Evolution of Bacterial Arteritis Into a Mycotic Aortic Aneurysm

Abstract

Arteritis and mycotic aneurysms have been well described for more than 100 years. The authors report a case of bacterial arteritis that presented with pneumatosis of the aortic wall and that evolved over 1 week into an infected abdominal aortic aneurysm. This case documents the rapid progression from arteritis to mycotic aneurysm, highlighting the need for close radiologic follow-up and aggressive medical and surgical management.

Keywords

arteritis mycotic aneurysm antiobiotics

Get full access to this article

View all access options for this article.

References

Osler W. The Gulstonian lectures on malignant endocarditis . Br Med J. 1885;1: 467 .

Foote EA , Postier RG , Greenfield RA , et al. Infectious aortitis. Curr Treat Options Cardiovasc Med. 2005;7: 89-97 .

Revell Str. Primary mycotic aneurysms . Ann Intern Med. 1943;22: 431 .

Brown SL , Busuttil RW , Baker JD , et al. Bacteriologic and surgical determinants of survival in patients with mycotic aneurysms . J Vasc Surg. 1984;1: 541-547 .

Johansen K. , Devin J. Mycotic aneurysms: a reappraisal . Arch Surg. 1983;118: 583-588 .

Sommerville RI , Allen EV , Edwards JE Bland and infected arteriosclerotic abdominal aortic aneurysms: a clinicopathologic study . Medicine. 1959;38: 207 .

Gomes MN , Choyke PL , Wallace RB Infected aortic aneurysms: a changing entity . Ann Surg. 1992;215: 435-442 .

Rozenblit A. , Bennett J. , Suggs W. Evolution of the infected abdominal aortic aneurysm: CT observation of early aortitis . Abdom Imaging. 1996;21: 512-514 .

Isenberg H. , D'Amato R. Enterobacteriacea. In: Gorbach S , Bartlett J , Blacklow N , eds. Infectious diseases. Philadelphia: Williams & Wilkins ; 2004:1668.

10.

Kozenberg-Arska M. , Visser M. Enterobacteriacea. In: Cohen J , Powderly W , eds. Infectious diseases. Philadelphia: C. V. Mosby ; 2004:2197-2198.

11.

Mohan N. , Kerr G. Aortitis . Curr Treat Options Cardiovasc Med. 2002;4: 247-254 .

12.

Batt M. , Magne JL , Alric P. , et al. In situ revascularization with silver-coated polyester grafts to treat aortic infection: early and midterm results . J Vasc Surg. 2003;38: 983-989 .

13.

Brown PM , Kim VB , Lalikos JF , et al. Autologous superficial femoral vein for aortic reconstruction in infected fields . Ann Vasc Surg. 1999;13: 32-36 .

14.

Kieffer E. , Gomes D. , Chiche L. , et al. Allograft replacement for infrarenal aortic graft infection: early and late results in 179 patients . J Vasc Surg. 2004;39: 1009-1017 .

15.

Bacourt F. , Koskas F. Axillobifemoral bypass and aortic exclusion for vascular septic lesions: a multicenter retrospective study of 98 cases . Ann Vasc Surg. 1992;6: 119-126 .

16.

Seeger JM , Pretus HA , Welborn MB , et al. Long-term outcome after treatment of aortic graft infection with staged extra-anatomic bypass grafting and aortic graft removal . J Vasc Surg. 2000;32: 451-461 .