title: Misdiagnosed infected aneurysm presenting as pyrexia of unknown origin (PUO).
abstract: Infected aneurysm is a life threatening clinical condition that is associated with significant morbidity and mortality. Early detection is essential for a rapid and efficacious initial treatment for better prognosis. Since the introduction of antibiotic therapy and concomitant decline of endocarditis, true mycotic aneurysms are rarely seen. The usual treatment consists of antibiotics along with aggressive surgical debridement of the infected tissue and vascular reconstruction, if needed. We here describe an infected aneurysm presenting as pyrexia of unknown origin and discuss the clinical features and challenges encountered in the treatment.
authors.affiliation: Department of Surgery, Vascular Unit, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, 56000, Kuala Lumpur, Malaysia.
authors.forename: M
authors.initials: M
authors.lastname: Abdikarim
authors.affiliation: Department of Surgery, Vascular Unit, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, 56000, Kuala Lumpur, Malaysia.
authors.forename: S
authors.initials: S
authors.lastname: Shahari
authors.affiliation: Department of Surgery, Vascular Unit, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, 56000, Kuala Lumpur, Malaysia.
authors.forename: M A
authors.initials: MA
authors.lastname: Idris
authors.affiliation: Department of Surgery, Vascular Unit, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, 56000, Kuala Lumpur, Malaysia.
authors.forename: H
authors.initials: H
authors.lastname: Hanafiah
authors.affiliation: Department of Surgery, Vascular Unit, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, 56000, Kuala Lumpur, Malaysia.
authors.forename: N R
authors.initials: NR
authors.lastname: Kosai
authors.affiliation: Department of Anatomy, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abd Aziz, 50300, Kuala Lumpur, Malaysia.
authors.forename: S
authors.initials: S
authors.lastname: Das
mesh_terms: D000368:Aged; D000785:Aneurysm, Infected / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003646:Debridement; D003951:Diagnostic Errors; D005334:Fever / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D017543:Iliac Aneurysm / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D007813:Laparotomy; D008297:Male; D011379:Prognosis; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents
keywords: PUO; anatomy; aneurysm; infected; morbidity; surgery