title: [Mycotic pseudoaneurysm caused by Mycobacterium tuberculosis].
abstract: 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.
authors.affiliation: Unidad de Enfermedades Infecciosas, Servicio de Medicina Interna, Complejo Hospitalario Xeral-Cíes Vigo.
authors.forename: C
authors.initials: C
authors.lastname: Martínez-Vázquez
authors.forename: A
authors.initials: A
authors.lastname: Nodar
authors.forename: M
authors.initials: M
authors.lastname: Crespo
authors.forename: M
authors.initials: M
authors.lastname: Seijas
authors.forename: D
authors.initials: D
authors.lastname: Cid
authors.forename: A
authors.initials: A
authors.lastname: López
authors.forename: R
authors.initials: R
authors.lastname: Bouzas
mesh_terms: 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*