隐匿性术后黑曲霉移植物主动脉炎。
Insidious postoperative Aspergillus niger graft aortitis.
作者信息
Marro Matteo, Atzeni Francesco, La Torre Michele William, Attisani Matteo, Belloro Stefania, De Rosa Francesco Giuseppe, Rinaldi Mauro
机构信息
Città della Salute e della Scienza di Torino, University of Turin, Department of Surgical Sciences, Division of Cardiac Surgery, Italy.
Città della Salute e della Scienza di Torino, University of Turin, Department of Medical Sciences, Division of Infectious Diseases, Italy.
出版信息
IDCases. 2020 May 16;21:e00823. doi: 10.1016/j.idcr.2020.e00823. eCollection 2020.
Fungal endocarditis/aortitis is an uncommon yet emerging entity accounting for 2% to 4% of all cases of infective endocarditis and continues to be associated with a poor prognosis. We present the first case of polyethylene-terephthalate (PETE) graft aortitis caused by , a rare fungal agent. Early diagnosis with frequent transoesophageal echocardiography (TEE) and a prompt surgical intervention coupled with optimal antifungal therapy are still the only option to reduce the exceedingly high mortality and morbidity.
真菌性心内膜炎/主动脉炎是一种罕见但正在增多的疾病，占所有感染性心内膜炎病例的2%至4%，并且仍然与不良预后相关。我们报告了首例由一种罕见真菌病原体引起的聚对苯二甲酸乙二酯（PETE）人工血管主动脉炎病例。通过频繁的经食管超声心动图（TEE）进行早期诊断，并迅速进行手术干预，同时结合最佳抗真菌治疗，仍然是降低极高死亡率和发病率的唯一选择。
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