title: Mycotic abdominal aortic aneurysm caused by bacteroides thetaiotaomicron and acinetobacter lwoffii: the first case in Korea.
abstract: Mycotic aneurysms are uncommon, but are fatal without appropriate management. Previous reports have shown that anaerobes and gram-negative organisms are less common but more dangerous than other causative agents of mycotic aneurysm. We report the case of a 60-year-old man with poorly controlled diabetes mellitus and atherosclerosis in the aorta, and a 10-day of history of lower abdominal pain and fever. This man was diagnosed with an uncommon abdominal aorta mycotic aneurysm caused by Bacteroides thetaiotaomicron and Acinetobacter lwoffii. The aneurysm was successfully treated with antibiotics therapy and aorto-bi-external iliac artery bypass with debridement of the infected aortic wall. We present this case together with a review of the relevant literature.
authors.affiliation: Division of Infectious Diseases, Department of Internal Medicine, Eulji University Hospital, Eulji University College of Medicine, Daejeon, Korea.
authors.forename: Min Gyu
authors.initials: MG
authors.lastname: Kim
authors.affiliation: Division of Infectious Diseases, Department of Internal Medicine, Eulji University Hospital, Eulji University College of Medicine, Daejeon, Korea.
authors.forename: Jae Woong
authors.initials: JW
authors.lastname: Jeon
authors.affiliation: Division of Infectious Diseases, Department of Internal Medicine, Eulji University Hospital, Eulji University College of Medicine, Daejeon, Korea.
authors.forename: Il Hwan
authors.initials: IH
authors.lastname: Ryu
authors.affiliation: Division of Infectious Diseases, Department of Internal Medicine, Eulji University Hospital, Eulji University College of Medicine, Daejeon, Korea.
authors.forename: Jae Joon
authors.initials: JJ
authors.lastname: Lee
authors.affiliation: Division of Infectious Diseases, Department of Internal Medicine, Eulji University Hospital, Eulji University College of Medicine, Daejeon, Korea.
authors.forename: Joo Seok
authors.initials: JS
authors.lastname: Kim
authors.affiliation: Division of Infectious Diseases, Department of Internal Medicine, Eulji University Hospital, Eulji University College of Medicine, Daejeon, Korea.
authors.forename: Ji Wook
authors.initials: JW
authors.lastname: Choi
authors.affiliation: Division of Infectious Diseases, Department of Internal Medicine, Eulji University Hospital, Eulji University College of Medicine, Daejeon, Korea.
authors.forename: Byung-Sun
authors.initials: BS
authors.lastname: Cho
authors.affiliation: Division of Infectious Diseases, Department of Internal Medicine, Eulji University Hospital, Eulji University College of Medicine, Daejeon, Korea.
authors.forename: Hee Jung
authors.initials: HJ
authors.lastname: Yoon
keywords: Acinetobacter lwoffii; Aneurysm; Bacteroides thetaiotaomicron; Infected