甲型副伤寒沙门菌引起的胸主动脉霉菌性假性动脉瘤：一例报告
Mycotic Pseudoaneurysm of Thoracic Aortic Caused by Salmonella Paratyphi A: A Case Report.
作者信息
Han Ying, Zhang Yue, Gong Gege, Ou Cehua, Li Fubo
机构信息
Department of Pain Management, The Affiliated Hospital of Southwest Medical University, Luzhou, People's Republic of China.
Department of Physical Diagnosis, The Affiliated Hospital of Southwest Medical University, Luzhou, People's Republic of China.
出版信息
Infect Drug Resist. 2023 Jun 27;16:4171-4176. doi: 10.2147/IDR.S416783. eCollection 2023.
BACKGROUND
Mycotic pseudoaneurysm, also known as infectious pseudoaneurysm, is a severe disease with a high mortality rate. Although Salmonella infection is a common etiological factor for mycotic pseudoaneurysm, Salmonella paratyphi A infection causing mycotic pseudoaneurysm is extremely rare. Endovascular therapy has been described as a feasible treatment for mycotic pseudoaneurysm.
CASE PRESENTATION
A 63-year-old female patient had a thoracic aortic pseudoaneurysm caused by Salmonella paratyphi A infection. The patient associated with diabetes had a fever, abdominal pain, and low back pain, who was successfully treated using endovascular stents treatment and antibiotics.
CONCLUSION
Salmonella paratyphi A is a bloodstream infection bacterium with the ability to cause mycotic pseudoaneurysm. To treat mycotic pseudoaneurysms of the thoracic aorta, endovascular stent-graft treatment combined with antibiotics is an alternative treatment for patients who cannot tolerate open surgery.
背景
真菌性假性动脉瘤，又称感染性假性动脉瘤，是一种死亡率很高的严重疾病。虽然沙门氏菌感染是真菌性假性动脉瘤的常见病因，但甲型副伤寒沙门氏菌感染导致真菌性假性动脉瘤极为罕见。血管内治疗已被描述为真菌性假性动脉瘤的一种可行治疗方法。
病例介绍
一名63岁女性患者因甲型副伤寒沙门氏菌感染导致胸主动脉假性动脉瘤。该糖尿病患者伴有发热、腹痛和腰痛，通过血管内支架治疗和抗生素治疗成功治愈。
结论
甲型副伤寒沙门氏菌是一种具有引起真菌性假性动脉瘤能力的血流感染细菌。对于胸主动脉真菌性假性动脉瘤的治疗，血管内支架植入术联合抗生素是不能耐受开放手术患者的一种替代治疗方法。
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