Candida infection with aneurysm formation in the juxtarenal aorta.
We report a case of an elderly patient with diabetes with calcific aortic atherosclerosis in whom a juxtarenal aortic aneurysm developed after Candida fungemia. Our approach included extra-anatomic reconstruction of the lower extremities, hepatorenal arterial bypass of the right kidney, retroperitoneal excision of the infected aortic segment, intravenous administration of amphotericin B after operation, and lifetime suppression of Candida organisms with oral antifungal therapy.
Rubin
B G
BG
Department of Surgery, Washington University School of Medicine, St. Louis, MO.
German
M L
ML
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000382:microbiology* / Q000628:therapy; D002177:Candidiasis / Q000150:complications* / Q000628:therapy; D006801:Humans; D008297:Male