title: Management of a ruptured infected abdominal aortic aneurysm and a spondylodiscitis due to Gemella haemolysans.
abstract: Infected aneurysm of the abdominal aorta is an uncommon and highly lethal disease, with a >80% rate of death. It is uncommonly associated with spondylodiscitis. Management of this rare association of pathology remains controversial. This report details the case of a patient with a large vascular past history, presenting a scarce association of disease: a ruptured infected aneurysm of the abdominal aorta with a spondylodiscitis due to Gemella haemolysans. The patient recovered quickly and durably, thanks to an unusual cooperation of both vascular surgeons and orthopedists: He underwent an in situ graft replacement and a front vertebral fixation in a single-step surgery. Good immediate and midterm outcome shows a new way of treatment in this rare but severe situation.
authors.affiliation: Department of Vascular and Thoracic Surgery, Centre Hospitalier de Niort, Niort Cedex, France. marie-eve.gatibelza@wanadoo.fr
authors.forename: M E
authors.initials: ME
authors.lastname: Gatibelza
authors.forename: B
authors.initials: B
authors.lastname: Laroye
authors.forename: J
authors.initials: J
authors.lastname: Lombard
authors.forename: A
authors.initials: A
authors.lastname: Mameli
authors.forename: E
authors.initials: E
authors.lastname: Thomas
mesh_terms: D000368:Aged; D000785:Aneurysm, Infected / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017544:Aortic Aneurysm, Abdominal / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D001019:Aortic Rupture / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D001863:Bone Screws; D016025:Bone Transplantation / Q000295:instrumentation; D003131:Combined Modality Therapy; D003299:Cooperative Behavior; D003646:Debridement; D015299:Discitis / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D006801:Humans; D016268:Internal Fixators; D018810:Magnetic Resonance Angiography; D008297:Male; D010027:Osteotomy / Q000295:instrumentation; D010348:Patient Care Team; D022242:Pneumococcal Vaccines; D011474:Prosthesis Design; D040141:Staphylococcaceae / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D022242:Pneumococcal Vaccines