[Ruptured mycotic aneurysm with hemoperitoneum: an unusual septic complication of umbilical arterial catheter].
Arterial aneurysms are rare in infants and are usually associated with cardiovascular malformations or connective tissue disorders. Mycotic aneurysms of the aorta or its major branches have been described in newborn infants with septicemia originating from an indwelling umbilical artery catheter. We report a case of a newborn infant with a mycotic aneurysm complicated by massive hemoperitoneum. Surgical treatment allowed a complete recovery. Newborn infants with Staphylococcus aureus bacteremia in the context of a current or recent umbilical artery catheterisation should be followed up closely to detect arterial aneurysms.
Deliège
R
R
Service de médecine néonatale, maternité de la clinique de la Châtaigneraie, hôpital Saint-Antoine, GHICL Lille, 63110 Beaumont, France. remi@eurostructure.fr
Cneude
F
F
Barbier
C
C
Rakza
T
T
Bourlet
A
A
Vaillant
C
C
Bonnevale
M
M
Storme
L
L
D000785:Aneurysm, Infected / Q000382:microbiology* / Q000473:pathology / Q000601:surgery*; D017542:Aneurysm, Ruptured / Q000382:microbiology* / Q000473:pathology / Q000601:surgery*; D001014:Aortic Aneurysm / Q000382:microbiology* / Q000473:pathology / Q000601:surgery*; D002406:Catheterization, Peripheral / Q000009:adverse effects*; D006465:Hemoperitoneum / Q000209:etiology*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D013203:Staphylococcal Infections / Q000150:complications*; D016896:Treatment Outcome