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两例由惠普尔病引起的真菌性动脉瘤连续病例。

Two consecutive cases of mycotic aneurysms resulting from Whipple disease.

作者信息

Menier Charles Antoine, Rheaume Pascal, Bernatchez Julien

机构信息

Division of Vascular Surgery, CHU de Quebec, Hopital St-Francois D'Assise, Quebec City, QC, Canada.

出版信息

J Vasc Surg Cases Innov Tech. 2023 Apr 8;9(3):101182. doi: 10.1016/j.jvscit.2023.101182. eCollection 2023 Sep.

Abstract

Whipple disease is a rare multisystemic infectious process caused by Classical clinical manifestations include chronic diarrhea, malabsorption, weight loss, and arthralgias. Cases of endocarditis and isolated involvement of the central nervous system have also been reported. Isolated vascular complications are not common with this disease. Vascular manifestations are mainly described as systemic embolization from underlying endocarditis. We report two consecutive cases of mycotic pseudoaneurysms resulting from Whipple disease treated with successful vascular reconstruction using autologous vein grafting.

摘要

惠普尔病是一种由罕见的多系统感染性疾病。典型临床表现包括慢性腹泻、吸收不良、体重减轻和关节痛。也有关于心内膜炎和中枢神经系统孤立受累病例的报道。这种疾病孤立的血管并发症并不常见。血管表现主要被描述为潜在心内膜炎引起的全身栓塞。我们报告了两例惠普尔病导致的霉菌性假性动脉瘤连续病例,采用自体静脉移植成功进行了血管重建治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/701f/10300405/81c6a68fd375/gr1.jpg

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Whipple's disease: rare disorder and late diagnosis.惠普尔病:罕见疾病与延迟诊断。
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