PDF(Pubmed)
Abstract：
A 79-year-old man presented to our hospital with complaints of a sudden worsening of swelling in the right popliteal fossa and fever persisting for a week. Upon close examination, an infected popliteal artery aneurysm (PAA) was identified. Given the risk of rupture, the patient was advised to undergo surgery. The surgical procedure involved resecting the infectious PAA using a lateral approach. Additionally, a bypass was performed from the superficial femoral artery to the below-knee artery, utilizing the great saphenous vein located at the posterior aspect of the knee. Surgical findings revealed a popliteal artery pseudoaneurysm. Preoperative blood cultures identified Eubacterium spp., and cultures of the inoperative aneurysm specimens confirmed the presence of the same bacteria. After surgery, inflammation quickly subsided, and the patient was discharged on postoperative day (POD) 41 after receiving transvenous antibiotic therapy. Although PAA accounts for approximately 80% of all peripheral arterial aneurysms, mycotic aneurysms are relatively rare. Eubacterium spp. is part of the human intestinal or oral flora, and very few reports of bacteremia have been published. The present case of bacteremia caused by Eubacterium sp. is very rare; to the best of our knowledge, no literature has been published on this topic.
摘要：
一名79岁的男子来到我们医院，抱怨右pop窝肿胀突然恶化，发烧持续一周。经过仔细检查，确定了感染的the动脉动脉瘤（PAA）。考虑到破裂的风险，建议患者接受手术。外科手术包括使用外侧入路切除感染性PAA。此外,从股浅动脉到膝下动脉进行旁路手术，利用位于膝盖后部的大隐静脉。手术发现显示pop动脉假性动脉瘤。术前血液培养鉴定了真杆菌属。,和不手术动脉瘤标本的培养证实存在相同的细菌。手术后,炎症很快消退，患者在接受静脉抗生素治疗后的第41天（POD）出院。尽管PAA约占所有外周动脉动脉瘤的80％，霉菌性动脉瘤相对罕见。真细菌。是人体肠道或口腔菌群的一部分，关于菌血症的报道很少。目前由真杆菌引起的菌血症。非常罕见；据我们所知，没有关于这个主题的文献发表。
