[一个有异常的女人在大动脉动脉瘤旁边]
Klaas G van der Hem1, Sandra P Ferns2, Sandra A Srbljin3
1Zaans Medisch Centrum, Zaandam. Afd. Interne Geneeskunde.
Nederlands tijdschrift voor geneeskunde
|February 27, 2025
概括
一名患者在大动脉动脉瘤修复后发烧. 图像检查显示了炎症,后来被确定为Q热带上炎,由Coxiella burnetii感染引起.
科学领域:
- 血管外科 血管外科
- 传染性疾病 传染性疾病
- 核医学是一种核医学.
背景情况:
- 腹腔大动脉动脉瘤的内血管修复 (EVAR) 是一个常见的程序.
- 手术后的并发症可能包括大动脉周围的炎症或感染.
- 在临床上,区分自身免疫和传染性炎症原因是非常重要的.
研究的目的:
- 在EVAR后的患者中调查围动脉炎症的原因.
- 为了确定导致炎症的特定病原体.
主要方法:
- 18F-FDG PET/CT成像用于评估大动脉周围的代谢活动.
- 进行了血清学测试和聚合酶链反应 (PCR) 检测传染病原体.
- 临床表现和成像检测结果是相关的.
主要成果:
- 患者在EVAR后的几周内出现了轻度发烧.
- 18F-FDG PET/CT显示出显著的近大动脉高新陈代谢.
- 对Coxiella burnetii的阳性血清学和PCR证实了Q热带耳周炎.
结论:
- Q热带耳周炎是EVAR后的一个潜在并发症.
- 18F-FDG PET/CT在诊断近大动脉炎症方面非常有价值.
- 及时识别Coxiella burnetii对于适当的治疗至关重要.
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