Continued lumbar spinal erosion after repair of chronic contained rupture of a mycotic abdominal aortic aneurysm

Ricky Harminder Bhogal, Mohammed Nayeemuddin, Irfan Akhtar, Mel Grainger, Richard Downing

Research output: Contribution to journalArticlepeer-review

9 Citations (Scopus)

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 languageEnglish
Pages (from-to)475-80
Number of pages6
JournalSurgical Infections
Volume9
Issue number4
DOIs
Publication statusPublished - 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

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