi Arabia.
King Fahad Medical City, P.O. Box 604, Riyadh 11321, Saudi Arabia.
Case Rep Infect Dis. 2019 Sep 25;2019:4939452. doi: 10.1155/2019/4939452. eCollection 2019.
Brucellosis is an endemic infection mainly in the Middle East and the Mediterranean region that can involve any system. However, cardiovascular involvement commonly seen as endocarditis is a rare occurrence, but it is one of the main causes of mortality and morbidity. mycotic aneurysms are extremely rare and carry a higher morbidity and mortality. Here, we present a case of mycotic aneurysms in the descending aorta complicated by an aortoesophageal fistula in a 52-year-old diabetic man. The diagnosis was made by thoracic CT angiogram showing a saccular aneurysm arising from the descending aorta and two positive cultures of . Transthoracic and transesophageal echocardiograms ruled out infective endocarditis. Aortoesophageal fistula complicating a mycotic aneurysm in the absence of evidence of endocarditis has not yet been reported in the literature.
布鲁氏菌病是一种主要流行于中东和地中海地区的地方性感染病，可累及任何系统。然而，心血管受累常见于心内膜炎，这种情况较为罕见，但却是导致死亡和发病的主要原因之一。真菌性动脉瘤极为罕见，其发病率和死亡率更高。在此，我们报告一例52岁糖尿病男性患者，其降主动脉发生真菌性动脉瘤并并发主动脉食管瘘。诊断通过胸部CT血管造影显示降主动脉出现一个囊状动脉瘤以及两次血培养阳性得以明确。经胸和经食管超声心动图排除了感染性心内膜炎。文献中尚未报道过在无感染性心内膜炎证据的情况下，真菌性动脉瘤并发主动脉食管瘘的病例。
