Madani Anass, Zeebregts Clark J, Lamprou Alexander, Tielliu Ignace F J
Division of Vascular Surgery, Department of Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Aorta (Stamford). 2019 Dec;7(6):172-175. doi: 10.1055/s-0039-3401995. Epub 2020 Feb 19.
This report describes a case of a taxidermist who presented with sepsis and excruciating back pain a few weeks after contact with a deceased horse. subspecies (SESZ) was isolated from patient's blood and two isolated mycotic aneurysms were found. The first was located in the distal abdominal aorta and the second in the right common iliac artery. Treatment consisted of penicillin administration for 6 weeks and surgical debridement of the infected tissue combined with autologous vein reconstruction. The patient was infection-free without complaints 1 year after discharge and the venous reconstruction was patent. Reports in literature of bacteremia with SESZ leading to the development of mycotic aneurysms are very scarce and show that prognosis is generally unfavorable.
本报告描述了一例标本剥制师的病例，该患者在接触一匹死马几周后出现败血症和极度背痛。从患者血液中分离出类鼻疽杆菌亚种（SESZ），并发现了两个孤立的霉菌性动脉瘤。第一个位于腹主动脉远端，第二个位于右髂总动脉。治疗包括使用青霉素6周，对感染组织进行手术清创并结合自体静脉重建。患者出院1年后无感染且无不适主诉，静脉重建通畅。关于SESZ菌血症导致霉菌性动脉瘤形成的文献报道非常稀少，且表明总体预后不佳。
