Mycotic aneurysm caused by Clostridium septicum in a patient with colorectal cancer

被引:4
|
作者
Ramphal, Winesh [1 ]
Raaijmakers, Niels J. [2 ]
van der Klift, Marjolein [2 ]
Wijsman, Jan H. [1 ]
Kluytmans, Jan A. J. W. [3 ]
Veen, Eelco J. [1 ]
机构
[1] Amphia Ziekenhuis, Dept Surg, Molengracht 21, NL-4818 CK Breda, Netherlands
[2] Amphia Ziekenhuis, Dept Internal Med & Oncol, Breda, Netherlands
[3] Amphia Ziekenhuis, Dept Lab Microbiol & Infect Control, Breda, Netherlands
关键词
Mycotic aneurysm; Colorectal cancer; Clostridium septicum; Gas gangrene; Antibiotic treatment; ABDOMINAL-AORTA; INFECTED ANEURYSMS; SURGICAL-TREATMENT; TOXIN PRODUCTION; ALPHA-TOXIN; REPLACEMENT; EXPERIENCE; PERFRINGENS; MYONECROSIS; VIABILITY;
D O I
10.1007/s15010-018-1155-z
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
A mycotic aneurysm caused by a Clostridium septicum is a rare infection and has a strong association with colorectal cancer. If left untreated, the mortality rate of the first 24h is high. This case report discusses the optimal treatment of emergency surgery combined with antibiotic treatment to improve survival. We present a fatal case of a 71-year-old male with abscedation of a caecal carcinoma who shortly after developed a mycotic aneurysm of the infrarenal aorta as a result of a C. septicum infection.
引用
收藏
页码:711 / 716
页数:6
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