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Microbial Aortitis with Aneurysm Formation

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DOI: 10.4236/wjcs.2014.411026    2,858 Downloads   3,229 Views   Citations

ABSTRACT

A 68-year-old man who presented with periodic fever and generalized weakness was diagnosed with Enterococcus faecalis bacteraemia from an infected abdominal aneurysm. The aneurysm was new: aortic dilatation was absent a year before. In such patients the diagnosis “microbial aortitis” is more appropriate than “mycotic aneurysm”. We discuss the pathophysiology, epidemiology, prognosis and treatment of this condition.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Raghoo, R. , Noeverman, M. , Hoekstra, R. , Geelkerken, R. and Laverman, G. (2014) Microbial Aortitis with Aneurysm Formation. World Journal of Cardiovascular Surgery, 4, 181-185. doi: 10.4236/wjcs.2014.411026.

References

[1] Verhagen, D.W.M., Feltz, Mvd., Plokker, H.W.M., Buiting, A.G.M., Tjoeng, M.M. and Meer, J.T.Mvd. (2003) Optimisation of the Antibiotic Guidelines in the Netherlands VII. SWAB Guidelines for Antimicrobial Therapy in Adult Patients with Infectious Endocarditis. Netherlands Journal of Medicine, 61, 421-429.
[2] Durack, D., Lukes, A. and Bright, D. (1994) New Criteria for Diagnosis of Infective Endocarditis: Utilization of Specific Echocardiographic Findings. Duke Endocarditis Service. The American Journal of Medicine, 96, 200-209.
http://dx.doi.org/10.1016/0002-9343(94)90143-0
[3] Bleeker-Rovers, C.P. and Meer, J.W.Mvd. (2008) Diagnostiek bij febris e causa ignota. Nederlands Tijdscrift Voor Geneeskunde, 152, 869-873.
[4] Vos, F., Bleeker-Rovers, C., Corstens, F., Kullberg, B. and Oyen, W. (2006) FDG-PET for Imaging of Non-Osseous Infection and Inflammation. Quarterly Journal of Nuclear Medicine and Molecular Imaging, 50, 121-130.
[5] Chan, F.Y., Crawford, E.S., Coseli, J.S., Safi, H.J. and Williams, T.W. (1989) In Situ Prosthetic Graft Replacement for Mycotic Aneurysm of the Aorta. Annals of Thoracic Surgery, 47, 193-203.
http://dx.doi.org/10.1016/0003-4975(89)90268-3
[6] Fillmore, A.J. and Valentine, R.J. (2003) Surgical Mortality in Patients with Infected Aortic Aneurysms. Journal of the American College of Surgeons, 196, 435-441.
http://dx.doi.org/10.1016/S1072-7515(02)01607-1
[7] Asthana, S., Walker, D., Iyengar, S., Shafran, S. and Conly, J. (1989) Mycotic Aneurysm Presenting as Fever of Unknown Origin. Western Journal of Medicine, 150, 694-696.
[8] Davies, O., Thorburn, J. and Powel, P. (1978) Cryptic Mycotic Abdominal Aortic Aneurysms: Diagnosis and Management. American Journal of Surgery, 136, 96-101.
http://dx.doi.org/10.1016/0002-9610(78)90207-6
[9] Valentine, R. and Chung, J. (2012) Primary Vascular Infection. Current Problems in Surgery, 49, 128-182.
http://dx.doi.org/10.1067/j.cpsurg.2011.11.004
[10] Lane, G., Cochrane, A. and Fone, D. (1988) Salmonellalmycotic Abdominal-Aortic Aneurysm. The Medical Journal of Australia, 149, 95-97.
[11] Jarrett, F., Darling, R., Mundth, E. and Austen, W. (1977) The Management of Infected Arterial Aneurysms. Journal of Cardiovascular Surgery, 18, 361-366.
[12] Muller, B., Wegener, O., Grabitz, K., Pillny, M., Thomas, L. and Sandmann, W. (2001) Mycotic Aneurysms of the Thoracic and Abdominal Aorta and Iliac Arteries: Experience with Anatomic and Extra Anatomic Repair in 33 Cases. Journal of Vascular Surgery, 33, 106-113.
http://dx.doi.org/10.1067/mva.2001.110356
[13] Luo, C., Ko, W., Kan, C., Lin, P. and Yang, Y. (2003) In Situ Reconstruction of Septic Aortic Pseudoaneurysm Due to Salmonella or Streptococcus Microbial Aortitis: Long-Term Follow-Up. Journal of Vascular Surgery, 38, 975-982.
http://dx.doi.org/10.1016/S0741-5214(03)00549-4
[14] Moneta, M., Taylor, L., Yeager, R., Edwards, J., Nicoloff, A., McConnell, D., et al. (1998) Surgical Treatment of Infected Aortic Aneurysm. American Journal of Surgery, 175, 396-399.
http://dx.doi.org/10.1016/S0002-9610(98)00056-7
[15] Kyriakides, K., Kan, Y., Kerle, M., Cheshire, N., Mansfield, A. and Wolfe, J. (2004) 11-Year Experience with Anatomical and Extra-Anatomical Repair of Mycotic Aortic Aneurysms. European Journal of Vascular and Endovascular Surgery, 27, 585-589.
http://dx.doi.org/10.1016/j.ejvs.2004.02.024

  
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