Donald K, Woodson J, Hudson H, Menzoian J O
Department of Surgery, Boston University, School of Medicine, Mass., USA.
Ann Vasc Surg. 1996 Nov;10(6):573-7. doi: 10.1007/BF02000446.
The etiology of mycotic aneurysms is variable but most often includes streptococci, staphylococci, Salmonella, and Pseudomonas infections. Yersinia enterocolitica is an organism that has been infrequently associated with vascular infections. We report a case of two ruptured mycotic pseudoaneurysms occurring in the same patient in the superficial femoral artery and the infrarenal abdominal aorta only 10 days apart. The literature is reviewed, and the clinical findings and pathology are discussed. The unique problem of multiple mycotic aneurysms developing at different times as a result of Yersinia bacteremia suggests the need to monitor these patients longitudinally and evaluate multiple sites on the arterial tree to detect occult pseudoaneurysms and prevent late death from rupture.
真菌性动脉瘤的病因多种多样，但最常见的包括链球菌、葡萄球菌、沙门氏菌和假单胞菌感染。小肠结肠炎耶尔森菌是一种很少与血管感染相关的病原体。我们报告一例同一患者在股浅动脉和肾下腹主动脉仅相隔10天发生的两例破裂真菌性假性动脉瘤。回顾了相关文献，并讨论了临床发现和病理学。小肠结肠炎耶尔森菌血症导致不同时间发生多个真菌性动脉瘤这一独特问题提示，需要对这些患者进行长期监测，并评估动脉树的多个部位，以检测隐匿性假性动脉瘤并预防破裂导致的晚期死亡。
