A 74-year-old man with coronary artery disease presented to the emergency department with 3 days of anorexia and weakness. Computed tomography of the chest was performed, and blood cultures were drawn. What is the most likely diagnosis?
A. Emphysematous aortitis due to Clostridium septicum
B. Granulomatosis with polyangiitis
C. Pyogenic aortitis due to Salmonella enteritidis
D. Syphilitic aortitis due to Treponema pallidum
E. Tuberculous aortitis
答案解析:
正确的答案是败血梭菌所致的气肿性主动脉炎。腹部成像显示无明显癌症体征。静脉注射青霉素G和克林霉素。对他进行了手术评价,但确定风险水平不可接受,他在住院第7天接受舒适护理时死亡。
正确答案:A
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