Multiple mycotic aneurysms of the pulmonary arteries resolving with conservative management: multislice CT examination findings.
Mycotic pulmonary artery aneurysms are rare but potentially fatal complications of infective endocarditis. Three mycotic aneurysms developed in a 22-year-old female patient who had a history of intravenous drug use. She suffered from Staphylococcus aureus pneumonia and infective endocarditis. The patient was managed conservatively with antibiotics. She did not have hemoptysis during a prolonged hospital stay. Several multislice computed tomography examinations were performed to follow these aneurysms over a period of 19 months. The 2 smaller aneurysms had resolved by 9 weeks postdevelopment. The largest aneurysm was stable at 9 weeks and was smaller at 19 months, but it had not yet completely resolved. The literature on this rare condition was reviewed and its prognosis and management were discussed.
Wilson
Thuc-Nhi
TN
Department of Radiology, The Queen Elizabeth Hospital, South Australia, Australia.
Tew
Khimseng
K
Taranath
Ajay
A
D000328:Adult; D000783:Aneurysm / Q000150:complications / Q000000981:diagnostic imaging*; D004696:Endocarditis / Q000150:complications; D005260:Female; D006801:Humans; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging* / Q000473:pathology; D013290:Streptococcal Infections / Q000150:complications; D014057:Tomography, X-Ray Computed; D055815:Young Adult