Infectious Aortitis Caused by <i>Salmonella</i> Dublin Followed by Aneurysmal Dilatation of the Abdominal Aorta
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- Nakayama Masafumi
- Cardiovascular Center, Tachikawa General Hospital, Japan Department of Cardiology, Tokyo Medical University, Japan
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- Fuse Koichi
- Cardiovascular Center, Tachikawa General Hospital, Japan
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- Sato Masahito
- Cardiovascular Center, Tachikawa General Hospital, Japan
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- Okabe Masaaki
- Cardiovascular Center, Tachikawa General Hospital, Japan
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- Misumi Shigeki
- Department of Radiology, Tachikawa General Hospital, Japan
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- Yamashina Akira
- Department of Cardiology, Tokyo Medical University, Japan
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- Yamamoto Kazuo
- Cardiovascular Center, Tachikawa General Hospital, Japan
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- Yoshii Shinpei
- Cardiovascular Center, Tachikawa General Hospital, Japan
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- Aizawa Yoshifusa
- Department of Research and Development, Tachikawa Medical Center, Japan
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抄録
A 67-year-old woman was admitted for severe abdominal pain (stomach ache). Computed tomography (CT) revealed gas along the abdominal aortic wall. A blood culture was positive for Salmonella dublin, a gram-negative bacillus that is rare in humans. Treatment with an antibiotic improved the inflammatory signs; however, on the 11th hospital day, the patient complained of sudden severe abdominal pain. Enhanced CT revealed a pseudoaneurysm surrounded by a periaortic abscess. The infected aortic wall, including the aneurysm, was resected and an extra-anatomic bypass was constructed between the axillary artery and the external iliac arteries. The patient recovered fully and her course has been uneventful for the past two years since her discharge.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 51 (20), 2909-2911, 2012
一般社団法人 日本内科学会
