Nasif Abdullah, Siebenaller Daniel, DeRiso Armelle, Shah Haroon, Alharthi Samer, Nazzal Munier
Division of Vascular Surgery and Endovascular Surgery, Department of Surgery, University of Toledo Medical Center, Toledo, Ohio.
Division of Infectious Diseases, University of Toledo Medical Center, Toledo, Ohio.
J Vasc Surg Cases Innov Tech. 2021 Sep 22;7(4):785-789. doi: 10.1016/j.jvscit.2021.08.009. eCollection 2021 Dec.
is an opportunistic fungal pathogen found especially in Australia, Spain, Portugal, California, and the southern United States. Although it causes a wide spectrum of infections, disseminated infection remains very rare. The diagnosis and medical management are challenging. No clear guidelines are available for management. The treatment options are limited and mortality is high, especially for immunocompromised patients. In the present case report, we have highlighted the rare vascular effect of disseminated infection. We have reported the case of a 48-year-old immunocompromised man who had presented with a right groin mass. After extensive workup, the patient was found to have disseminated infection causing a superficial femoral artery pseudoaneurysm. A multidisciplinary team was involved to provide medical and surgical care. However, the patient died after treatment failure and withdrawal of support.
是一种机会性真菌病原体，尤其在澳大利亚、西班牙、葡萄牙、加利福尼亚和美国南部被发现。尽管它会引发广泛的感染，但播散性感染仍然非常罕见。诊断和医疗管理具有挑战性。目前尚无明确的管理指南。治疗选择有限，死亡率很高，尤其是对于免疫功能低下的患者。在本病例报告中，我们强调了播散性感染罕见的血管效应。我们报告了一例48岁免疫功能低下男性患者，他出现了右腹股沟肿块。经过广泛检查，发现该患者患有播散性感染，导致股浅动脉假性动脉瘤。一个多学科团队参与提供医疗和手术护理。然而，患者在治疗失败和停止支持后死亡。
