Yellin A E
Arch Surg. 1977 Aug;112(8):981-6. doi: 10.1001/archsurg.1977.01370080079013.
Mycotic aneurysms occurred in five narcotics addicts treated between 1969 and 1975. Fever, localized tenderness, swelling, loss of distal pulses, and leukocytosis were common findings. The aneurysms were located in the femoral (two patients), brachial (two), and superior mesenteric arteries (one). They occurred at the site of arterial injection in three patients. In one patient with subacute bacterial endocarditis, an aneurysm of the superior mesenteric artery developed. In one patient, the pathogenesis was uncertain. All patients had rupture of the arterial wall, with hemorrhage contained by adjacent muscle or soft tissue. Four patients were treated by ligation and debridement. One, with preexisting ischemia, required amputation below the knee. One patient underwent repair with autogenous artery. Recurrent hemorrhage necessitated ligation of the artery. In all patients, extensive sepsis and tissue necrosis precluded repair with prosthetic material. All patients survived, without evident of ischemia.
1969年至1975年间，五名吸毒成瘾者发生了霉菌性动脉瘤。发热、局部压痛、肿胀、远端脉搏消失和白细胞增多是常见表现。动脉瘤位于股动脉（2例患者）、肱动脉（2例）和肠系膜上动脉（1例）。3例患者的动脉瘤发生在动脉注射部位。1例患有亚急性细菌性心内膜炎的患者发生了肠系膜上动脉瘤。1例患者的发病机制尚不确定。所有患者均出现动脉壁破裂，出血被邻近肌肉或软组织包裹。4例患者接受了结扎和清创治疗。1例已有缺血的患者需要在膝下截肢。1例患者接受了自体动脉修复。反复出血需要结扎动脉。在所有患者中，广泛的败血症和组织坏死使无法使用假体材料进行修复。所有患者均存活，无缺血迹象。
