title: Mycotic aneurysm of the thoracoabdominal aorta in a child with end-stage renal disease.
abstract: A 5-year-old child with nephrotic syndrome developed a mycotic saccular thoracoabdominal aortic aneurysm (TAAA) involving the visceral segment within a 4-month period following pneumococcal bacteremia and presumed spontaneous bacterial peritonitis (SBP). Due to continued aneurysm growth and progression to end-stage renal disease, TAAA repair was performed, followed by cadaveric kidney transplantation. This is the first known instance of mycotic aortic aneurysm formation as a consequence of SPB and the first report of TAAA repair in preparation for kidney transplantation in a child.
authors: Department of Surgery, Duke University Medical Center, Durham, NC 27710, USA.
authors: Nicholas D
authors: ND
authors: Andersen
authors: Syamal D
authors: SD
authors: Bhattacharya
authors: Judson B
authors: JB
authors: Williams
authors: Richard L
authors: RL
authors: McCann
authors: G Chad
authors: GC
authors: Hughes
mesh_terms: D000785:Aneurysm, Infected / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology* / Q000601:surgery; D016030:Kidney Transplantation; D018810:Magnetic Resonance Angiography; D008297:Male; D009404:Nephrotic Syndrome / Q000150:complications*; D010538:Peritonitis / Q000188:drug therapy / Q000382:microbiology*; D012008:Recurrence; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents