雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

A Case of Mycotic Pseudoaneurysm of the Thoracic Aorta due to Salmonella Infection Presenting Peculiar Computed Tomographic and Echocardiographic Findings Chiharu Take 1 , Norihiko Miyayama 1 , Toshiharu Tomi 1 , Hiroshi Asano 1 , Yoshiji Yamane 1 , Tetsurou Michihata 2 1Department of Internal Medicine, Jiseikai Hospital 2The First Department of Surgery, Showa University School of Medicine Keyword: 感染性胸部大動脈瘤 , サルモネラ菌 , 偽性大動脈瘤 , mycotic pseudoaneurysm , salmonella infection , thoracic aorta pp.211-215
Published Date 2000/2/15
DOI https://doi.org/10.11477/mf.1404902051
  • Abstract
  • Look Inside

A 67-year-old man was admitted to our hospitalbecause of fever and epigastralgia which had lasted fortwo weeks. He had had a history of diabetes and hyper-tension for ten years. On admission, laboratory studiesshowed elevation of the white blood cell count (10,100/μl), and increase of C-reactive protein (17.7mg/dl) andendotoxin level. Several blood cultures for bacteriawere negative. Examination of the digestive systemfailed to detect the origin of the fever. The contrast-enhanced CT of the chest on the 9th hospital dayrevealed peculiar dilatation of the descending aortawhich had three cavities enhanced by contrast medium.We considered mycotic aneurysm as a diagnostic possi-bility and referred the patient to the department ofthoracic surgery at another hospital. Since transesopah-geal echocardiography showed rupture of the descend-ing thoracic artery surrounded by a large amount ofthrombus, an emergency operation (grafting) wasperformed. A culture of the thrombus yielded salmonel-la, and a diagnosis of mycotic pseudoaneurysm due tosalmonella infection was established. Salmonellamycotic aneurysms of the thoracic aorta are very rare,and CT findings and results of echocardiography such asthose in this case have never been reported. Althoughthe patient became paraplegic immediately after theoperation, he is still alive 8 months after the operationwithout recurrence.


Copyright © 2000, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

関連文献

もっと見る

文献を共有