A mycotic abdominal aortic aneurysm caused by Listeria monocytogenes in a patient with HIV infection.
A 65-year-old man with HIV infection presented with acute severe abdominal pain radiating to the back. A CT scan revealed an infrarenal abdominal aortic aneurysm, and an aortobifemoral bypass was undertaken. Subsequently, tissue specimens from the aortic wall grew Listeria monocytogenes. The patient received 8 weeks of intravenous antibiotic treatment followed by oral sulfotrim as secondary prophylaxis and made an uneventful recovery.
Department of Infectious Diseases, Aarhus University Hospital, Aarhus N, Denmark.
Jesper Damsgaard
JD
Gunst
Søren
S
Jensen-Fangel
D000368:Aged; D000785:Aneurysm, Infected / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D001706:Biopsy; D003937:Diagnosis, Differential; D015658:HIV Infections / Q000150:complications*; D015497:HIV-1; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures