Document Detail

Mycotic femoral aneurysm.
MedLine Citation:
PMID:  17941249     Owner:  NLM     Status:  MEDLINE    
After several weeks of fever and chills, a 31-year-old logger developed pain in his right thigh. Upon examination a tender, pulsating upper thigh mass was found with a long loud bruit arising from it. Severe aortic insufficiency was present; however, blood cultures were negative. An angiogram, captured blood with contrast spewing from the profunda femoral artery to fill a 5 x 10 cm sac. A false aneurysm was diagnosed and resected; numerous gram positive cocci were present in cut sections, but cultures from the cavity grew the gram negative bacteria Salmonella and Alcaligenes. After one month of intravenous ampicillin the aortic valve was replaced after being destroyed by endocarditis. Ampicillin was continued and recovery was uneventful. Mycotic aneurysms are commonly caused by Salmonella (10%), which was second only to Staphylococcus (30%). The femoral artery accounts for 38% of all mycotic aneurysms. They typically present with a pulsatile mass (52%), bruit (50%), and fever (48%). This diagnosis can be supported by leukocytosis (64-71%), positive blood cultures (50-85%), and a history of arterial trauma (51%) (injection drug use, intravascular procedure, or trauma) or endocarditis (10%).
Richard Scott Wilson; Kenneth R Bennett
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the Mississippi State Medical Association     Volume:  48     ISSN:  0026-6396     ISO Abbreviation:  J Miss State Med Assoc     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-10-18     Completed Date:  2007-11-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7505622     Medline TA:  J Miss State Med Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  131-2     Citation Subset:  IM    
University of Mississippi School of Medicine, Jackson 39216, USA.
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MeSH Terms
Aneurysm, Infected / diagnosis*,  radiography,  surgery
Femoral Artery / pathology*

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

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