Mycotic aortic aneurysm induced by Klebsiella pneumoniae successfully treated by in-situ replacement with rifampicin-bonded prosthesis: report of 3 cases.
Mycotic aortic aneurysm induced by Klebsiella pneumoniae successfully treated by in-situ replacement with rifampicin-bonded prosthesis: report of 3 cases.
复制标题
利福平修复假体原位置换成功治疗肺炎克雷伯菌所致真菌性主动脉瘤3例报告
DOI：
10.1253/circj.71.1317
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发表时间：
2007
期刊：
影响因子：
--
通讯作者：
H. Minami
中科院分区：
文献类型：
--
作者：
T. Totsugawa;M. Kuinose;H. Yoshitaka;Y. Tsushima;A. Ishida;H. Minami
由肺炎克雷伯菌引起的真菌性主动脉瘤极为罕见，有3例肺炎克雷伯菌所致的真菌性主动脉瘤，其中2例位于主动脉弓内，1例位于肾上腹主动脉。2例因动脉瘤破裂及进展性感染性休克急诊手术，另1例在根治性抗生素化疗后行择期手术。使用利福平粘合的假体进行原位重建，所有病例均未发生感染性并发症。
Mycotic aortic aneurysm caused by Klebsiella pneumoniae (K. pneumoniae) is extremely rare and 3 cases of K. pneumoniae-induced mycotic aortic aneurysm are present, 2 of which were located in the aortic arch and the other in the suprarenal abdominal aorta. Urgent surgery was performed for 2 cases because of impending aneurysmal rupture and progressive septic shock, whereas elective surgery was performed after radical antibiotic chemotherapy for the other case. In-situ reconstruction with rifampicin-bonded prosthetic grafts was performed, and no infective complications have occurred in any of the cases.