Schoon Y, Schuurman B, Buiting A G, Kranendonk S E, Graafsma S J
Department of Internal Medicine, TweeSteden Ziekenhuis, Tilburg, Netherlands.
Neth J Med. 1998 Feb;52(2):71-4. doi: 10.1016/s0300-2977(97)00079-x.
A 65-year-old man with an abdominal aortic endoprosthesis presented with fever without other symptoms. Investigations revealed Lactobacillus casei bacteraemia. The Lactobacillus graft infection was at first successfully treated by antibiotic therapy. However, during follow-up a relapse occurred, and after surgical replacement of the graft the patient was cured. At surgery an aortoenteric fistula was found as source of the infection.
一名65岁男性,体内有腹主动脉内假体,出现发热,无其他症状。检查发现干酪乳杆菌菌血症。起初,干酪乳杆菌移植感染通过抗生素治疗成功治愈。然而,在随访期间复发,在手术更换移植假体后患者治愈。手术时发现主动脉肠瘘是感染源。