由Listeria monocytogenes引起的罕见的伪动脉瘤病例
Dee Xi1, Chunhua Luo1, Qianyuan Li1
1Department of Clinical Laboratory, The First College of Clinical Medical Science, China Three Gorges University, Yichang Central People's Hospital, Yichang, China.
Frontiers in medicine
|October 8, 2025
概括
这项研究报告了第一个由Listeria monocytogenes引起的手臂动脉伪动脉瘤病例. 成功治疗涉及抗生素和手术修复,突出了一个罕见但严重的感染.
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:
- 菌性动脉瘤是罕见的,但危及生命的血管感染.
- 常见的病原体包括葡萄球菌,沙门氏菌和链球菌物种.
- 受到Listeria monocytogenes的感染非常罕见,记录的病例有限.
研究的目的:
- 报告第一个由Listeria monocytogenes引起的手臂动脉伪动脉瘤的已知病例.
- 描述这种罕见疾病的临床表现,诊断和管理.
- 为对Listeria monocytogenes引起的血管感染的有限文献做出贡献.
主要方法:
- 一个患有臂动脉伪动脉瘤的病人的病例报告.
- 通过血液培养确定Listeria monocytogenes的诊断证实了诊断.
- 治疗包括抗生素治疗和手术干预的结合.
主要成果:
- 患者在左臂动脉中出现了伪动脉瘤.
- 李斯特菌单细胞菌被确定为致病原体.
- 成功的管理包括抗生素治疗,然后进行手术切除和重建,使用自生沙静脉移植.
结论:
- 李斯特菌可导致罕见但严重的血管感染,如臂动脉伪动脉瘤.
- 结合抗生素和手术的多模式治疗是有效的.
- 这一案例扩大了对Listeria monocytogenes作为血管外科手术中的病原体的理解.
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