Contained rupture of a mycotic infrarenal aortic aneurysm infected with Campylobacter fetus

BMJ Case Rep. 2016 Nov 15:2016:bcr2016215582. doi: 10.1136/bcr-2016-215582.

Abstract

Mycotic abdominal aortic aneurysms (MAAAs) are rare entities accounting for 0.65-2% of aortic aneurysms. Campylobacter fetus has a tropism for vascular tissue and is a rare cause of mycotic aneurysm. We present a 73-year-old male patient with contained rupture of a MAAA caused by C. fetus, successfully treated with endovascular aortic repair (EVAR) and antibiotics, which is not previously described for this aetiology. Although open surgery is the gold standard, EVAR is nowadays feasible and potentially represents a durable option, especially in frail patients.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aneurysm, Infected / diagnosis
  • Aneurysm, Infected / drug therapy
  • Aneurysm, Infected / microbiology
  • Aneurysm, Infected / surgery*
  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / therapeutic use
  • Aorta, Abdominal / microbiology
  • Aorta, Abdominal / pathology
  • Aortic Aneurysm, Abdominal / microbiology
  • Aortic Aneurysm, Abdominal / surgery*
  • Aortic Rupture / diagnosis
  • Aortic Rupture / microbiology
  • Aortic Rupture / surgery*
  • Blood Vessel Prosthesis
  • Blood Vessel Prosthesis Implantation / methods*
  • Campylobacter Infections / complications*
  • Campylobacter Infections / drug therapy
  • Campylobacter Infections / microbiology
  • Campylobacter fetus*
  • Endovascular Procedures / methods*
  • Humans
  • Male
  • Renal Artery / microbiology
  • Renal Artery / surgery
  • Tomography, X-Ray Computed

Substances

  • Anti-Bacterial Agents