Mycotic aneurysm of left subclavian artery.
Bacterial endarteritis is rare and usually affects the abdominal aorta. A case of bacterial left subclavian arteritis complicated by mycotic aneurysm is presented. An early diagnosis of infective arteritis was made based on a history of fever, sweats, rigors, and a progressive macular rash, polyarthralgia splinter haemorrhage (limited to the left arm), and a loud left subclavian bruit on admission. A mycotic aneurysm was diagnosed by computed tomography and treated surgically. In cases of endarteritis the possibility of a mycotic aneurysm should be borne in mind even when there is no evidence of endocarditis.
Vyas
S K
SK
Department of Medicine, Royal Bournemouth General Hospital, East Dorset.
Law
N W
NW
Loehry
C A
CA
D000785:Aneurysm, Infected / Q000000981:diagnostic imaging*; D015901:Angiography, Digital Subtraction; D001167:Arteritis / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013348:Subclavian Artery / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed