Abstract
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.
| Original language | English |
|---|---|
| Pages (from-to) | 475-80 |
| Number of pages | 6 |
| Journal | Surgical Infections |
| Volume | 9 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Aug 2008 |
Keywords
- Aneurysm, Infected
- Aortic Aneurysm, Abdominal
- Aortic Rupture
- Back Pain
- Candida albicans
- Candidiasis
- Chronic Disease
- Humans
- Lumbar Vertebrae
- Male
- Middle Aged
- Spinal Diseases