Torpey Erin, Spears Jenna, Al-Saiegh Yousif, Roeser Mindi
Department of Medicine, Pennsylvania Hospital, University of Pennsylvania Health System (UPHS), Philadelphia, PA, USA.
Case Rep Pulmonol. 2021 Nov 18;2021:6456216. doi: 10.1155/2021/6456216. eCollection 2021.
Pulmonary mycotic pseudoaneurysm is a rare complication of bacteremia with high associated mortality. We present a case of a large proximal pulmonary artery pseudoaneurysm as a result of methicillin-sensitive Staphylococcus aureus bacteremia, originating from a tunneled dialysis catheter infection. This case was ultimately managed conservatively with surveillance imaging and a prolonged intravenous antibiotic course, rather than with surgical or interventional management. To our knowledge, this is the first reported case of a mycotic pulmonary pseudoaneurysm due to septic embolization of an infected superior vena cava thrombus.
肺真菌性假性动脉瘤是菌血症的一种罕见并发症，死亡率很高。我们报告一例因甲氧西林敏感金黄色葡萄球菌菌血症导致的近端肺动脉大型假性动脉瘤病例，该菌血症源于带隧道的透析导管感染。该病例最终采用监测成像和延长静脉抗生素疗程进行保守治疗，而非手术或介入治疗。据我们所知，这是首例因感染的上腔静脉血栓脓毒性栓塞导致真菌性肺假性动脉瘤的报道病例。
