由于沙门氏菌引起的传染性风炎,这种物种伪装成肺癌
John-Paul O'Shea1, Darakhshan Ahmad1, Dorothy Garner1
1Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA.
JACC. Case reports
|August 24, 2023
概括
沙门氏菌种类可以引起罕见但致命的传染性主动脉炎,在成像上模仿肺癌. 早期诊断是关键的,但这种情况突出了血管感染治疗坚持的挑战.
科学领域:
- 血管外科 血管外科
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 传染性主动脉炎是一种严重的血管感染,死亡率高.
- 传染性主动脉炎的准确和及时诊断往往是具有挑战性的,因为与其他疾病的放射相似性.
- 沙门氏菌是一种不常见但重要的传染性关节炎的原因.
研究的目的:
- 报告一例由沙门氏菌种引起的传染性主脉炎病例,最初被误诊为肺癌.
- 突出放射学模拟器在传染性主动脉炎中所带来的诊断挑战.
- 讨论在患有手术禁忌的患者中传染性主动脉炎的管理.
主要方法:
- 病例报告详细介绍患者的介绍,诊断工作和治疗.
- 审查有关传染性风炎和沙门氏菌感染的相关文献.
- 讨论成像发现和临床过程.
主要成果:
- 一位最初怀疑患有肺癌的患者被诊断出患有感染大动脉动脉瘤和由沙门氏菌引起的细菌病.
- 由于手术的禁忌,患者接受了静脉注射和口服抗生素的息治疗.
- 患者最终停止了治疗,并没有进行随访.
结论:
- 传染性风炎,特别是当由沙门氏菌引起时,可以表现为非典型的症状,并模仿其他严重疾病,如肺癌.
- 放射性发现可能具有误导性,在适当的临床背景下,需要高的血管感染怀疑指数.
- 患者坚持长期抗生素治疗的挑战可能会使传染性主动脉炎的管理复杂化,即使使用了息方法.
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