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沙门氏菌肠炎感染中的真菌性动脉瘤:致命的并发症
Grace Gui Jin Khoo1, Paul Andrew Chong Yew Ong1, Joel Kae Wei Wong1
1Internal Medicine, Hospital Sultanah Aminah, Johor Bahru, MYS.
Cureus
|January 15, 2025
概括
沙门氏菌肠炎可以导致罕见但致命的真菌性动脉瘤. 对于高风险患者来说,早期检测和治疗至关重要,以防止致命的破裂.
科学领域:
- 传染性疾病 传染性疾病
- 血管外科 血管外科
- 心脏病学 心脏病学
背景情况:
- 菌性动脉瘤是罕见的,严重的血管感染,往往是致命的.
- 系统性细菌感染,如沙门氏菌病,是主要的原因.
- 糖尿病增加了严重感染和并发症的风险.
研究的目的:
- 报告一种导致瘤动脉瘤破裂的沙门氏菌肠炎病例.
- 强调认识到沙门氏菌菌血症是真菌性动脉瘤的原因的重要性.
- 突出早期诊断和风险患者的干预的关键需求.
主要方法:
- 一个62岁的男性患者的病例报告,患有2型糖尿病,呈现出败血症休克.
- 血液培养物对沙门氏菌 enteritidis 呈阳性.
- 计算机断层扫描血管图揭示了破裂的内腹腔大动脉动脉瘤.
主要成果:
- 患者出现了败血症休克和沙门氏菌肠炎细菌病.
- 鉴定了一种破裂的菌性动脉瘤 下腹腔大动脉.
- 尽管进行了积极的医疗管理,但患者的病情迅速恶化并死亡.
结论:
- 沙门氏菌菌血症可能导致快速进展和致命的真菌性动脉瘤.
- 警对于沙门氏菌菌病患者至关重要,特别是那些患有糖尿病,晚年和心血管疾病等危险因素的患者.
- 及时的成像和干预对于改善结局和预防由真菌性动脉瘤引起的死亡率至关重要.
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