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主动脉假体相关多重耐药感染作为一项诊断和治疗挑战

Aortic Prosthesis-Associated MDR Infections as a Diagnostic and Therapeutic Challenge.

作者信息

Filipe Rita, Ceia Filipa, Carvalho Ana Cláudia, Tavares Margarida, Teixeira José, Sarmento António

机构信息

Infectious Diseases Department, São João University Hospital Center, 4000-319 Porto, Portugal.

Faculty of Medicine, University of Porto, 4000-319 Porto, Portugal.

出版信息

Infect Dis Rep. 2020 Nov 2;12(3):46-50. doi: 10.3390/idr12030012.

Abstract

Endovascular prostheses are used to treat life-threatening conditions such as ruptured aortic aneurysms. Prosthetic infection cause significant morbidity and mortality, posing important diagnostic and therapeutic challenges. It is particularly difficult to diagnose and, in the era of multidrug resistance (MDR), these type of infections may become even more difficult to treat. Herein, we reported a case of a secondary prosthetic endovascular infection following repeated bacteremia episodes from a urinary source. This case illustrates an MDR aortic infection that was difficult to diagnose with no oral antibiotic treatment options.

摘要

血管内假体用于治疗危及生命的疾病,如主动脉瘤破裂。假体感染会导致严重的发病率和死亡率,带来重要的诊断和治疗挑战。诊断尤为困难,在多重耐药(MDR)时代,这类感染可能变得更难治疗。在此,我们报告了一例因泌尿系统反复菌血症发作导致的继发性血管内假体感染病例。该病例说明了一种多重耐药的主动脉感染,难以诊断且没有口服抗生素治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4e3/7768536/6e71a7634578/idr-12-00012-g001.jpg

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