查詢結果分析
相關文獻
- Ruptured Abdominal Mycotic Aneurysm Managed by Antibiotics Therapy Alone:Report of a Case
- Successful Management of Ruptured Myocotic Aneurysm with Retroperitoneal Abscess due to Klebsiella Pneumoniae
- Non-Typhoid Salmonella Bacteremia Complicated with Mycotic Abdominal Aortic Aneurysm: A Case Report
- Mycotic Aortic Aneurysms in Dialysis Patients: Analysis of Cases
- 血管內主動脈支架修復技術治療感染性主動脈瘤及主動脈相關瘻管之現況及展望
頁籤選單縮合
題名 | Ruptured Abdominal Mycotic Aneurysm Managed by Antibiotics Therapy Alone:Report of a Case=單用抗生素成功治療破裂的感染性主動脈瘤:病例報告 |
---|---|
作者姓名(中文) | 柯文謙; 俞芹英; 莊銀清; | 書刊名 | 中華民國感染症醫學會雜誌 |
卷期 | 8:2 1997.12[民86.12] |
頁次 | 頁155-158 |
分類號 | 415.384 |
關鍵詞 | 感染性主動脈瘤; Mycotic aneurysm; Salmonellosis; Medical therapy; |
語文 | 英文(English) |
中文摘要 | 沙門氏菌引起之腹部主動脈炎,除非是積極的外科手術處理,否則是高致死率的疾病。一位七十歲婦女,患有高血壓和糖尿病,出現發燒,腹痛及有一含脈動性之腹部腫。入院後Klebsiella ozaenae, Salmonella enteritidis和Enterococcus菌血症相繼被發現。腹部電腦斷層發現有一個已破裂的感染性腎下主動脈瘤。手術處理的建議被拒絕,所以使用靜脈注射殺菌型抗生素,治療五周後,病患情況轉趨穩定。十三個月後病逝於其它疾病。這段期間總共作過十六套血液培養,皆是陰性結果。雖說她動脈感染可由靜注殺菌型抗生素來控制,腹部動脈瘤直徑在追蹤期間還在增大。因此投予抗生素再加上手術切除被感染的血, 方是治療感染性腹部動脈瘤標準方法。 |
英文摘要 | Abdominal Salmonella aortitis is considered to be inevitably fatal unless aggressive surgical intervention is performed. A 70 year-old woman with hypertension and diabetes mellitus presented with fever, abdominal pain and a pulsatile abdominal mass. Bacteremias of Klebsiella ozaenae, Salmonella enteritidis and Enterococcus species were subsequently documented. Computed tomography revealed a ruptured infrarenal mycotic aneurysm. Surgical intervention was refused and parenteral bactericidal antibiotics (ceftriaxone and vancomycin) were administered for five weeks and her condition became stable. She died of unrelated causes thirteen months later. Sixteen sets of blood culture collected during the end of her life were sterile. Although her arterial infection was controlled by parenteral bactericidial antibiotics, the diameter of abdominal aneurysm was increasing during the follow-up period. Therefore, antimicrobial therapy combined with surgical resection of the infected vessel is still the therapy of choice for an abdominal mycotic aneurysm. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。