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Medical Treatment of a Salmonella-Infected Left Ventricular Pseudoaneurysm: A Case Report

藥物治療沙門氏桿菌感染引發左心室假性動脈瘤:病例報告

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摘要


沙門氏桿菌感染引發左心室動脈瘤單純使用藥物治療成功的案例在臨床上是很少見的。我們報告一位心肌梗塞後沙門氏桿菌感染引發左心室動脈瘤與血栓的病患,此病患藉由早期的自行性心室膿瘍引流與八週的抗生素治療以及使用2D及3D心臟超音波監測及評估其臨床預後之成功經驗。此一個案的治療經驗將可提供未來在處於高手術風險的沙門氏桿菌感染引發左心室動脈瘤個案的另一治療選擇。

並列摘要


Here, we present a case of Salmonella infection in a post-myocardial infarction patient with a left ventricular aneurysm and mural thrombus. This is a rare case that was successfully treated with medicinal therapy alone. Our experience with this case documents the early spontaneous drainage of the myocardial abscess by 8 weeks of antibiotic therapy under serial two- and three-dimensional echocardiography to monitor the clinical outcomes and guide the decision-making process. This approach may be a viable alternative for intolerant, high-risk surgical aneurysmectomy patients.

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