Bamford J, Hodges J, Warlow C
J Neurol. 1986 Feb;233(1):51-3. doi: 10.1007/BF00313993.
Rupture of a mycotic aneurysm often occurs before the diagnosis of bacterial endocarditis is made or whilst the patient is being treated with antibiotics. It is recognised that cerebral embolism continues to occur after adequate antibiotic treatment, but the late rupture of a mycotic aneurysm seems to be very unusual. We report such a case where rupture of a peripherally sited aneurysm, demonstrated angiographically and pathologically, occurred 6 months after bacteriologically adequate treatment of streptococcal bacterial endocarditis.
霉菌性动脉瘤破裂通常发生在细菌性心内膜炎确诊之前，或患者正在接受抗生素治疗期间。人们认识到，在进行充分的抗生素治疗后，脑栓塞仍会继续发生，但霉菌性动脉瘤的晚期破裂似乎非常罕见。我们报告了这样一例病例，经血管造影和病理证实为外周动脉瘤破裂，发生在对链球菌性细菌性心内膜炎进行细菌学充分治疗6个月后。
