Pasteurella multocida infection, a rare cause of mycotic abdominal aortic aneurysm.
A 64-year-old man was admitted with abdominal pain 6 weeks after treatment with intravenous flucloxacillin for cellulitis of his right leg. Urgent operation was necessary for a mycotic aneurysm of the abdominal aorta due to infection with Pasteurella multocida, a microorganism residing in the oral cavity of domestic animals that very rarely causes infection of native arteries or grafts. The aorta was repaired with a rifampin-coated tube graft. Despite postoperative duodenal perforation, abdominal Candida infections, wound dehiscence, and renal insufficiency, the patient is alive 1 year postoperatively.
Koelemay
Mark J W
MJ
Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands. m.j.koelemaij@amc.uva.nl
D015746:Abdominal Pain / Q000382:microbiology; D000437:Alcoholism / Q000150:complications; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D020099:Coated Materials, Biocompatible; D006801:Humans; D008297:Male; D008875:Middle Aged; D016979:Pasteurella multocida / Q000302:isolation & purification*; D011474:Prosthesis Design; D012293:Rifampin / Q000008:administration & dosage; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D020099:Coated Materials, Biocompatible; D012293:Rifampin