Spontaneous abdominal aortic infections. Essentials of diagnosis and management.

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Abstrakt

Tytuł:: Spontaneous abdominal aortic infections. Essentials of diagnosis and management.
Autorzy:: Ewart JM
Burke ML
Bunt TJ
Źródło:: The American surgeon [Am Surg] 1983 Jan; Vol. 49 (1), pp. 37-50.
Typ publikacji:: Case Reports; Journal Article; Review
Język:: English
Imprint Name(s):: Publication: 2020- : [Thousand Oaks, CA] : SAGE Publications in association with Southeastern Surgical Congress
Original Publication: Atlanta Ga : Southeastern Surgical Congress
MeSH Terms:: Aorta, Abdominal*/microbiology
Aorta, Abdominal*/surgery
Aortic Diseases*/diagnosis
Aortic Diseases*/surgery
Bacterial Infections*/complications
Adolescent ; Adult ; Age Factors ; Aged ; Aneurysm, Infected/complications ; Anti-Bacterial Agents/therapeutic use ; Aortic Aneurysm/diagnostic imaging ; Aortic Aneurysm/microbiology ; Aortic Rupture/diagnosis ; Aortic Rupture/pathology ; Aortic Rupture/surgery ; Aortitis/etiology ; Aortitis/microbiology ; Child ; Female ; Humans ; Male ; Middle Aged ; Salmonella Infections/complications ; Tomography, X-Ray Computed ; Ultrasonography
Liczba referencji:: 81
Substance Nomenclature:: 0 (Anti-Bacterial Agents)
Entry Date(s):: Date Created: 19830101 Date Completed: 19830317 Latest Revision: 20161123
Update Code:: 20240104
PMID:: 6337539
: Czasopismo naukowe

The spectrum, pathogenesis, and changing bacteriology of spontaneous abdominal aortic infections is presented. The classic presentation includes fever, positive blood cultures, and a pulsatile abdominal mass. However, most essential in the preoperative diagnosis is having a high index of suspicion. The bacteriologic spectrum is changing, with Salmonella now being the most common organism cultured. Principles of management include aggressive antibiotic therapy, excision of infected tissue, and extra-anatomic bypass. Long-term follow-up for late complications is important. With early recognition and aggressive combined medical and surgical management, increasing numbers of survivors are being reported.

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