[Mycotic pseudoaneurysm caused by Mycobacterium tuberculosis].
Mycobacterium tuberculosis can involve any organ of the body, including the arteries. Usually the mycobacteria infects the arterial wall spreading from a contiguous foci. We report a case of tuberculous pseudoaneurysm involving the iliac artery clinically manifested as fever of unknown origin. The diagnosis relied on abdominal CT-scanning. Tuberculous etiology was confirmed postoperatively by microbiologic and microscopic study. The antituberculous therapy was early started, but the patient died three months later as a consequence of a non-infectious abdominal aortic rupture. Clinicians should consider tuberculous etiology when the diagnosis of mycotic pseudoaneurysm is being entertained.
Martínez-Vázquez
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C
Unidad de Enfermedades Infecciosas, Servicio de Medicina Interna, Complejo Hospitalario Xeral-Cíes Vigo.
Nodar
A
A
Crespo
M
M
Seijas
M
M
Cid
D
D
López
A
A
Bouzas
R
R
D000368:Aged; D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000000981:diagnostic imaging*; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging*; D006801:Humans; D007083:Iliac Artery; D008297:Male; D011859:Radiography; D014376:Tuberculosis / Q000000981:diagnostic imaging*