title: A case of a mycotic aneurysm of the superficial femoral artery infected by mixed bacterial species.
abstract: A 65-year-old woman, recently diagnosed with diabetes, presented with fever and a warm, pulsatile, tender mass over the medial aspect of her left thigh. She gave a history of diarrhea two weeks earlier. All lower limb pulses were present. CRP was 18.3 mg/l with evidence of neutrophil leukocytosis. Contrast angiography demonstrated a saccular aneurysm in her left superficial femoral artery (SFA). The aneurysm and surrounding infected, necrotic muscle was excised, and the limb was re-vascularized in-situ. Cultures from the aneurysmal wall grew both coliform bacilli and staphylococcus aureus. A mycotic aneurysm of the SFA, following a previous gastroenteritis, harbouring both staphylococcal and coliforms, makes this case unique.
authors.affiliation: University Surgical Unit, Faculty of Medicine, Colombo, Sri Lanka.
authors.forename: Thushan Dhananja
authors.initials: TD
authors.lastname: Gooneratne
authors.forename: Suhashini
authors.initials: S
authors.lastname: Sriskantha
authors.forename: Mandika
authors.initials: M
authors.lastname: Wijeyaratne
keywords: aneurysm; mycotic; rare
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