Westerhof P W
Academisch Ziekenhuis, Hart Long Instituut, afd. Cardiologie, Utrecht.
Ned Tijdschr Geneeskd. 1997 Aug 30;141(35):1681-6.
Infectious endocarditis was diagnosed in four patients, men aged 18, 44, 35 and 22; the bacteria involved were Streptococcus viridans, Eikenella corrodens, Staphylococcus aureus and Streptococcus mutans, respectively. In all patients mycotic aneurysms were observed which had led to seemingly unrelated neurological or abdominal complaints. In one patient an aneurysm of the A. cerebri media resolved in two years, another patient died following fatal bleeding of a ruptured aneurysm in the A. hepatica propria. Mycotic aneurysms may be found in all parts of the body. This complication is often diagnosed too late because it is not considered.
4例患者被诊断为感染性心内膜炎，年龄分别为18岁、44岁、35岁和22岁的男性；所涉及的细菌分别为草绿色链球菌、腐蚀艾肯菌、金黄色葡萄球菌和变形链球菌。所有患者均观察到真菌性动脉瘤，这些动脉瘤导致了看似不相关的神经或腹部症状。1例大脑中动脉瘤在两年内消退，另1例患者因肝固有动脉破裂动脉瘤致命出血而死亡。真菌性动脉瘤可在身体的所有部位发现。这种并发症往往因未被考虑而诊断过晚。
