Infectious Aortitis Caused by Salmonella Dublin Followed by Aneurysmal Dilatation of the Abdominal Aorta

被引：5

作者：

Nakayama, Masafumi ^{[1
,3
]}

Fuse, Koichi ^{[1
]}

Sato, Masahito ^{[1
]}

Okabe, Masaaki ^{[1
]}

Misumi, Shigeki ^{[2
]}

Yamashina, Akira ^{[3
]}

Yamamoto, Kazuo ^{[1
]}

Yoshii, Shinpei ^{[1
]}

Aizawa, Yoshifusa ^{[4
]}

机构：

[1] Tachikawa Gen Hosp, Ctr Cardiovasc, Tachikawa, Tokyo, Japan

[2] Tachikawa Gen Hosp, Dept Radiol, Tachikawa, Tokyo, Japan

[3] Tokyo Med Univ, Dept Cardiol, Tokyo, Japan

[4] Tachikawa Med Ctr, Dept Res & Dev, Tachikawa, Tokyo, Japan

来源：

INTERNAL MEDICINE | 2012年 / 51卷 / 20期

关键词：

infectious aortitis; Salmonella dublin; aneurysmal dilatation; surgical correction; MYCOTIC-ANEURYSMS; RAW-MILK; RECONSTRUCTION;

D O I：

10.2169/internalmedicine.51.7937

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 67-year-old woman was admitted for severe abdominal pain (stomach ache). Computed tomography (CT) revealed gas along the abdominal aortic wall. A blood culture was positive for Salmonella dublin, a gram-negative bacillus that is rare in humans. Treatment with an antibiotic improved the inflammatory signs; however, on the 11th hospital day, the patient complained of sudden severe abdominal pain. Enhanced CT revealed a pseudoaneurysm surrounded by a periaortic abscess. The infected aortic wall, including the aneurysm, was resected and an extra-anatomic bypass was constructed between the axillary artery and the external iliac arteries. The patient recovered fully and her course has been uneventful for the past two years since her discharge.

引用

页码：2909 / 2911

页数：3

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