Department of Infectious Disease, Shanxi Provincial People's Hospital, Taiyuan, China.
BMC Infect Dis. 2022 Jan 10;22(1):43. doi: 10.1186/s12879-021-07005-7.
Brucellosis is an infectious disease caused by Brucella spp, which can involve the cardiovascular, digestive, and respiratory systems. Cardiovascular involvement is a rare occurrence, it has an extremely high mortality rate.
A 67-year-old Chinese man presented with thoracic aortic multiple ulcers and partial aneurysm formation that caused symptoms of left waist and left buttock pain. The man was admitted to our hospital due to abdominal aorta pseudoaneurysms 5 years ago. The diagnosis was made by thoracic computed tomography angiography (CTA), previous history, and positive culture of Brucella, and the patient was successfully treated by thoracic aortic covered stent-graft implantation and specific medical treatment.
People who have a history of contact with cattle and sheep, should beware of the possibility of Brucella infection. If chest and abdominal pain occur, timely medical treatment is recommended, aortic aneurysm, the disease with a high risk of death, can be identified or excluded by CTA. Early treatment and prevention of disease progression are more beneficial to patients.
布鲁氏菌病是一种由布鲁氏菌属引起的传染病，可累及心血管、消化和呼吸系统。心血管受累较为罕见，但死亡率极高。
一名 67 岁的中国男性因胸主动脉多发性溃疡和部分动脉瘤形成导致左侧腰部和左侧臀部疼痛而就诊。该男性 5 年前因腹主动脉假性动脉瘤而入院。通过胸部 CT 血管造影（CTA）、既往病史和布鲁氏菌的阳性培养来诊断，患者成功接受了胸主动脉覆膜支架植入和特定的药物治疗。
有牛、羊接触史者，需警惕布鲁氏菌感染的可能。如出现胸、腹痛，建议及时就医，CTA 可明确或排除主动脉瘤，该疾病死亡率高，早发现、早治疗、预防疾病进展，更有利于患者。
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