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Case report : Vascular graft infection due to Aspergillus species presenting with recurrent vascular occlusion
http://hdl.handle.net/10422/00013279
http://hdl.handle.net/10422/000132790c7788be-e70f-4445-9404-ae5f2b15ae77
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2022-04-19 | |||||
タイトル | ||||||
タイトル | Case report : Vascular graft infection due to Aspergillus species presenting with recurrent vascular occlusion | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Graft infection | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Aspergillus | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Embolism | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | [18F]fluorodeoxyglucose positron emission tomography/computed tomography | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Non-cultural study | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | β-D glucan | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Aspergillus galactomannan antigen test | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
TANO, Ayami
× TANO, Ayami× KATO, Koichi× SEIKE, Yoshimasa× MATSUDA, Hitoshi× SUZUE, Takashi× KANEKO, Yoshihiro× KODAMA, Misato× SAWAYAMA, Yuichi× MIYAMOTO, Akashi× YAGI, Noriaki× NAKAGAWA, Yoshihisa |
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著者別名 |
田埜, 郁実
× 田埜, 郁実× 加藤, 浩一× 鈴江, 隆志× 金子, 佳裕× 兒玉, 美聡× 澤山, 裕一× 宮本, 証× 八木, 典章× 中川, 義久 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Background: An aortic graft implantation is an effective therapeutic method for various aortic diseases. However, it is known that sometimes these implanted grafts can be the foci of infections. Here we report a rare case of graft infection that presented multiple embolisms of aortic branches and peripheral organs. |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Case presentation: A 63-year-old Japanese woman with a history of aortic graft implantation presented with occlusions of large arteries in different loci and time points, with elevation of non-specific inflammatory markers. Thoracic contrast-computed tomography (CT) captured vegetation in the descending aortic graft and the [18F]fluorodeoxyglucose positron emission tomography/computed tomography ([18F]FDG PET/CT) showed accumulation of FDG in the same site, suggesting a graft infection. Despite all these suspicious findings, repeated blood culture examinations never detected any microorganisms. A diagnosis of Aspergillus graft infection was made based on an elevated serum β-D glucan (βDG) and a positive Aspergillus galactomannan (GM) antigen test. The patient subsequently had surgery with replacement of the descending aortic graft and anti-fungal drugs were instituted with significant improvement noted. |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Conclusion: In the present case, the patient's specific feature in the anatomical vascular construction, past operation, and basal fundamental diseases collaboratively contributed to the pathogenesis of the present infection. It is important to recognize the risk of graft infection and conduct imaging studies when indicative symptoms emerge. The negativity in blood culture studies often makes detection of pathogenic microbes extremely difficult. This case suggests that non-cultural tests such as bDG and GM can be useful for diagnosis and starting appropriate anti-fungal drugs in the early stages. |
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書誌情報 |
en : BMC Cardiovascular Disorders 巻 22, 号 1, 発行日 2022-04-01 |
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出版者 | ||||||
出版者 | BioMed Central Ltd | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1471-2261 | |||||
PMID | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | PMID | |||||
関連識別子 | 35365071 | |||||
PMCID | ||||||
識別子タイプ | URI | |||||
関連識別子 | http://www.ncbi.nlm.nih.gov/pmc/articles/pmc8974158/ | |||||
関連名称 | PMC8974158 | |||||
DOI | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.1186/s12872-022-02571-3 | |||||
関連名称 | 10.1186/s12872-022-02571-3 | |||||
権利 | ||||||
権利情報 | © 2022. The Author(s). | |||||
フォーマット | ||||||
内容記述タイプ | Other | |||||
内容記述 | ||||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
資源タイプ | ||||||
内容記述タイプ | Other | |||||
内容記述 | Journal Article |