由Streptococcus pneumoniae引起的传染性大动脉动脉瘤血清型10:一个病例报告
Masanori Katayama1, Daisuke Ono2, Takayuki Kawamura2
1Department of General Internal Medicine, Saitama Medical Center, Saitama Medical University, Saitama, Japan.
IDCases
|December 4, 2025
概括
由Streptococcus pneumoniae血清型10引起的传染性大动脉动脉瘤是罕见的. 这一案例凸显了需要多学科护理和对肺炎球菌感染疫苗接种策略的潜在重新评估的需要.
科学领域:
- 传染性疾病 传染性疾病
- 心血管外科心血管外科
- 微生物学 微生物学
背景情况:
- 肺炎链球菌是呼吸道和侵入性感染的常见原因.
- 传染性大动脉动脉瘤 (IAA) 是一种罕见但严重的疾病.
- 很少有IAA病例报告涉及特定的S. pneumoniae血清型.
研究的目的:
- 报告一种罕见的感染性大动脉动脉瘤病例,该病例是由Streptococcus pneumoniae血清型10引起的.
- 讨论这种罕见疾病的临床表现,管理和结果.
- 突出早期诊断和多学科方法的重要性.
主要方法:
- 一个50岁的未接种疫苗的男性病例报告,没有先前的病史.
- 通过对比增强计算机断层扫描和血液培养证实了诊断.
- 治疗涉及紧急胸内血管动脉瘤修复 (TEVAR),随后进行开放的外科移植.
- 开始使用青素G的抗菌疗法.
主要成果:
- 患者呈现出渐进的前胸部疼痛和状下降大动脉动脉瘤.
- 鉴定出S. pneumoniae血清型10为病原体.
- 动脉瘤没有响应抗微生物药物治疗,需要手术干预.
- 患者在没有复发的情况下顺利出院.
结论:
- 这是第一个被证实由S. pneumoniae血清型10引起的IAA病例.
- 早期诊断和分阶段的手术干预对于成功管理至关重要.
- 非疫苗血清型的参与表明需要重新评估疫苗接种策略,并了解罕见的肺炎球菌表现.
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