title: Management of mycotic femoral artery aneurysm with two resistant organisms.
abstract: We report the management of a case of thigh abscess with ruptured left superficial femoral artery mycotic aneurysm in a 91-year-old woman with significant comorbidity. The abscess culture grew Escherichia coli and Acinetobacter baumannii. Vascular reconstruction was not performed because the foot was viable with a heavily contaminated wound. The thigh wound healed with the help of vacuum-assisted closure. This is the first report of a ruptured mycotic aneurysm of the superficial femoral artery associated with Escherichia coli and Acinetobacter baumannii infection. This case demonstrates that resection of a mycotic aneurysm without vascular continuity is feasible, especially in frail patients.
authors.affiliation: Division of Vascular & Endovascular Surgery, Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong.
authors.forename: Man Fung
authors.initials: MF
authors.lastname: Ho
authors.affiliation: Division of Vascular & Endovascular Surgery, Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong ycchan22@hotmail.com.
authors.forename: Yiu-Che
authors.initials: YC
authors.lastname: Chan
authors.affiliation: Division of Vascular & Endovascular Surgery, Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong.
authors.forename: Stephen Wing-Keung
authors.initials: SW
authors.lastname: Cheng
mesh_terms: D000151:Acinetobacter Infections / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D040981:Acinetobacter baumannii / Q000302:isolation & purification*; D000369:Aged, 80 and over; D000785:Aneurysm, Infected / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery*; D017542:Aneurysm, Ruptured / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D000072226:Computed Tomography Angiography; D003646:Debridement; D004927:Escherichia coli Infections / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D005260:Female; D005263:Femoral Artery / Q000382:microbiology / Q000601:surgery*; D006801:Humans; D054843:Negative-Pressure Wound Therapy; D013536:Suture Techniques; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures; D014945:Wound Healing; D014946:Wound Infection / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*
chemical_list: D000900:Anti-Bacterial Agents
keywords: 80 and over; Aged; acinetobacter infections; aneurysm; escherichia coli infections; false; femoral artery; negative-pressure wound therapy