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Klebsiella pneumonia로 인해 발생한 감염성 동맥류의 성공적인 혈관 내 치료

Successful Endovascular Treatment of an Infected Aortic Aneurysm Induced by Klebsiella pneumoniae

  • 변홍권 (충북대학교병원 영상의학과) ;
  • 김육 (충북대학교병원 영상의학과) ;
  • 이정환 (충북대학교병원 영상의학과) ;
  • 이지선 (충북대학교병원 영상의학과) ;
  • 박길선 (충북대학교 의과대학 영상의학교실)
  • Hong Gwon Byun (Department of Radiology, Chungbuk National University Hospital) ;
  • Yook Kim (Department of Radiology, Chungbuk National University Hospital) ;
  • Jung Hwan Lee (Department of Radiology, Chungbuk National University Hospital) ;
  • Jisun Lee (Department of Radiology, Chungbuk National University Hospital) ;
  • Kil Sun Park (Department of Radiology, Chungbuk National University College of Medicine)
  • 투고 : 2019.06.30
  • 심사 : 2019.09.14
  • 발행 : 2020.05.01

초록

Klebsiella pneumoniae에 의해 발생하는 감염성 대동맥류는 드문 것으로 알려져 있다. 저자들은 감염성 대동맥류가 발생한 50세 남성에 대해 성공적으로 이루어진 혈관 내 치료를 보고하고자 한다. 진단은 혈액 배양 검사와 전산화단층촬영을 통해 이루어졌다. 시술 전 투여된 항생제로 인해 임상증상과 혈액 배양이 개선되었다. 시술 후 24개월 동안 환자는 안정된 상태였으며 감염성 대동맥류의 감소가 일련의 전산화단층촬영을 통해 확인되었다. 따라서 기저 질환으로 인해 외과적 치료를 할 수 없는 환자에서 혈관 내 치료는 선택적 항생제 사용 후 균혈증과 열이 조절되는 경우 감염성 대동맥류에 대한 치료 방법이 될 수 있다.

Aortic aneurysms infected by Klebsiella pneumoniae are rarely seen. We describe a 50-year-old man with infected aortic aneurysm that was successfully treated with endovascular aneurysm repair (EVAR). Diagnosis was confirmed using blood culture and computed tomography (CT). Intravenous antibiotics were immediately administered, with improvements in clinical findings and negative blood cultures before the procedure. Twenty-four months after the procedure, the patient was stable and serial CT revealed regression of the infected aortic aneurysm. Therefore, after controlling bacteremia and fever with targeted antibiotic therapy, EVAR can be considered as an alternative for patients who have serious comorbidities and are ineligible for conventional surgery.

키워드

참고문헌

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