일차성 Streptococcus pneumoniae 균혈증에 동반된 흉부 하행 대동맥염 1예
A Case of Aortitis Associated with Primary Streptococcus pneumoniae Bacteremia
2
조회
0
다운로드
1
인용
0
참고문헌
초록
페렴구균에 의한 대동맥염은 국내에서 1예만 보고될 정도로 매우 드문 감염증이다. 저자들은 원발성의 폐렴구균혈증에 합병된 페렴구균 대동맥염 환자 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Bacterial aortitis is rare and without surgical intervention, it usually leads to uncontrolled sepsis or catastrophic hemorrhage, ultimately, resulting in death. In the postantibiotic era, the dominant infecting organisms are Staphylococcus aureus and Salmonella spp.. In spite of frequent pneumococcal bacteremia, vascular seeding is rare and there is only one published report in Korea. We describe a 77-year-old female with primary pneumococcal bacteremia followed by aortitis of the descending aorta, which was successfully treated by aneurysmectomy, wide excision of periaortic tissue, aortobiiliac bypass via prosthetic graft, and antibiotic therapy.
참고문헌 (13)
- "An uncommon manifestation of infection with Streptococcus pneumoniae Am J Med 107", 107, pp.627~30 (1999)
- "Principles and Practice of Infectious Diseases", pp.888~892 (2000), Churchill Livingstone
- "A Case of Bacterial Aortitis with Splenic Abscess by E", 32, pp.1100~4 (2002)
- "325 episodes diagnosed at St", pp.505~290 8 (1985)
- "Pneumococcal aortitis in the antibiotic era", 155, pp.1678~80 (1995)
- "A Case of Abdominal Aneurysm due to Streptococcus pneumoniae Infection", pp.116 435~8 42
- "Infected aortic aneurysms:CT diagnosis", 33, pp.684~9 (1992)
- "Pneumococcal aortitis,report of a case with emphasis on the contribution to diagnosis of positron emission tomography using fluorinated deoxyglucose", 9, pp.73~6 (2003)
- "A ten-year experience with bacterial aortitis", 10, pp.439~9 (1989)
- "Nonvalvular infections of the cardiovascular system", 121, pp.219~30 (1994)
- "Treatment of mycotic aneurysm of the aorta and its branches:The locatian determines the operative technique", 6, pp.419~23 (1992)
- "when is in situ reconstruction safe", pp.635~45 (1993)
- "Direct replacement of mycotic thoracoabdominal aneurysms", 18, pp.477~85 (1993)