Salmonella Nonaneurysmal Abdominal Aortitis in a Hemodialysis Patient: A Case Report

沙門氏菌在一位血液透析病患引發非動脈瘤的腹主動脈炎：病例報告

張立昌(Chang-Li Chang) ； 洪堯民(Yao-Min Hung)

《南臺灣醫學雜誌》 12卷2期 (2016/12) Pp. 89-93

https://doi.org/10.6726/MJST.201612_12(2).0005

摘要

Infectious aortitis is a rare, but life-threatening disease. Uremia is a state of decrease in cellular immunity, which may predispose dialysis patients more easily to develop Salmonella infections comparing to those with normal renal function. Herein, we report an unusual case involving a 75-yearold woman on maintenance hemodialysis, who developed nontyphoidal Salmonella bacteremia and nonaneurysmal abdominal aortitis with psoas muscle abscess. As our patient refused surgery, the natural history of nonaneurysmal infectious aortitis are shown. We conclude it is very important to establish an early diagnosis of infectious aortitis and to prescribe prolonged antibiotics in uremic patients with Salmonella bacteremia.

關鍵字

hemodialysis ； nonaneurysmal aortitis ； psoas muscle abscess ； Salmonella

並列摘要

感染性主動脈炎是一種罕見且威脅生命的疾病，尿毒症是處在細胞免疫減低的狀態，這可能會使血液透析病人增加沙門氏菌感染的風險。我們報告一名75歲血液透析的女性個案，因沙門氏菌感染引起非動脈瘤腹主動脈炎併腰肌膿傷。由於我們的病人拒絕手術，感染性主動脈炎的病程自然呈現出來。因此，對於尿毒症患者感染沙門氏菌，早期診斷感染性主動脈炎和延長抗生素治療是非常重要的。

並列關鍵字

血液透析 ； 非動脈瘤主動脈炎 ； 腰肌膿瘍 ； 沙門氏菌