Hematemesis, a Rare Sign of Aortic Infection

主動脈非典型沙門氏桿菌感染是一種罕見但卻可致命的疾病，尤其因未能早期診斷因而延誤手術治療。此疾病的臨床病徵經常是非特定性且多變的，一般常見症狀為發燒，直到較特定性病徵如胸痛的出現，這通常表示動脈為擴大或被裂，而急診醫療人員需具備高度警覺性，才能在此發病初期診斷此疾病。本文報告一位77歲男性患者，因發燒，吐血兩天且日趨嚴重，至本院急診就診。胸部X光檢查顯示主動脈弓旁之左側肺部浸潤，雖然經由造影加強之電腦斷層檢查後確認診斷。

關鍵字

吐血；主動脈瘤；非典型沙門氏桿菌感染

並列摘要

Non-typhoid salmonella infection of a mycotic aortic aneurysm is rare, but it is fatal when diagnosis is delayed. The clinical presentation is often nonspecific and varies widely, with fryer being the initial common initial presentation. Early diagnosis requires a high level of alertness and a detailed history. We report a 77 year-old man who visited our emergency room with complaints of vomiting with blood content fir two days, with increasing severity. The chest radiographs showed infiltration of the paraaortic arch, left lung fields. A ruptured aneurysm was diagnosed only after contrast-enhanced computed tomography (CT) was performed. The patient received immediate surgical treatment and adequate preoperative and postoperative antimicrobial therapy.

並列關鍵字

hematemesis ； mycotic aortic aneurysm ； non-typhoid salmonella infection

國際替代計量

Hematemesis, a Rare Sign of Aortic Infection

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