Abstract:
:Infectious aortitis (IA) is a rare and severe disease. The treatment classically associates open surgery with prolonged antibiotic therapy. This study aimed to describe clinical characteristics, medical and surgical supports in a large and current series of IA.We conducted a retrospective multicenter study of native aorta IA, between 2000 and 2019. Inclusion criteria were the presence of a microorganism on blood culture, aortic sample or any other validated technique and structural anomaly in imaging.We included 55 patients (85% men), with a median age of 65. Microbiology data substantially differed from previous studies with 12 Gram-negative rods IA, of which only 3 due to Salmonella spp., 24 Gram-positive cocci IA of which 12 Streptococcus spp., and 18 IA due to intracellular growth and/or fastidious microorganisms, of which 8 Coxiella burnetii, 3 Treponema pallidum, and 5 tuberculosis suspicious cases. Fifteen patients (27%) presented with thoracic IA, 31 (56%) with abdominal IA, and 9 (16%) with thoraco-abdominal IA. Eight patients had no surgery, 41 underwent open surgery, only 4 endovascular aneurysm repair, and 2 a combination of these 2 techniques. Nine patients died before 1-month follow-up. There was no difference in the mortality rate between the different types of germ or localization of IA.The variety of germs involved in IA increases. Positron emission tomography-computed tomography scan is a very useful tool for diagnosis. Surgery is still mainly done in open approach and a prospective multicenter study seems necessary to better determine the place of endovascular aneurysm repair versus open surgery.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Journeau L,de la Chapelle M,Guimard T,Ferfar Y,Saadoun D,Mahé I,Castier Y,Montravers P,Lescure X,Van Gysel D,Asseray N,Lascarrou JB,Ngohou C,Vandamme YM,Connault J,Cepoy PD,Brochard J,Goueffic Y,Pistorius MA,Boutoildoi
10.1097/MD.0000000000022422subject
Has Abstractpub_date
2020-10-02 00:00:00pages
e22422issue
40eissn
0025-7974issn
1536-5964pii
00005792-202010020-00042journal_volume
99pub_type
杂志文章,多中心研究相关文献
MEDICINE文献大全abstract:BACKGROUND:Previous studies have demonstrated that single-nucleotide polymorphisms (SNPs) in miRNAs are related to the susceptibility to brain tumors, but the conclusions remain controversial. This study was to perform a meta-analysis to re-assess the associations between miRNA SNPs and brain tumor risk. METHODS:Relev...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000016933
更新日期:2019-08-01 00:00:00
abstract:INTRODUCTION:Cerebrovascular imaging is the gold standard for diagnosis of intracranial aneurysms. Rupture of intracranial aneurysm is rare in cerebrovascular angiography, especially in unruptured intracranial aneurysm. PATIENT CONCERNS:A 74-year-old woman was admitted to the hospital for sudden onset of left eyelid p...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017785
更新日期:2019-11-01 00:00:00
abstract:BACKGROUND:Colorectal cancer was a complex disease with multiple causative factors including genetic and environmental factors, as well as the interaction of the 2 factors. Relationship between epidermal growth factor (EGF) A61G polymorphism and colorectal cancer risk has been widely investigated previously, whereas re...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014007
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Randomized trials and observation studies have revealed conflicting results regarding the interaction between clopidogrel and proton pump inhibitors (PPIs). The aim of our study was to provide laboratory evidence regarding whether PPIs blunt the antiplatelet reactivity of clopidogrel. METHODS:We included re...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000023695
更新日期:2020-12-11 00:00:00
abstract::To explore the correlation between platelet endothelial aggregation receptor-1 (PEAR1) genetic polymorphism and pulmonary thromboembolism (PTE).Variant loci of the PEAR1 gene were screened in a PTE pedigree, followed by verification using Sanger sequencing. These polymorphic loci were validated in 101 PTE patients and...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005687
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:According to the national census, China has gradually become an aging society; moreover, aging has become an irreversible worldwide trend in the twenty-first century. Aging can lead to decreased physical function, mobility, cardiopulmonary function and quality of life (QOL). The feasibility and benefits of c...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000012024
更新日期:2018-08-01 00:00:00
abstract::Aspergillus tracheobronchitis (AT) is an infrequent but severe form of invasive pulmonary aspergillosis in which the fungal infection is entirely or predominantly confined to the tracheobronchial tree. We reviewed 8 cases of AT diagnosed in our tertiary care center during an 18-year period, as well as 148 cases previo...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0b013e31826c2ccf
更新日期:2012-09-01 00:00:00
abstract:BACKGROUND:Chronic pelvic inflammatory disease (CPID) is a difficult-to-treat gynaecological disorder, which has complex etiologies, among married women. In recent years, moxibustion has gradually shown its clinical advantages and been more and more widely used In China. The protocol is try to synthesize and assess the...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021925
更新日期:2020-08-28 00:00:00
abstract::Lymphoid follicles/aggregates in gastric biopsies have been traditionally linked to Helicobacter pylori gastritis, and less commonly to other inflammatory and neoplastic conditions. The frequency of such aggregates in normal stomachs has yet to be adequately evaluated. This is especially relevant when it comes to diag...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018926
更新日期:2020-02-01 00:00:00
abstract::To compare immunonutrition versus standard high calorie nutrition in patients undergoing elective colorectal resection within an Enhanced Recovery After Surgery (ERAS) program.Despite progress in recent years in the surgical management of patients with colorectal cancer (ERAS programs), postoperative complications are...
journal_title:Medicine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1097/MD.0000000000003704
更新日期:2016-05-01 00:00:00
abstract:BACKGROUND:Placenta increta/percreta is an increasingly common and life-threatening obstetric complication. It poses a management challenge to clinicians. The present study aimed to evaluate efficacy and safety of preoperative placement of infrarenal abdominal aorta balloon catheter (IAABC) alone or combined with Bakri...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008114
更新日期:2017-09-01 00:00:00
abstract::End stage renal disease (ESRD) has been reported to be an important risk factor for systemic vascular disease. Retinal vein occlusion (RVO) is closely related with cardiovascular diseases; however, its association with ESRD had not been reported. The aim of the study was to investigate whether ESRD is a risk factor fo...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001960
更新日期:2015-11-01 00:00:00
abstract::The surgical treatment of congenital scoliosis under 10 years is difficult as it involves resecting vertebrae. Moreover, patient follow-up after surgery is extremely important because the patient is a child whose growth has not been completed. However, there are very few long-term follow-up studies after surgical trea...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021720
更新日期:2020-08-07 00:00:00
abstract::Human bladder cancer (BCa) is one of the most commonly diagnosed malignancies worldwide. It has high recurrence rates and low-grade malignancy, thus representing an important public health concern. An increasing number of studies suggest that long-noncoding RNAs (lncRNAs) play important roles in various biological pro...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011887
更新日期:2018-08-01 00:00:00
abstract::Preoperational hemogram parameters have been reported to be associated with the prognosis of several types of cancers. This study aimed to investigate the prognostic value of hematological parameters in gastric cancer in a Chinese population. A total of 870 gastric cancer patients who underwent radical tumorectomy wer...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013896
更新日期:2018-12-01 00:00:00
abstract::The aim of this study was to investigate the usefulness of titanium mesh cage as an interlaminar spacer combined with nitinol shape memory loop fixation in patients with atlantoaxial instability.From April 2009 to March 2017, among the patients with atlantoaxial instability, a total of 30 patients were treated by niti...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008022
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND:Nutrients related to serum vitamin D level were previously shown to be significantly associated with the risk of many chronic diseases. This study aimed to assess potential relationships between serum vitamin D level and otitis media (OM) risk. METHODS:PubMed, EMBASE, and Cochrane Library databases were sea...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000004739
更新日期:2016-10-01 00:00:00
abstract::To determine whether glycated hemoglobin and mean arterial pressure (MAP) during thrombolysis are prognostic factors of intravenous thrombolysis with recombinant tissue plasminogen activator (rt-PA) for acute ischemic stroke (AIS).A total of 125 AIS patients, who received rt-PA intravenous thrombolysis in our hospital...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013216
更新日期:2018-12-01 00:00:00
abstract:RATIONALE:Hemolymphangioma is a rare developmental defect of combined vasal and lymphatic vasculature. It is very rare that hemolymphangioma affects the bones and bladder simultaneously, and this condition has never been reported in PubMed. PATIENT CONCERNS:A 12-year-old male has a history of hospitalization for recur...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000015213
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Epithelial ovarian cancer (EOC) has been classified into four molecular subtypes, of which the mesenchymal subtype has the poorest survival. Our goal is to develop an immune-based prognostic signature by incorporating molecular subtypes for EOC patients. METHODS:The gene expression profiles of EOC samples w...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000022549
更新日期:2020-10-09 00:00:00
abstract:RATIONALE:Retroperitoneal necrotizing soft tissue infection (NSTI) is a rare but life-threatening disease. Here, we present a case of extended retroperitoneal NSTI caused by extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli (E coli). PATIENT CONCERNS:The patient complained of progressive redness, swel...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005576
更新日期:2016-12-01 00:00:00
abstract::The purpose of this study was to assess the impact of tumor burden on the survival of patients with pathologic T3N0M0 (pT3N0M0) esophageal squamous cell carcinoma (ESCC).A total of 84 patients with pathologic T3N0M0 ESCC treated with radical esophagectomy and 3-field lymphadenectomy (3-FL) from January 2008 to Decembe...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017637
更新日期:2019-10-01 00:00:00
abstract::Soft-tissue defects overlying the Achilles tendon are common complications after bicycle or motorcycle spoke injuries in children and usually require surgical management by various flaps. There is no apparent consensus on the optimal choice of flaps for these injuries. We designed a novel step-advanced rectangular fla...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017268
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:The top-cited systematic reviews/meta-analyses in tuberculosis research have not been identified. The objective of this study was to identify the 100 top-cited systematic reviews/meta-analyses in tuberculosis research, and to understand factors resulting in highly cited works, and establish trends in systema...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000004822
更新日期:2017-02-01 00:00:00
abstract::Although remifentanil is used widely by many clinicians during general anesthesia, there are recent evidences of opioid-induced hyperalgesia as an adverse effect. This study aimed to determine if intraoperative remifentanil infusion caused increased pain during the postoperative period in patients who underwent a thyr...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000002764
更新日期:2016-02-01 00:00:00
abstract:RATIONALE:Primary repair of acute ligament injury is possible due to the proximity of the ends. In the case of chronic injury, however, primary repair is difficult because the ends of ruptured ligament will have receded, and tendon graft, transfer, or reconstruction is needed. Satisfactory clinical results have been re...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000022506
更新日期:2020-10-02 00:00:00
abstract::Traditionally, infective endocarditis (IE) has been microbiologically diagnosed by blood cultures or serology. However, conventional microbiologic methods do not always provide an etiologic diagnosis. We conducted the current study to evaluate the usefulness of a universal real-time polymerase chain reaction (PCR) of ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0b013e31811f44ec
更新日期:2007-07-01 00:00:00
abstract:RATIONALE:Infertility is a common medical condition that affects nearly 15% of the world population. Non-obstructive azoospermia (NOA) is one of the most severe forms of male infertility. Some common structural variants, single nucleotide polymorphisms (SNPs), and genetic factors were reported to be associated with NOA...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021107
更新日期:2020-07-31 00:00:00
abstract:RATIONALE:Malakoplakia is a rare disease characterized by the presence of nongranulomatous macrophage infiltration. In most cases, it affects the urinary tract. Malakoplakia can cause acute kidney injury when it is localized in the kidneys. PATIENT CONCERNS:Here, we report the case of a 65-year-old female patient with...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012090
更新日期:2018-10-01 00:00:00
abstract:RATIONALE:Congenital myasthenic syndrome (CMSs) are a group of rare genetic disorders of the neurological junction, which can result in structural or functional weakness. Here, we characterized a case of CMS in order to clarify the diagnosis and expand the understanding of it. The molecular diagnosis had implications f...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010347
更新日期:2018-04-01 00:00:00