Infective Internal Iliac Artery Aneurysm Caused by Campylobacter fetus.
A 67-year-old man with a persistent high fever was diagnosed to have an infective aneurysm in his left internal iliac artery. A blood culture detected a gram-negative spiral rod that was first identified as Campylobacter fetus subsp. venerealis based on a matrix-assisted laser desorption/ionization time of flight mass spectrometry (MALDI-TOF MS) analysis. However, the strain was finally confirmed to be Campylobacter fetus subsp. fetus based on a genetic analysis. The infection was successfully treated with emergency resection of the aneurysm, followed by 4 weeks of antibiotic therapy. Involvement of the peripheral artery is uncommon in cases of C. fetus-infective aneurysm. To figure out the epidemiology and pathogenicity of C. fetus infection, the accurate identification of the responsible organisms is essential.
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan.
Hideharu
H
Hagiya
Hiroko
H
Ogawa
Yusuke
Y
Takahashi
Kou
K
Hasegawa
Yoshihisa
Y
Hanayama
Fumio
F
Otsuka
D000368:Aged; D000785:Aneurysm, Infected / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002169:Campylobacter Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D002168:Campylobacter fetus / Q000302:isolation & purification*; D002439:Cefotaxime / Q000008:administration & dosage; D005334:Fever / Q000209:etiology / Q000382:microbiology*; D006801:Humans; D017543:Iliac Aneurysm / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D007083:Iliac Artery / Q000382:microbiology*; D064704:Levofloxacin / Q000008:administration & dosage; D008297:Male; D019032:Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization / Q000379:methods; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D064704:Levofloxacin; D002439:Cefotaxime