Mycotic aortic aneurysm induced by Klebsiella pneumoniae successfully treated by in-situ replacement with rifampicin-bonded prosthesis: report of 3 cases.
Mycotic aortic aneurysm caused by Klebsiella pneumoniae (K. pneumoniae) is extremely rare and 3 cases of K. pneumoniae-induced mycotic aortic aneurysm are present, 2 of which were located in the aortic arch and the other in the suprarenal abdominal aorta. Urgent surgery was performed for 2 cases because of impending aneurysmal rupture and progressive septic shock, whereas elective surgery was performed after radical antibiotic chemotherapy for the other case. In-situ reconstruction with rifampicin-bonded prosthetic grafts was performed, and no infective complications have occurred in any of the cases.
Totsugawa
Toshinori
T
Department of Cardiovascular Surgery, Cardiovascular Institute Sakakibara Hospital, Okayama, Japan. toshinoritotsugawa@mac.com
Kuinose
Masahiko
M
Yoshitaka
Hidenori
H
Tsushima
Yoshimasa
Y
Ishida
Atsuhisa
A
Minami
Hitoshi
H
D000368:Aged; D000369:Aged, 80 and over; D001012:Aorta, Abdominal; D001013:Aorta, Thoracic; D001014:Aortic Aneurysm / Q000175:diagnosis / Q000209:etiology / Q000382:microbiology* / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans; D007711:Klebsiella pneumoniae; D008297:Male; D012293:Rifampin / Q000008:administration & dosage*; D014057:Tomography, X-Ray Computed
D012293:Rifampin