继发于真菌性动脉瘤的贫血。
Anaemia secondary to mycotic aneurysm.
机构信息
Royal Perth Hospital, Perth, Western Australia, Australia
Department of General Medicine, Armadale Health Service, Mount Nasura, Western Australia, Australia.
出版信息
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。
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