Royal Perth Hospital, Perth, Western Australia, Australia
Department of General Medicine, Armadale Health Service, Mount Nasura, Western Australia, Australia.
BMJ Case Rep. 2021 Jan 28;14(1):e237997. doi: 10.1136/bcr-2020-237997.
Mycotic aneurysms can pose a diagnostic dilemma due to their variable presentations. We present a case of a 93-year-old man initially presenting with fevers, intermittent chest pain and normocytic anaemia refractory to repeated blood transfusions. He received intravenous ceftriaxone as grew in his blood cultures. His chest X-ray showed a widened mediastinum. A subsequent CT of the chest discovered a mycotic aneurysm at the descending thoracic aorta. He had a good outcome and was thriving after 1 year post endovascular repair.
真菌性动脉瘤因其多变的表现可能构成诊断难题。我们报告了 1 例 93 岁男性患者，其最初表现为发热、间歇性胸痛和正细胞性贫血，对反复输血无反应。他的血液培养中 生长，接受了静脉注射头孢曲松治疗。他的胸部 X 光片显示纵隔增宽。随后的胸部 CT 发现降主动脉有真菌性动脉瘤。血管内修复 1 年后，他恢复良好，身体状况良好。
