Korean Journal of Nephrology 2008;27(1):149-153.
A Case of Infectious Abdominal Aortic Aneurysm Rupture Due to Staphylococcus aureus Infection in a Hemodialysis Patient
Dong-Gyu Moon, M.D., Sung-Min Park, M.D., Sul-kyung Moon, M.D., Byung-Joo shim, M.D. Seok-Joon Shin, M.D., Ho-Cheol Song, M.D. and Eui-Jin Choi, M.D.
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
증례 : 혈액투석 환자에서 Staphylococcus aureus 감염에 의한 감염성 복부 대동맥류 파열 1예
문동규•박성민•문설경•심병주•신석준•송호철•최의진
가톨릭대학교 의과대학 내과학교실 신장내과
Abstract
Infectious aneurysms in hemodialysis patients are very rare. It is assumed that injuries on atherosclerotic vessel walls are involved in the development of aneurysms associated with septicemia. Rupture of infectious aneurysms carries a high mortality rate because it often leads to hemorrhagic shock. Here we report the case of a hemodialysis patient with rupture of an abdominal aortic infectious 무뎌교느 secondary to Staphylococcus aureus septicemia. A 72 year-old male hemodialysis patient presented with diarrhea and fever. Staphylococcus aureus was identified in his blood culture. On the sixth day after admission, he developed sudden abdominal pain, distension and hypotension, so we assumed hypovolemic shock due to intraabdominal hemorrhage. On abdominal CT, he was found to have a ruptured, 2.4×2 cm infrarenal abdominal aortic aneurysm with a large amount of retroperitoneal hemorrhage. His final diagnosis was rupture of an infectious aneurysm based on the presence of Staphylococcal bacteremia. He underwent a percutaneous stent graft in the infrarenal aorta successfully. However, two weeks later, he developed septic shock due to a newly developed intestinal perforation and died of multiorgan failure.
Key Words: Hemodialysis, Aortic aneurysm, Staphylococcus aureus


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