动物性大动脉移植感染 链球菌感染quiquiusequi
Haruka Karaushi1, Akihiro Yoshitake2, Yuta Kanazawa2
1Department of Infectious Diseases and Infection Control, Saitama International Medical Center, Saitama Medical University, 397-1, Hidaka, Saitama, 350-1298, Japan.
概括
一种罕见的动物传染病原体,Streptococcus equi subspecies zooepidemicus,感染了患者的大动脉支架移植,导致大动脉支柱. 用安培素及时治疗和紧急手术是成功的.
科学领域:
- 血管外科 血管外科
- 传染性疾病 传染性疾病
- 动物传播感染 动物传播感染
背景情况:
- 用开放式支架移植代替大动脉门是一种复杂的手术.
- 血管移植感染可能导致严重并发症.
- 动物传染病原体很少与血管移植感染有关.
研究的目的:
- 报告一种罕见的动脉支架移植感染病例,由动物感染病原体引起.
- 突出这些感染的诊断挑战和管理.
- 强调在有相关职业病史的患者中考虑动物感染源的重要性.
主要方法:
- 一个69岁的妇女的病例报告,有主动脉门置换病史.
- 临床表现有发烧和咳,导致成像研究 (胸部放射,增强对比度CT).
- 血液和手术内样本的微生物学分析.
- 手术干预 (紧急再置换) 和抗生素治疗.
主要成果:
- 与对比度增强的CT显示了大动脉门扩大和周移植液体与空气的收集,暗示了移植感染.
- 血液培养确定了Streptococcus equi亚种动物流行病菌,一种与马匹相关的病原体.
- 患者患有大动脉支柱,需要紧急的大动脉门重新置换.
- 术后用安皮西林治疗导致无事件的恢复.
结论:
- 动物感染的病原体,如Streptococcus equi subspecies zooepidemicus,可以导致严重的血管移植感染.
- 早期诊断和积极的管理,包括手术干预和适当的抗生素至关重要.
- 在对移植感染的差异诊断中,应考虑对动物的职业暴露.
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