亚斯伯菌 spp. 的种类. 移植脏后的脏动脉炎:重新评估
Romain Gueneau1, Chloé Giret2, Emmanuel Lafont1
1Service de Maladies Infectieuses et Tropicales, Hôpital Necker-Enfants Malades, Université de Paris, Assistance Publique-Hôpitaux de Paris, Paris, France.
概括
Aspergillus flavus可以在脏移植后引起危险的移植脏动脉伪动脉瘤. 迅速的手术切除和抗真菌治疗对于恢复至关重要,尽管死亡率仍然令人担忧.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 移植手术 移植手术
- 传染性疾病 传染性疾病
背景情况:
- 移植相关的动脉伪动脉瘤是罕见的,但危及生命的并发症.
- 阿斯珀吉勒斯菌种是移植后这些伪动脉瘤的不常见原因.
研究的目的:
- 报告一个Aspergillus flavus诱导的移植脏动脉伪动脉瘤病例.
- 审查移植后与阿斯伯吉路斯菌相关的动脉炎的文献.
主要方法:
- 介绍了一例62岁的女性接受者,患有大,无症状的伪动脉瘤.
- 进行了手术切除移植和伪动脉瘤.
- 培养物发现了Aspergillus flavus;治疗包括抗真菌疗法.
主要成果:
- 患者在经过12个月的抗真菌治疗后恢复过来.
- 文献审查发现了14个Aspergillus spp.的病例. 移植后的动脉炎.
- 黄虫占病例的50%,其中73%在90天内被诊断出来.
结论:
- 阿斯伯吉卢斯黄菌可以导致移植脏动脉伪动脉瘤.
- 早期诊断和联合手术和抗真菌治疗是必不可少的.
- 尽管有治疗,但这些感染的死亡率仍然很高 (33%).
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