Document Detail


Cryptic mycotic abdominal aortic aneurysms: diagnosis and management.
MedLine Citation:
PMID:  581039     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The incidence of cryptic mycotic abdominal aortic aneurysms has relatively increased since antibiotic therapy has become available. The causative organism is the salmonella group in about 50 per cent of cases. This diagnosis should be strongly entertained in patients with fever of unknown origin, vague abdominal pain, and progressive appearance of a pulsatile abdominal mass. Aortography may be helpful in establishing the diagnosis. Some postoperative graft infections may be due to unrecognized cryptic mycotic infection of the aorta and not from external contamination, as previously supposed. Construction of an axillofemoral bypass graft through clean tissue is advised for the successful treatment of the grossly infected infrarenal aortic aneurysm. Three surviving patients with cryptic mycotic abdominal aortic aneurysms are added to the sixteen surviving patients already reported in the literature.
Authors:
O G Davies; J D Thorburn; P Powell
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  136     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  1978 Jul 
Date Detail:
Created Date:  1978-09-15     Completed Date:  1978-09-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  96-101     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm, Infected / diagnosis,  surgery*
Aorta, Abdominal / surgery
Aortic Aneurysm / diagnosis,  surgery*
Humans
Male
Middle Aged
Salmonella Infections / diagnosis,  surgery

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


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