Mycotic abdominal aortic aneurysm caused by toxigenic Clostridium difficile.
Extra-intestinal infections caused by Clostridium difficile are uncommon. We report a case of a mycotic abdominal aortic aneurysm in an 86-year old male. Tissue and pus swabs from the aneurysmal sac grew a pure growth of C. difficile. The identity of the isolate was determined by phenotypic methods and confirmed by DNA sequencing. He was treated successfully with an aorta-bifemoral bypass and a 4-week course of intravenous and oral antibiotics.
Department of Microbiology, LabPlus, Auckland City Hospital, New Zealand. sathyev@cmdhb.org.nz
Vani
V
Sathyendran
Thomas V
TV
Riley
Sally A
SA
Roberts
Joshua T
JT
Freeman
D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000494:pharmacology / Q000627:therapeutic use; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging* / Q000382:microbiology* / Q000628:therapy; D016360:Clostridioides difficile / Q000187:drug effects / Q000302:isolation & purification*; D003015:Clostridium Infections / Q000000981:diagnostic imaging* / Q000382:microbiology* / Q000628:therapy; D024881:Drug Resistance, Bacterial; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D011859:Radiography
D000900:Anti-Bacterial Agents