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ID 55861
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Author
Nakao, Shinichiro Department of General Internal Medicine, Osaka University Hospital
Hagiya, Hideharu Division of Infection Control and Prevention, Osaka University Hospital
Kimura, Keigo Laboratory for Clinical Investigation, Osaka University Hospital
Mitsui, Tomomi Laboratory for Clinical Investigation, Osaka University Hospital
Oyama, Akane Department of General Internal Medicine, Osaka University Hospital
Hongyo, Kazuhiro Department of General Internal Medicine, Osaka University Hospital
Takahashi, Yusuke Department of General Internal Medicine, Osaka University Hospital
Nakagami, Futoshi Department of General Internal Medicine, Osaka University Hospital
Tomono, Kazunori Division of Infection Control and Prevention, Osaka University Hospital
Rakugi, Hiromi Department of General Internal Medicine, Osaka University Hospital
Abstract
A 65-year-old Japanese man with bilateral carotid atherosclerosis presented with right neck pain and fever. Contrast-enhanced computed tomography suggested carotid arteritis, and carotid ultrasonography showed an unstable plaque. The patient developed a cerebral embolism, causing a transient ischemic attack. Helicobacter cinaedi was detected in blood culture, and H. cinaedi-associated carotid arteritis was diagnosed. Empirical antibiotic therapy was administered for 6 weeks. After readmission for recurrent fever, he was treated another 8 weeks. Although the relationship between H. cinaedi infection and atherosclerosis development remains unclear, the atherosclerotic changes in our patient’s carotid artery might have been attributable to H. cinaedi infection.
Keywords
atherosclerosis
bacteremia
bacterial translocation
Helicobacter cinaedi
vascular infection
Amo Type
Case Report
Published Date
2018-04
Publication Title
Acta Medica Okayama
Volume
volume72
Issue
issue2
Publisher
Okayama University Medical School
Start Page
189
End Page
192
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
英語
Copyright Holders
CopyrightⒸ 2018 by Okayama University Medical School
File Version
publisher
Refereed
True
PubMed ID