Document Detail

Multiple mycotic aneurysms with a rare fungus, Aspergillus niger: a complex case report.
MedLine Citation:
PMID:  18295164     Owner:  NLM     Status:  MEDLINE    
The term "mycotic aneurysm" was first used by William Osler in 1885 to describe a nonsyphilitic bacterial infection of the arterial wall. It is now known that mycotic aneurysm, a rare infectious condition, can arise from a wide variety of clinical causes. The aorta is most often affected; however, such aneurysms may arise in any artery. Mycotic aneurysms are classified as primary (direct extension from surrounding area of infection), secondary (septic embolization that lodges in peripheral arteries), and cryptogenic (unknown cause). A mycotic aneurysm is a threat to life, organs, and limbs. Mycotic aneurysms of the aorta caused by fungi are rare. William Osler used the term "mycotic," referring to all infected aneurysms excluding fungal infections. Yet, the term "mycotic" by definition is a disease caused by a fungus. Only seven cases of aneurysms caused by a fungus were reported from 1966 to 1999. This article will focus on the care of a young female patient with end-stage renal disease receiving peritoneal dialysis who developed a mycotic aneurysm. She was treated with high doses of antifungal medications for the fungus Aspergillus niger. She was switched to hemodialysis from peritoneal dialysis and was later diagnosed with a primary multiple mycotic aneurysms. This article will describe the complex medical, surgical, and nursing care provided to this patient.
Vatsala Parameswaran
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing     Volume:  26     ISSN:  1062-0303     ISO Abbreviation:  J Vasc Nurs     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-02-25     Completed Date:  2008-05-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9014475     Medline TA:  J Vasc Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  22-6     Citation Subset:  N    
Ryerson University, Cardiovascular Surgery Unit, Toronto General Hospital, Toronto, Ontario.
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MeSH Terms
Aneurysm, Infected / diagnosis,  etiology,  therapy*
Aortic Aneurysm / diagnosis,  etiology,  therapy*
Aspergillosis / diagnosis,  etiology,  therapy*
Aspergillus niger*
Blood Vessel Prosthesis Implantation / nursing
Glomerulosclerosis, Focal Segmental / complications
Kidney Failure, Chronic / complications,  therapy
Patient Care Team
Perioperative Care / methods,  nursing
Peritoneal Dialysis
Pregnancy Complications, Infectious / diagnosis,  etiology,  therapy*
Rare Diseases

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