传染性主动脉炎和在社区军事医院管理它
Kelly Tang1, Brandon Ford1, Samuel L Grasso2
1General Surgery, William Beaumont Army Medical Center, El Paso, Texas, USA.
BMJ case reports
|March 27, 2024
概括
传染性风炎是一种罕见的疾病,被诊断为患有黄金杆菌菌菌病的患者. 治疗包括抗生素和手术大动脉修复.
科学领域:
- 心血管医学 心血管医学
- 传染性疾病 传染性疾病
- 血管外科 血管外科
背景情况:
- 传染性大关节炎是一种罕见但严重的疾病,由真菌,病毒或细菌引起.
- 它通常是由心脏,尿道或胃肠道来源的血液传播引起的.
- CT成像对于诊断大动脉壁的变化至关重要,例如加厚,脱落和狭窄.
研究的目的:
- 报告一个感染性主脉炎的病例,该病例是由于Staphylococcus aureus bacteremia引起的.
- 在评估其他疾病时突出偶然诊断.
- 描述多学科管理方法.
主要方法:
- 一个60多岁的女性患者的案例介绍.
- 首次接受急性胆囊炎和胆结石胰腺炎的治疗.
- 偶然的CT检测发现了带有透性的动脉炎.
- 血培养对金黄色葡萄球菌呈阳性.
- 治疗包括静脉注射抗生素,营养优化和开放性大动脉手术.
主要成果:
- 感染性大心炎的诊断证实由黄金杆菌菌菌.
- 在成像上发现的透性大动脉.
- 成功进行了大动脉切除和重建的外科手术,使用浸里法的达克隆移植.
结论:
- 传染性主动脉炎需要及时诊断和管理.
- 涉及传染病专家和血管外科医生的多学科护理至关重要.
- 手术修复与适当的抗生素治疗提供了一个可行的治疗选择.
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