Document Detail

Continued lumbar spinal erosion after repair of chronic contained rupture of a mycotic abdominal aortic aneurysm.
MedLine Citation:
PMID:  18759682     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Mycotic aneurysm of the aorta is a rare, dangerous condition. We report a case of an abdominal aortic aneurysm (AAA) caused by Candida albicans. METHODS: Case report and review of pertinent English-language literature. CASE REPORT: A 48 year-old man presented with an acute exacerbation of long-standing back pain. Examination revealed a pulsatile epigastric mass, and radiologic examinations confirmed a 9 cm chronic contained rupture of an inflammatory infrarenal AAA. At operation, no posterior aneurysm sac was found, and lumbar vertebral erosion was noted. Lower limb vascularity was secured with left axillo-bifemoral bypass. The patient presented 12 months later with severe non-mechanical back pain. Imaging confirmed continuing vertebral erosion. At laparotomy, an autologous fibula strut was used for spinal stabilization. CONCLUSION: Aggressive multimodality therapy of infected AAA and associated vertebral osteomyelitis is necessary for a successful outcome.
Ricky Harminder Bhogal; Mohammed Nayeemuddin; Irfan Akhtar; Mel Grainger; Richard Downing
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgical infections     Volume:  9     ISSN:  1096-2964     ISO Abbreviation:  Surg Infect (Larchmt)     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-09-01     Completed Date:  2008-10-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9815642     Medline TA:  Surg Infect (Larchmt)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  475-80     Citation Subset:  IM    
Department of Vascular Surgery, Worcester Royal Hospital, Worcester, United Kingdom.
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MeSH Terms
Aneurysm, Infected / complications*,  surgery
Aortic Aneurysm, Abdominal / complications*,  surgery
Aortic Rupture / complications*,  surgery
Back Pain / etiology
Candida albicans / pathogenicity
Candidiasis / complications*,  microbiology,  surgery
Chronic Disease
Lumbar Vertebrae / pathology*,  surgery
Middle Aged
Spinal Diseases / etiology,  pathology,  surgery

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