与Lactococcus garvieae相关的传染性内动脉瘤:一个病例报告和文献综述
Chung-Ho Lee1, Peter Yat-Ming Woo2, Calvin Ka-Lam Leung2
1Department of Pathology, Kwong Wah Hospital, Hong Kong Special Administrative Region, China.
Infectious medicine
|September 23, 2024
概括
鱼类病原体Lactococcus garvieae在没有内心炎的人类患者中引起了一种罕见的破裂内动脉瘤. 这个病例突出了L. garvieae感染的新表现.
科学领域:
- 微生物学 微生物学
- 传染性疾病 传染性疾病
- 神经学 神经学
背景情况:
- 牛乳球菌 (Lactococcus garvieae) 是一个重要的鱼类病原体.
- 人类感染通常涉及传染性内心炎.
- 其他器官的参与也被记录在案.
研究的目的:
- 报告第一个由L. garvieae.ae引起的感染性内动脉瘤破裂的病例.
- 为了审查人类L. garvieae感染.
- 描述临床特征,风险因素,管理和结果.
主要方法:
- 一个破裂的内动脉瘤的案例报告.
- 诊断成像:CT血管图和导管血管图.
- 切除动脉瘤的组织病理学检查.
- 关于人类L. garvieae感染的文献综述.
主要成果:
- 这是第一个由于L. garvieae.ae引起的破裂性传染性内动脉瘤的记录.
- 患者出现了细菌血症,而不是传染性内心炎.
- 通过成像和组织病理学证实了诊断.
- 文献审查确定了人类L. garvieae感染的临床模式.
结论:
- 乳球菌可导致罕见但严重的神经并发症,如破裂的内动脉瘤.
- 在人类L. garvieae感染中,感染性内心炎并不总是存在.
- 早期诊断和管理对于有利的结果至关重要.
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