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呈现多焦点胸前大动脉真菌性动脉瘤的散播性梅症:一个病例报告
Chee Yik Chang1, Fatin Aqilah Nor Aswan2, Muhamad Aibaq Muhamad Yazid3
1Department of Medicine, Hospital Sultanah Aminah, Johor Bahru 80100, Johor, Malaysia. ccyik28@gmail.com.
World journal of clinical cases
|February 17, 2026
概括
由Burkholderia pseudomallei引起的散播性性症可能导致侵袭性真菌性动脉瘤. 早期诊断和多学科护理对于管理这种严重感染至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 血管外科 血管外科
- 关键护理医学 关键护理医学
背景情况:
- 由Burkholderia pseudomallei引起的菌,在东南亚和澳大利亚北部是特有病.
- 它呈现出各种不同的临床表现,从局部感染到传播疾病.
- 菌性动脉瘤是一种罕见但严重的扩散性髓性发病并发症,携带高死亡率.
研究的目的:
- 报告一个由多个真菌性动脉瘤复杂的扩散性有机症病例.
- 为了突出管理攻击性血管干预在美利欧症的挑战.
- 强调早期诊断和多学科护理的重要性.
主要方法:
- 一个67岁的男性患有糖尿病的案例介绍.
- 诊断Burkholderia pseudomallei细菌病与多个深层和大动脉动脉瘤.
- 保守的管理与长期的抗菌药物治疗和监测,由于患者拒绝手术.
主要成果:
- 患者患上了下降胸前动脉的多焦点真菌性动脉瘤.
- 尽管进行了抗微生物治疗,但动脉瘤呈现出逐渐扩大.
- 选择了保守的管理,而不是手术修复.
结论:
- 扩散性梅里欧症可以积极地影响血管系统.
- 早期诊断和多学科方法对于改善结果至关重要.
- 这一案例凸显了与血管并发症相结合的复杂血性病的管理所面临的挑战.
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