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Aortitis and bacterial endocarditis.

机译:主动脉炎和细菌性心内膜炎。

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摘要

Aortitis is an inflammatory condition that can be due to numerous causes. It is a diagnostic quandary because it commonly shows similar clinical, pathologic, and aortographic features independently of the etiology. A case of aortitis, possibly secondary to bacterial endocarditis, initially misdiagnosed as an atherosclerotic aortic ulcer and managed with an endoprosthesis is presented. On the fourth postoperative day, the patient presented with fever and worsening abdominal pain, which was later diagnosed as infectious aortitis. It required debridement and replacement of the infrarenal aorta with a cadaveric cryopreserved allograft. This case emphasizes the need for early diagnosis and aggressive therapy to avoid life-threatening sequelae.
机译:主动脉炎是一种炎症,可能是由多种原因引起的。这是一个诊断难题,因为它通常独立于病因显示相似的临床,病理和主动脉造影特征。介绍了一种主动脉炎,可能继发于细菌性心内膜炎的病例,最初被误诊为动脉粥样硬化性主动脉溃疡,并通过假体进行治疗。术后第四天,患者出现发烧和腹痛加剧,后来被诊断为传染性主动脉炎。它需要清创术并用尸体冷冻保存的同种异体移植物替代肾下主动脉。该病例强调需要早期诊断和积极治疗,以避免危及生命的后遗症。

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