大肠杆菌诱导的风炎和大动脉穿孔:一个案例研究和文献综述
Hiba Abdelkareem1, Saif Aldeen Jabarin1, Ahmad Farhoud2
1Department of Internal Medicine C, Shaare Zedek Medical Center, Hadassah Medical School, Hebrew University of Jerusalem, Jerusalem, Israel.
The American journal of case reports
|October 19, 2025
概括
大肠杆菌 (大肠杆菌) 可以导致传染性主动脉炎,一种严重的主动脉炎症. 用抗生素和手术及时治疗,最好是内血管动脉瘤修复 (EVAR),可以改善这些罕见病例的生存率.
科学领域:
- 血管外科 血管外科
- 传染性疾病 传染性疾病
- 大动脉疾病 大动脉疾病
背景情况:
- 传染性主动脉炎是一种罕见但危及生命的疾病.
- 大肠杆菌 (E. coli) 是一种不常见的病原体,与传染性风炎有关.
研究的目的:
- 描述一例大肠杆菌大心炎,并审查有关这种疾病的文献.
- 评估对大肠杆菌关炎的治疗策略和结果.
主要方法:
- 一个82岁的男性患有大肠杆菌主脉炎的病例报告.
- 对33例大肠杆菌大炎病例的文献综述.
- 对诊断方法 (CT扫描) 和干预措施 (EVAR,开放手术,抗生素) 的分析.
主要成果:
- 大肠杆菌大炎在老年男性 (平均年龄69岁,79%的男性) 中更为常见.
- 计算机断层扫描 (CT) 是主要的诊断工具 (94%).
- 手术干预 (87%) 和长时间的抗生素治疗 (6-12周) 对于生存至关重要,报告的生存率为83%.
结论:
- 大肠杆菌大炎是一种可能致命的感染,需要积极管理.
- 最佳治疗包括长时间静脉注射抗生素和外科手术的结合.
- 在可行的情况下,优先进行内血管动脉瘤修复 (EVAR),提供有利的生存率.
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