title: Ruptured Mycotic Abdominal Aortic Pseudoaneurysm in a Patient on Hemodialysis Complicated with Oxacillin-Resistant Staphylococcus aureus Bacteremia.
abstract: Despite a high incidence of Staphylococcus aureus bacteremia in hemodialysis patients, bacterial invasion with aortic wall infection resulting in a pseudoaneurysm rarely occurs. This report describes a case of mycotic pseudoaneurysm of the abdominal aorta that grew rapidly and ruptured into the distal vena cava causing persistent bacteremia in a patient undergoing hemodialysis complicated with oxacillin-resistant S. aureus bacteremia.
authors.affiliation: Division of Vascular Surgery, Department of Surgery, St. John Hospital and Medical Center, Detroit, MI.
authors.forename: William J
authors.initials: WJ
authors.lastname: Yoon
authors.affiliation: Division of Vascular Surgery, Department of Surgery, St. John Hospital and Medical Center, Detroit, MI.
authors.forename: Alexandria
authors.initials: A
authors.lastname: Conley
authors.affiliation: Division of Vascular Surgery, Department of Surgery, St. John Hospital and Medical Center, Detroit, MI.
authors.forename: Sara
authors.initials: S
authors.lastname: Herrera
authors.affiliation: Division of Vascular Surgery, Department of Surgery, St. John Hospital and Medical Center, Detroit, MI.
authors.forename: Dennis
authors.initials: D
authors.lastname: Van Dorp
authors.affiliation: Division of Vascular Surgery, Department of Surgery, St. John Hospital and Medical Center, Detroit, MI. Electronic address: David.Lorelli@stjohn.org.
authors.forename: David R
authors.initials: DR
authors.lastname: Lorelli
mesh_terms: D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; 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; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D001027:Aortography / Q000379:methods; D016470:Bacteremia / Q000175:diagnosis / Q000382:microbiology*; D000072226:Computed Tomography Angiography; D004351:Drug Resistance; D006801:Humans; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010068:Oxacillin / Q000627:therapeutic use*; D006435:Renal Dialysis / Q000009:adverse effects*; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D013211:Staphylococcus aureus / Q000187:drug effects* / Q000472:pathogenicity; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D010068:Oxacillin