Abdominal septic aortic pseudoaneurysm caused by Campylobacter jejuni infection: report of a case.
Campylobacter jejuni infection is one of the most common bacterial causes of acute gastroenteritis worldwide. An extraintestinal manifestation is rare and, to our knowledge, an aortic aneurysm has until now never been documented. We report a case of a 72-year-old patient with a septic aortic pseudoaneurysm caused by C. jejuni infection. Computed tomography and magnetic resonance imaging showed a pseudoaneurysm in the abdominal aorta. The preoperative blood culture indicated a Gram-negative bacillus, which was identified 7 days later as C. jejuni. An aneurysmectomy, extensive debridement, and an in situ graft wrapped with the omentum were done, and the patient was given a 6-week course of antibiotics. Despite readmissions for abdominal infection and Salmonella bacteremia, a graft infection did not develop. In the 3 years since the procedure the patient has shown no signs of a relapse.
Roan
Jun-Neng
JN
Division of Cardiovascular Surgery, Department of Surgery, National Cheng Kung University Hospital and College of Medicine, 138 Sheng-Li Road, Tainan, 70428, Taiwan.
Ko
Wen-Chien
WC
Luo
Chwan-Yau
CY
D000368:Aged; D017541:Aneurysm, False / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy*; D000785:Aneurysm, Infected / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy*; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy*; D002169:Campylobacter Infections / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D016123:Campylobacter jejuni / Q000302:isolation & purification*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D014057:Tomography, X-Ray Computed