A palpable tender abdominal mass in a patient with endocarditis on antibiotics for 5 weeks

Abstract


Mycotic aneurysms are a rare finding in the post-antibiotic era but must still be considered as a cause of abdominal pain in a patient with endocarditis. We present a case of a 47-year-old man with a history of IV drug use and a prior episode of endocarditis who developed a mycotic aneurysm while hospitalized on IV antibiotic therapy for aortic valve endocarditis. Due to their life-threatening character and often lack of evident clinical picture, mycotic aneurysms should still remain in high suspicion for a patient with abdominal pain in the setting of endocarditis.


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Smeltzer, S. and Corman, L. (2013) A palpable tender abdominal mass in a patient with endocarditis on antibiotics for 5 weeks. Case Reports in Clinical Medicine, 2, 58-59. doi: 10.4236/crcm.2013.21016.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Christophe, C., et al. (1985) Ruptured mycotic aneurysm of the superior mesenteric artery secondary to bacterial endocarditis in a 6-year-old girl. Pediatric Radiology, 15, 202-204. doi:10.1007/BF02388614
[2] Akkary, E., Cramer, T., Patel, M., Kanthimathinathan, V. and Phan, T. (2010) Superior mesenteric artery aneurysm: An uncommon disease with potentially serious complications. West Virginia Medical Journal, 106, 10-14.
[3] Stone, W., Abbas, M., Cherry, K., Fowl, R. and Gloviczki, P. (2002) Superior mesenteric artery aneurysms: Is presence an indication for intervention? Journal of Vascular Surgery, 36, 234-237. doi:10.1067/mva.2002.125027
[4] Lorelli, D., Cambria, R., Seabrook, G. and Towne, J. (2003) Diagnosis and management of aneurysms involving the superior mesenteric artery and its braches: A report of four cases. Vascular and Endovascular Surgery, 37, 59-66. doi:10.1177/153857440303700108
[5] Sachdev, U., et al. (2006) Management of aneurysms involving branches of the celiac and superior mesenteric arteries: A comparison of surgical and endovascular therapy. Journal of Vascular Surgery, 44, 718-724. doi:10.1016/j.jvs.2006.06.027

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