Mycotic aortic aneurysm infected by Clostridium septicum--a case history.
The authors describe a sixty-seven-year-old hypertensive, diabetic man with a mycotic abdominal aortic aneurysm infected with Clostridium septicum. The patient had colonic polyps but no malignant disease. They could find only one other report of a mycotic aneurysm infected with C. septicum. In that case, as in most other cases of C. septicum bacteremia, the patient had gastrointestinal cancer. Their case suggests that treatment for a clostridial infection should be considered in patients with known gastrointestinal disease, signs and symptoms of sepsis, and abdominal pain. Conversely, patients known to have a C. septicum infection should be evaluated for gastrointestinal lesions.
Hurley
L
L
Department of Surgery, Cardinal Cushing Hospital, Brockton, Massachusetts.
Howe
K
K
D000368:Aged; D000785:Aneurysm, Infected / Q000382:microbiology* / Q000628:therapy; D000900:Anti-Bacterial Agents; D001012:Aorta, Abdominal; D001014:Aortic Aneurysm / Q000382:microbiology* / Q000628:therapy; D001807:Blood Vessel Prosthesis; D003013:Clostridium / Q000302:isolation & purification; D003015:Clostridium Infections / Q000150:complications / Q000628:therapy*; D003111:Colonic Polyps / Q000150:complications; D003131:Combined Modality Therapy; D048909:Diabetes Complications; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D006801:Humans; D008297:Male
D000900:Anti-Bacterial Agents