title: Mycotic abdominal aneurysm caused by campylobacter fetus: a case report for surgical management.
abstract: We report a rare case of mycotic abdominal aortic aneurysm associated with Campylobacter fetus. A 72-year-old male admitted to the hospital because of pain in the right lower quadrant with pyrexia. The enhanced abdominal computed tomography (CT) examination showed abdominal aortic aneurysm (AAA) measuring 50 mm in maximum diameter and a high-density area of soft tissue density from the right lateral wall to the anterior wall of the aorta. However, since the patient showed no significant signs of defervescence after antibiotics administration, so we performed emergency surgery on the patient based on the diagnosis of impending rupture of mycotic AAA. The aneurysm was resected in situ reconstruction using a bifurcated albumin-coated knitted Dacron graft was performed. The cultures of blood and aneurysmal wall grew Campylobacter fetus, allowing early diagnosis and appropriate surgical management in this case, and the patient is making satisfactory progress. This is the fifth report of mycotic AAA characterizing culture positive for Campylobacter fetus in blood and tissue culture of the aortic aneurysm wall.
authors.affiliation: Department of Cardiovascular Surgery, Fukui Prefectural Hospital, Fukui, Fukui, Japan.
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Noda
authors.forename: Ko-Ichiro
authors.initials: K
authors.lastname: Sawada
authors.forename: Syu-Hei
authors.initials: SH
authors.lastname: Yoshida
authors.forename: Satoru
authors.initials: S
authors.lastname: Nishida
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Yamamoto
authors.forename: Yuji
authors.initials: Y
authors.lastname: Otake
authors.forename: Go
authors.initials: G
authors.lastname: Watanabe
keywords: Campylobacter fetus; mycotic abdominal aneurysm; vascular surgery
references.citation: Surg Today. 1998;28(6):661-4
references.pmid: 9681621
references.citation: J Cardiovasc Surg (Torino). 1990 Nov-Dec;31(6):756-9
references.pmid: 2262502
references.citation: J Cardiovasc Surg (Torino). 1997 Aug;38(4):371-5
references.pmid: 9267346
references.citation: JAMA. 1983 Mar 4;249(9):1190-2
references.pmid: 6823082
references.citation: Arch Intern Med. 1983 Mar;143(3):609-10
references.pmid: 6687525
references.citation: J Vasc Surg. 2007 Dec;46(6):1277-9
references.pmid: 18155006
references.citation: J Vasc Surg. 2001 Jan;33(1):106-13
references.pmid: 11137930
references.citation: Ann Vasc Surg. 2007 Mar;21(2):137-42
references.pmid: 17349352
references.citation: Acta Clin Belg. 1989;44(2):123-8
references.pmid: 2678860
references.citation: Radiology. 2004 Apr;231(1):250-7
references.pmid: 15068950
references.citation: Asian Cardiovasc Thorac Ann. 2005 Mar;13(1):11-6
references.pmid: 15793043
references.citation: J Vasc Surg. 2001 Nov;34(5):900-8
references.pmid: 11700493
references.citation: Eur J Clin Microbiol Infect Dis. 2004 Sep;23(9):722-4
references.pmid: 15322930
references.citation: Intern Med. 2005 Oct;44(10):1055-9
references.pmid: 16293916
references.citation: J Vasc Surg. 2004 Jul;40(1):30-5
references.pmid: 15218459