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Endovascular treatment of multiple tuberculous mycotic aneurysm: A case report

RATIONALE: We present a rare case of multiple tuberculous mycotic aneurysm. Multiple aneurysms caused by tuberculosis (TB) are difficult to treat. Here, we discuss a treatment modality using a microcore stent graft. PATIENT CONCERNS: A 73-year-old man with pain in the back and on the right side of t...

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Autores principales: Zhao, Shenyu, Wang, Zhe, Li, Yong, Wang, Hong, Zhao, Yu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831108/
https://www.ncbi.nlm.nih.gov/pubmed/31027079
http://dx.doi.org/10.1097/MD.0000000000015268
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author Zhao, Shenyu
Wang, Zhe
Li, Yong
Wang, Hong
Zhao, Yu
author_facet Zhao, Shenyu
Wang, Zhe
Li, Yong
Wang, Hong
Zhao, Yu
author_sort Zhao, Shenyu
collection PubMed
description RATIONALE: We present a rare case of multiple tuberculous mycotic aneurysm. Multiple aneurysms caused by tuberculosis (TB) are difficult to treat. Here, we discuss a treatment modality using a microcore stent graft. PATIENT CONCERNS: A 73-year-old man with pain in the back and on the right side of the chest associated with dry cough, presented with an inability to walk since 1-month. DIAGNOSES: A diagnosis of multiple aneurysms caused by TB was made, based on computed tomography (CT) scan and positive T-spot and Xpert tests. INTERVENTIONS: We administered the empirical anti-TB regimen (pyrazinamide, isoniazid, rifampicin, and ethambutol) and performed endovascular repair using microcore stent graft. OUTCOMES: The post-operative hemodynamic analysis indicated that the patient's aneurysms no longer had a risk of rupture, and blood flow in the major branches of the aorta had been maintained. However, the patient could not survive due to a pulmonary infection acquired during recuperation at a local hospital. LESSONS: For multiple tuberculous mycotic aneurysms, anti-TB therapy is inadequate and the microcore stent graft is a feasible option that can improve the hemodynamics in the aneurysms.
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spelling pubmed-68311082019-11-19 Endovascular treatment of multiple tuberculous mycotic aneurysm: A case report Zhao, Shenyu Wang, Zhe Li, Yong Wang, Hong Zhao, Yu Medicine (Baltimore) 3400 RATIONALE: We present a rare case of multiple tuberculous mycotic aneurysm. Multiple aneurysms caused by tuberculosis (TB) are difficult to treat. Here, we discuss a treatment modality using a microcore stent graft. PATIENT CONCERNS: A 73-year-old man with pain in the back and on the right side of the chest associated with dry cough, presented with an inability to walk since 1-month. DIAGNOSES: A diagnosis of multiple aneurysms caused by TB was made, based on computed tomography (CT) scan and positive T-spot and Xpert tests. INTERVENTIONS: We administered the empirical anti-TB regimen (pyrazinamide, isoniazid, rifampicin, and ethambutol) and performed endovascular repair using microcore stent graft. OUTCOMES: The post-operative hemodynamic analysis indicated that the patient's aneurysms no longer had a risk of rupture, and blood flow in the major branches of the aorta had been maintained. However, the patient could not survive due to a pulmonary infection acquired during recuperation at a local hospital. LESSONS: For multiple tuberculous mycotic aneurysms, anti-TB therapy is inadequate and the microcore stent graft is a feasible option that can improve the hemodynamics in the aneurysms. Wolters Kluwer Health 2019-04-26 /pmc/articles/PMC6831108/ /pubmed/31027079 http://dx.doi.org/10.1097/MD.0000000000015268 Text en Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 3400
Zhao, Shenyu
Wang, Zhe
Li, Yong
Wang, Hong
Zhao, Yu
Endovascular treatment of multiple tuberculous mycotic aneurysm: A case report
title Endovascular treatment of multiple tuberculous mycotic aneurysm: A case report
title_full Endovascular treatment of multiple tuberculous mycotic aneurysm: A case report
title_fullStr Endovascular treatment of multiple tuberculous mycotic aneurysm: A case report
title_full_unstemmed Endovascular treatment of multiple tuberculous mycotic aneurysm: A case report
title_short Endovascular treatment of multiple tuberculous mycotic aneurysm: A case report
title_sort endovascular treatment of multiple tuberculous mycotic aneurysm: a case report
topic 3400
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831108/
https://www.ncbi.nlm.nih.gov/pubmed/31027079
http://dx.doi.org/10.1097/MD.0000000000015268
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