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Mycotic abdominal aortic aneurysm caused by Campylobacter fetus: a case report and literature review.
MedLine Citation:
PMID:  25017776     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Campylobacter spp. usually causes gastrointestinal infections, but among them, Campylobacter fetus is a well-known organism of mycotic abdominal aortic aneurysm (MAAA), which requires proper surgical intervention and antibiotic therapy. We report a case of a 65-year-old Japanese man who was successfully treated with an in situ operation using a rifampicin (RFP)-bonded J-Graft(®) for MAAA caused by C. fetus. In this report, we performed a review of English-literature of MAAA caused by C. fetus and summarized the result of the cases (28 cases). All but two of the patients were male. Blood culture and arterial wall culture were positive in 63% and 73.1%, respectively. Aneurysm rupture was seen in half of the cases, and approximately half of them died. Among 18 cases of in situ graft implantation, only one patient (5.6%) died after the surgery. Antibiotics therapy was applied more than 1 month in most cases. Overall mortality rate of was 25.9% (7/27 cases, three deaths before the operation and four deaths after surgery). Although extra-anatomical bypass has been conventionally performed following complete resection of MAAA, the in situ surgery has recently been reported to yield a high survival rate. Our review suggests that the in situ operation can be of choice also in case of C. fetus-associated MAAA. Further, our case was suggestive of the clinical utility of a newly manufactured prosthetic graft, J-Graft(®), for such a surgical treatment.
Authors:
Hideharu Hagiya; Hiroshi Furukawa; Mitsuaki Matsumoto; Tomoko Murase; Fumio Otsuka
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-7-10
Journal Detail:
Title:  Annals of vascular surgery     Volume:  -     ISSN:  1615-5947     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2014 Jul 
Date Detail:
Created Date:  2014-7-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2014 Elsevier Inc. All rights reserved.
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