Document Detail


Bilateral internal iliac artery aneurysm infected with Campylobacter fetus.
MedLine Citation:
PMID:  19698305     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This is a case report of a patient with Campylobacter fetus involving bilateral internal iliac artery aneurysms. The patient was treated successfully by ligation of the bilateral iliac artery aneurysms and antibiotics. According to a review of the English-language medical literature, this was the first such patient to be reported. A 69-year-old African-American male presented with a past medical history of repair of a 6.6 cm abdominal aortic aneurysm. It had been repaired with a Dacron bifurcated graft in July 2005. The bilateral internal iliac artery aneurysms (right 2.3 cm and left 3.4 cm) were coil embolized intraoperatively. The patient's past medical history was significant for hypertension and coronary artery disease and was status post-stent placement. He re-presented with fever and chills for 8 days in duration at home in March 2007. His fever was 101 to 102 degrees F. He denied vomiting, diarrhea, and a history of recent travel. The patient was admitted to the hospital for a fever workup. After an extensive workup, a left internal iliac artery aneurysm was found to be the source of sepsis. The patient was taken to the operating room for excision of the left internal iliac artery. No purulence was noted, but tissue overlying the aneurysm was thickened and fibrotic. Multiple cultures were taken. The tissue culture came back as C. fetus. Incidentally, the patient's preoperative computed tomographic scan revealed a right internal iliac artery aneurysm that was 4.2 cm on March 28, 2007, and 4.9 cm on April 23, 2007. Postoperatively, the patient's right internal iliac artery aneurysm was noted to be rapidly growing. He was promptly taken to the operating room for ligation of the right internal iliac artery aneurysm. The patient's postoperative course was unremarkable. He was discharged on ciprofloxacin for 14 days.
Authors:
Alexander Shiferson; Enrico Ascher; Anil Hingorani; Alessandra Puggioni; Natalie Marks; Victor Tran; Nirav Patel; Theresa Jacob
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Vascular     Volume:  17     ISSN:  1708-5381     ISO Abbreviation:  Vascular     Publication Date:    2009 Jul-Aug
Date Detail:
Created Date:  2009-08-24     Completed Date:  2009-11-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101196722     Medline TA:  Vascular     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  226-9     Citation Subset:  IM    
Affiliation:
Division of Vascular Surgery, Department of Surgery, Maimonides Medical Center, Brooklyn, NY 11219, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm, Infected / diagnosis*,  surgery
Campylobacter Infections / diagnosis*,  surgery
Campylobacter fetus*
Humans
Iliac Aneurysm / diagnosis*,  surgery
Magnetic Resonance Angiography
Male
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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