肺动脉动脉瘤在患有非结核性真菌细菌感染的患者中
Soichi Maruyama1,2, Haruhiko Furusawa1, Satoshi Endo1
1Department of Respiratory Medicine, Tokyo Medical and Dental University, Japan.
Internal medicine (Tokyo, Japan)
|August 9, 2023
概括
非结核性菌根细菌感染可以导致肺动脉动脉瘤,这是一个严重的并发症. 在患有NTM感染的患者中,肺动脉动脉瘤的早期检测和治疗对于生存至关重要.
科学领域:
- 医学 医学 医学 医学 医学
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
背景情况:
- 越来越多的人认识到非结核性真菌菌菌 (NTM) 感染.
- 肺动脉动脉瘤 (PAA) 是一种罕见但危及生命的NTM感染并发症.
- 在NTM患者中,血可以是PAA的呈现症状.
研究的目的:
- 报告NTM感染后发生的肺动脉动脉瘤破裂病例.
- 强调在NTM患者中考虑PAA的重要性.
- 强调在这个人群中早期发现和管理PAA的必要性.
主要方法:
- 一个64岁的女性患有NTM感染和血栓塞的病例报告.
- 计算机断层扫描 (CT) 用于诊断破裂的PAA.
- 肺动脉栓塞用于急性治疗.
- 右侧全肺切除术用于感染控制.
主要成果:
- 在一个有NTM感染史的患者中诊断出破裂的PAA.
- 通过肺动脉栓塞成功治疗破裂的PAA.
- 在肺切除术后实现了血和感染控制的完全解决.
结论:
- 肺动脉动脉瘤应考虑在患有NTM感染并出现血栓塞的患者.
- 及时诊断和对PAA进行干预可以防止致命的结果.
- 多学科的管理,包括干预性放射学和手术,是必不可少的.
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