Murphy D P, Glazier D B, Krause T J
Department of Surgery, Robert Wood Johnson Medical School, New Brunswick, New Jersey 08903, USA.
Ann Thorac Surg. 1996 Dec;62(6):1835-7. doi: 10.1016/s0003-4975(96)00556-5.
We describe a case-of a 78-year-old man who presented with a mycotic aneurysm of the thoracic aorta caused by Clostridium septicum and underwent successful resection. There are only 3 cases of mycotic aneurysms caused by Clostridium septicum reported in the literature. Clostridium septicum infections have been shown to have a high association with gastrointestinal and hematologic malignancies. All patients with Clostridium septicum infections, therefore, require a search for gastrointestinal lesions, as they may represent a source of persistent bacteremia. This patient had no malignant lesions but did have multiple benign sigmoid polyps.
我们描述了一例78岁男性患者，该患者患有由败血梭菌引起的胸主动脉霉菌性动脉瘤，并成功接受了切除术。文献中仅报道了3例由败血梭菌引起的霉菌性动脉瘤病例。已表明败血梭菌感染与胃肠道和血液系统恶性肿瘤高度相关。因此，所有败血梭菌感染患者都需要检查是否存在胃肠道病变，因为这些病变可能是持续性菌血症的来源。该患者没有恶性病变，但确实有多个乙状结肠良性息肉。
