日本的一例报告：链球菌中毒性休克综合征继发感染性腹主动脉瘤。
Infected abdominal aorta aneurysm secondary to streptococcal toxic shock syndrome due to : a case report from Japan.
作者信息
Taniguchi Shiho, Sato Yukio, Shimatani Naotaka, Torii Yosaku, Sekimizu Mariko, Kamiya Yuki, Matsubara Kentaro, Obara Hideaki, Sasaki Junichi
机构信息
Department of Emergency and Critical Care Medicine Keio University School of Medicine Tokyo Japan.
Department of Otorhinolaryngology, Head and Neck Surgery Keio University School of Medicine Tokyo Japan.
出版信息
Acute Med Surg. 2020 Dec 20;7(1):e617. doi: 10.1002/ams2.617. eCollection 2020 Jan-Dec.
BACKGROUND
Infected aortic aneurysm secondary to streptococcal toxic shock syndrome caused by is uncommon and associated with high mortality.
CASE PRESENTATION
A 75-year-old man with metastatic lung cancer and an abdominal aortic aneurysm presented with high fever for 3 days. He was diagnosed with septic shock and was admitted to our hospital. The blood culture was positive for , and streptococcal toxic shock syndrome was diagnosed. During treatment, enhanced computed tomography revealed an increase in the size of the abdominal aortic aneurysm, leading to the diagnosis of an infected aortic aneurysm. Replacement of the aneurysm with a synthetic graft was carried out successfully. The patient gradually recovered after the surgery.
CONCLUSION
We successfully managed an infected aortic aneurysm secondary to streptococcal toxic shock syndrome. Infected aortic aneurysms should be considered in patients with a medical history of aortic aneurysms and presenting with streptococcal toxic shock syndrome.
背景
由[未提及具体病菌名称]引起的链球菌中毒性休克综合征继发感染性主动脉瘤并不常见，且死亡率高。
病例介绍
一名75岁患有转移性肺癌和腹主动脉瘤的男性患者出现高热3天。他被诊断为感染性休克并入住我院。血培养[未提及具体病菌名称]呈阳性，诊断为链球菌中毒性休克综合征。治疗期间，增强计算机断层扫描显示腹主动脉瘤大小增加，从而诊断为感染性主动脉瘤。成功进行了人工血管置换动脉瘤手术。术后患者逐渐康复。
结论
我们成功治疗了一例链球菌中毒性休克综合征继发感染性主动脉瘤。有主动脉瘤病史且出现链球菌中毒性休克综合征的患者应考虑感染性主动脉瘤。
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