动物性血管内移植感染是罕见的,但严重的并发症
Andras Bikk1, Almira Opardija2, Lauren Johnson1
1Department of Surgery, Veterans Affairs-Central California Health Care System, Fresno, CA.
Journal of vascular surgery cases and innovative techniques
|September 8, 2025
概括
在血管外科手术中罕见的动物传播感染可能具有挑战性. 早期怀疑和先进的诊断,如血清学,分子测试和PET/CT,对于识别不寻常的病原体,如Coxiella burnetii和Bartonella henselae至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 血管外科 血管外科
- 医学诊断 医学诊断 医学诊断
背景情况:
- 动物传播感染可以从动物传播给人类.
- 血管和内血管外科手术中的感染很少见,通常是由常见的细菌引起的.
- 不典型的动物性传染病生物体存在诊断和治疗方面的挑战,原因是它们的难以捉摸的性质和对传统方法的抵抗力.
研究的目的:
- 呈现两例罕见的由动物性病原体引起的大动脉内移植感染病例.
- 突出这些感染所带来的诊断和治疗挑战.
- 强调早期怀疑和先进的诊断工具的重要性.
主要方法:
- 两名患有大动脉内移植感染的患者的病例系列介绍.
- 利用有针对性的血清学和分子诊断.
- 雇佣的18F-氧葡萄糖正子发射断层扫描/计算机断层扫描 (PET/CT) 用于诊断.
主要成果:
- 确定了两例大动脉内移植感染病例.
- 感染是由Coxiella burnetii和Bartonella henselae引起的.
- 先进的诊断方法是识别这些非典型病原体的关键.
结论:
- 动物感染,虽然很少见,但可以发生在大动脉内移植中.
- 早期怀疑和血清学,分子和先进成像 (PET/CT) 的结合对于诊断至关重要.
- 这些发现强调了在挑战性内移植感染中考虑动物源的必要性.
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