Lee Chung-Ho, Woo Peter Yat-Ming, Leung Calvin Ka-Lam, Li Ronald, Chan Jenny Kwan-Tsz, Ng Kwan-Shun, Tse Cindy Wing-Sze
Department of Pathology, Kwong Wah Hospital, Hong Kong Special Administrative Region, China.
Department of Neurosurgery, Kwong Wah Hospital, Hong Kong Special Administrative Region, China.
Infect Med (Beijing). 2024 Jul 30;3(3):100123. doi: 10.1016/j.imj.2024.100123. eCollection 2024 Sep.
is a known fish pathogen associated with numerous aquacultural outbreaks. In humans, primarily causes infective endocarditis, but infections involving other organs have also been reported. We report the first case of ruptured infectious intracranial aneurysm associated with bacteraemia without concomitant infective endocarditis. The diagnosis of a left distal posterior cerebral artery mycotic aneurysm was based on a computed tomography angiogram, catheter angiogram and histopathological examination of the resected aneurysm. Here, we review the literature on human infections and describe the clinical characteristics, risk factors, management and outcomes of the cases identified to date.
是一种已知的鱼类病原体，与众多水产养殖疫情有关。在人类中，主要引起感染性心内膜炎，但也有涉及其他器官感染的报道。我们报告了首例与菌血症相关的感染性颅内动脉瘤破裂病例，且无并发感染性心内膜炎。左大脑后动脉远端霉菌性动脉瘤的诊断基于计算机断层血管造影、导管血管造影以及切除动脉瘤的组织病理学检查。在此，我们回顾了关于人类感染的文献，并描述了迄今已确定病例的临床特征、危险因素、治疗及预后情况。
