title: Conservative management of a ruptured mycotic aneurysm.
abstract: Mycotic aneurysms are a well-recognised complication of infective endocarditis. In contrast to many sequelae of endocarditis, they can present late in the course of the disease, despite adequate treatment. We discuss the case of an 82-year-old patient who was successfully treated for Enterococcus faecalis endocarditis, but presented late with a hypotensive collapse. CT imaging demonstrated a ruptured mycotic aneurysm. He underwent laparotomy, but the decision was made to treat conservatively to protect the vascular supply to the bowel. The patient subsequently made a full recovery.
authors.affiliation: Department of Cardiology, Royal Glamorgan Hospital, Llantrisant, UK. freyalodge@doctors.org.uk
authors.forename: Freya
authors.initials: F
authors.lastname: Lodge
authors.forename: Nerys
authors.initials: N
authors.lastname: Conway
authors.forename: Nick
authors.initials: N
authors.lastname: Waterfield
mesh_terms: D000369:Aged, 80 and over; D000785:Aneurysm, Infected / Q000209:etiology / Q000628:therapy*; D017542:Aneurysm, Ruptured / Q000209:etiology / Q000628:therapy*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D004621:Embolization, Therapeutic; D004697:Endocarditis, Bacterial / Q000150:complications; D013293:Enterococcus faecalis; D016908:Gram-Positive Bacterial Infections / Q000150:complications / Q000628:therapy*; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D017538:Mesenteric Artery, Superior; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents