Mycotic aneurysm: a rare complication of vertebral osteomyelitis.
We report the case of a 49-year-old man that presented with persistent low back pain after being treated for vertebral osteomyelitis. An abdominopelvic CT scan with intravenous contrast showed a mycotic aneurysm of the abdominal aorta. The patient was taken to the operating room where a bypass reconstruction surgery was successfully performed. The history, pathophysiology, most common organisms, risk factors, and clinical presentation of mycotic aneurysms are discussed. The importance of a high index of suspicion for prompt and proper diagnosis and treatment, is emphasized to create awareness about this dreadful complication of vertebral osteomyelitis.
Betancourt
María C
MC
Internal Medicine Department, San Juan City Hospital, P.R.
Mena
Raysa
R
Colón
Miguel
M
D000785:Aneurysm, Infected / Q000209:etiology*; D017544:Aortic Aneurysm, Abdominal / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000150:complications*; D013122:Spinal Diseases / Q000150:complications*