一名心脏移植受者的分枝杆菌性冠状动脉炎。

Mycobacterial coronary arteritis in a heart transplant recipient.

作者信息

Tuder R M, Renya G S, Bensch K

出版信息

Hum Pathol. 1986 Oct;17(10):1072-4. doi: 10.1016/s0046-8177(86)80093-4.

Abstract

A case of mycobacterial vasculitis in a chronically rejected transplanted heart is described. The coronary arteries were the only vessels involved by mycobacteria, although the patient had a generalized infection. The process of chronic rejection, with persistent injury to the intimal vascular lining of a transplanted organ, may lead to defects in the endothelial cell barrier and thus facilitate infiltration of a vessel wall by acid-fast bacilli.

摘要

本文描述了一例慢性排斥移植心脏中的分枝杆菌性血管炎病例。尽管患者存在全身感染，但冠状动脉是唯一受累的分枝杆菌血管。慢性排斥过程中，移植器官内膜血管衬里持续受损，可能导致内皮细胞屏障缺陷，从而促进抗酸杆菌浸润血管壁。