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一个由罕见细菌感染的脊柱动脉动脉瘤的外科病例,Eubacterium sp
Yuki Hayashi1, Atsushi Harada1, Keita Kamata1
1The Department of Cardiovascular Surgery, Nihon University School of Medicine, Tokyo, JPN.
Cureus
|April 8, 2024
概括
本案例研究详细介绍了一种罕见的流行动脉动脉瘤 (PAA) 感染,由Eubacterium spp. 在一个年长的男性中,通过手术和抗生素成功治疗.
科学领域:
- 血管外科 血管外科
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 脊柱动脉动脉瘤 (PAA) 是最常见的外周动脉动脉瘤.
- 菌性动脉瘤虽然很少见,但存在严重的破裂风险.
- 这是一种Eubacterium spp. 通常是口腔和肠道菌群的共生细菌.
研究的目的:
- 报告一种罕见的真菌性形动脉动脉瘤病例,由Eubacterium spp.引起.
- 描述这种罕见疾病的手术和抗生素治疗方法.
- 为了突出 Eubacterium bacteremia 的不寻常表现.
主要方法:
- 通过横向方法手术切除受感染的脊柱动脉动脉瘤.
- 表面的股骨动脉到膝下动脉的绕道使用大阴静脉.
- 在手术内培养和手术前血培养用于细菌鉴定.
- 术后通过静脉输入的抗生素治疗.
主要成果:
- 一个尾动脉伪动脉瘤被手术证实.
- 这是一种Eubacterium spp. 在血液和动脉瘤培养物中都被发现.
- 成功的手术修复和抗生素治疗导致炎症的解决.
- 患者在术后41日出院.
结论:
- 这一案例代表了Eubacterium spp.的罕见实例. 导致真菌性波普莱特动脉动脉瘤和细菌血.
- 手术干预与适当的抗生素治疗相结合是有效的管理受感染的脊柱动脉动脉瘤.
- 可能需要进一步的研究来了解血管感染中的Eubacterium bacteremia的致病性.
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