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https://hdl.handle.net/20.500.14094/90004882
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2024-05-06
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90004882 (fulltext)
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メタデータID
90004882
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open access
出版タイプ
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タイトル
Mycotic aneurysm caused by Edwardsiella tarda successfully treated with stenting and suppressive antibiotic therapy: a case report and systematic review
著者
Ebisawa, Kei Furui ; Nishimura, Sho ; Yamamoto, Shungo ; Ohji, Goh ; Iwata, Kentaro
著者名
Ebisawa, Kei Furui
著者名
Nishimura, Sho
著者名
Yamamoto, Shungo
著者名
Ohji, Goh
著者ID
A1280
研究者ID
1000090513549
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=9a7839e29d4e905c520e17560c007669
著者名
Iwata, Kentaro
岩田, 健太郎
イワタ, ケンタロウ
所属機関名
都市安全研究センター
収録物名
Annals of Clinical Microbiology and Antimicrobials
巻(号)
17
ページ
21-21
出版者
BioMed Central
刊行日
2018-05-10
公開日
2018-05-25
抄録
Background: Mycotic aneurysm is an uncommon disease which could be fatal without appropriate treatment. Although standard therapy for mycotic aneurysms consists of resection of the infected aorta and in situ graft replacement, some treat with endovascular stent-grafting because patients may not tolerate graft replacement due to underlying diseases. There are 6 more reported cases of mycotic aneurysm caused by Edwardsiella tarda. With the exception of our case, all underwent resection and debridement of the infected aorta or vascular prosthesis. Herein we report the first case ever of mycotic aneurysm caused by E. tarda, successfully treated with stenting and suppressive antibiotic therapy without resection of the infected aorta. Case presentation: A 65-year-old Japanese woman with cirrhosis and hepatocellular carcinoma complained of fatigue. Her work up revealed a ruptured aneurysm of the descending aorta. She went through endovascular stent-graft placement. Edwardsiella tarda grew from blood cultures, which led to the diagnosis of mycotic aneurysm. Edwardsiella tarda is a Gram negative bacillus which rarely causes infections in humans. In the case of bacteremia, its mortality is reported to be very high and all reported cases with mycotic aneurysm caused by E. tarda ended up with resection of the infected aorta. Conclusion: Our case shows that in the case of mycotic aneurysm caused by E. tarda, endovascular stent-graft placement could be an alternative to in situ graft replacement.
キーワード
Edwardsiella tarda
Cirrhosis
Mycotic aneurysm
Stent graft
Suppressive antibiotic therapy
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都市安全研究センター
学術雑誌論文
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© The Author(s) 2018.
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
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資源タイプ
journal article
言語
English (英語)
eISSN
1476-0711
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関連情報
DOI
https://doi.org/10.1186/s12941-018-0273-x
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