title: Successful Treatment ofClostridium difficileBacteremia with Aortic Mycotic Aneurysm in a Patient with Prior Endovascular Aortic Aneurysm Repair.
abstract: The clinical spectrum ofClostridium difficileinfection can range from benign gastrointestinal colonization to mild diarrhea and life threatening conditions such as pseudomembranous colitis and toxic megacolon. Extraintestinal manifestations ofC. difficileare rare. Here, we report a patient with a history of an endovascular aortic aneurysm repair (EVAR) presenting with an endovascular leak complicated byC. difficilebacteremia and a mycotic aneurysm. He was successfully treated with an explant of the EVAR, an aorto-left renal bypass, and aorto-bi-iliac bypass graft placement along with a six-week duration of intravenous vancomycin and oral metronidazole.
authors.affiliation: Division of Infectious Diseases and Global Medicine, Department of Medicine, University of Florida, College of Medicine, 1600 SW Archer Rd., Gainesville, FL 32610, USA.
authors.forename: Kairav
authors.identifier: 0000-0001-6518-2683
authors.initials: K
authors.lastname: Shah
authors.affiliation: Division of Infectious Diseases and Global Medicine, Department of Medicine, University of Florida, College of Medicine, 1600 SW Archer Rd., Gainesville, FL 32610, USA.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Brauch
authors.affiliation: Division of Infectious Diseases and Global Medicine, Department of Medicine, University of Florida, College of Medicine, 1600 SW Archer Rd., Gainesville, FL 32610, USA.
authors.forename: Kartikeya
authors.initials: K
authors.lastname: Cherabuddi