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李斯特菌腹主动脉内移植物感染模拟假性动脉瘤的原位主动脉重建治疗:1 例报告。

Listeria abdominal endograft infection miming pseudoaneurysm treated with in-situ aortic reconstruction: a case report.

机构信息

Vascular Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.

出版信息

Eur Rev Med Pharmacol Sci. 2022 Feb;26(3):1028-1032. doi: 10.26355/eurrev_202202_28012.

Abstract

We report the case of a 72-year old man previously treated with an aortic endograft for an abdominal aortic aneurysm. After 3 years the patient developed a sepsis. Imaging and blood exams detected an endograft infection related to Listeria monocytogenes. Patients underwent endograft removal and in-situ aortic reconstruction with a cryopreserved allograft. A continuous antibacterial therapy has been established. One-month follow-up revealed the absence of clinically relevant infection with patency of the graft and absence of biochemical inflammatory markers.

摘要

我们报告了一例 72 岁男性病例,该患者曾因腹主动脉瘤接受主动脉内覆膜支架治疗。3 年后,患者发生脓毒症。影像学和血液检查发现与李斯特菌感染相关的覆膜支架感染。患者接受了覆膜支架移除和冷冻同种异体原位主动脉重建。建立了持续的抗菌治疗。一个月的随访显示,无临床相关感染,移植物通畅,生化炎症标志物正常。

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