title: Mycotic Aneurysm Due to Leclercia Adecarboxylata: A Complication of Vertebral Osteomyelitis.
abstract: Leclercia adecarboxylata is a gram-negative bacterium and member of Enterobacteriaceae family. It has most frequently been isolated from lower wounds as a part of mixed flora. Mycotic aneurysms were first described by Osler and were mostly associated with infective endocarditis. We present the case of a male who presented with limb vein thrombosis, fatigue, and a history of back pain. The computed tomography scan revealed a saccular aneurysm and combined vertebral osteomyelitis of the third lumbar vertebra. An endovascular aneurysm repair with a tubed endograft was performed. Two years after the initial therapeutic management, he developed buttock claudication because of ostial stenosis of both common iliac arteries and a "kissing-stent" technique was performed. This is the first case described regarding Leclercia adecarboxylata as an etiologic factor of infected aneurysm development, its management and the short-term outcome.
authors: Vascular Surgery Unit, A' Propaedeutic Surgical Clinic, Ahepa University Hospital of Thessaloniki, Thessaloniki, Greece. Electronic address: grigoriosvoulalas@yahoo.com.
authors: Grigorios
authors: G
authors: Voulalas
authors: Private Practice in Euroclinic, Athens, Greece.
authors: Sotirios
authors: S
authors: Makris
authors: Vascular Surgery Clinic, General Hospital of Athens "KAT", Athens, Greece.
authors: Gerasimos
authors: G
authors: Papacharalampous
authors: Vascular Surgery Clinic, General Hospital of Athens "KAT", Athens, Greece.
authors: Chrysostomos
authors: C
authors: Maltezos
mesh_terms: D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D000072226:Computed Tomography Angiography; D057510:Endovascular Procedures / Q000295:instrumentation; D004755:Enterobacteriaceae / Q000145:classification / Q000302:isolation & purification*; D004756:Enterobacteriaceae Infections / Q000150:complications / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D010019:Osteomyelitis / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents