Amer Aly, Mangrolia Neil, De Silva Ravi
Cardiology Department, East Suffolk and North Essex NHS Foundation Trust, Heath Road, Ipswich, Suffolk IP4 5PD, United Kingdom.
Department of Cardiothoracic Surgery, Royal Papworth Hospital NHS Foundation Trust, Papworth Road Cambridge Biomedical Campus, Cambridge, Cambridgeshire CB2 0AY, United Kingdom.
Oxf Med Case Reports. 2024 Sep 2;2024(9):omae100. doi: 10.1093/omcr/omae100. eCollection 2024 Sep.
Aortitis and mycotic aneurysm are vascular conditions characterized by inflammation of the aortic wall or the presence of an aneurysm resulting from microbial infection. This is a rare case of aortic aneurysm caused by atherosclerosis, with and Parvovirus B19 infection, in a 60-year-old male. The patient presented with rigors and pleuritic chest pain, and was found to have a saccular aneurysm of the ascending aorta and pericardial effusion. The patient underwent urgent replacement of the ascending aorta and completed 6 weeks of antibiotics with good recovery. This case emphasizes the importance of considering rare organisms in patients with aortitis and mycotic aneurysm, particularly in cases with blood cultures without microbial growth. Early diagnosis and treatment may be essential for the prevention of life-threatening complications.
主动脉炎和感染性动脉瘤是血管疾病,其特征是主动脉壁炎症或微生物感染导致的动脉瘤形成。这是一例罕见的由动脉粥样硬化、B19微小病毒感染引起的60岁男性主动脉瘤病例。患者表现为寒战和胸膜炎性胸痛,发现升主动脉有一个囊状动脉瘤和心包积液。患者接受了升主动脉紧急置换,并完成了6周的抗生素治疗,恢复良好。该病例强调了在主动脉炎和感染性动脉瘤患者中考虑罕见病原体的重要性,特别是在血培养无微生物生长的情况下。早期诊断和治疗对于预防危及生命的并发症可能至关重要。