Aguado J M, Barros C, Gomez Garces J L, Fernández-Guerrero M L
Department of Internal Medicine, Fundación Jiménez Díaz, Universidad Autónoma, Madrid, Spain.
Scand J Infect Dis. 1987;19(4):483-4. doi: 10.3109/00365548709021683.
Infective aneurysms caused by Brucella sp. are extremely rare. B. suis and B. abortus have been implicated in a few cases but to our knowledge, B. melitensis has not been reported as a cause of mycotic aneurysm of the abdominal aorta. We here report the first case of this described in the English literature. The patient was successfully treated with resection of the infected aneurysm, placement of an axillo-bifemoral graft, and prolonged antibiotic treatment (doxycycline and streptomycin). Extended antimicrobial therapy and extra-anatomical bypass grafting procedures are advisable in the management of brucella infections of the abdominal aorta.
布鲁氏菌属引起的感染性动脉瘤极为罕见。猪布鲁氏菌和流产布鲁氏菌曾在少数病例中被提及，但据我们所知，尚未有文献报道马尔他布鲁氏菌可导致腹主动脉霉菌性动脉瘤。在此，我们报告英文文献中首例此类病例。该患者通过切除感染的动脉瘤、植入腋-双股人工血管以及延长抗生素治疗（强力霉素和链霉素）获得成功治疗。对于腹主动脉布鲁氏菌感染的治疗，延长抗菌治疗和解剖外旁路移植手术是可取的。
