Work

The clinical course and multidisciplinary management of an in-hospital ruptured mycotic abdominal aortic aneurysm

Year: 2025

Type: article

Abstract: Mycotic aneurysms are rare, accounting for 1% to 3% of all arterial aneurysms; nevertheless, they are associated with significant morbidity and mortality. We present the case of a 55-year-old man with severe abdominal pain, fevers, and night sweats. Rapid clinical deterioration, alongside blood cultures significant for methicillin-susceptible Staphylococcus aureus bacteremia led to imaging revealing a ruptured and infected abdominal aortic aneurysm, necessitating emergent endovascular repair and intravenous antibiotic therapy. This case report explores the diagnostic challenges of identifying mycotic aneurysms, underscores the importance of early multidisciplinary intervention, and emphasizes the necessity of long-term antimicrobial therapy to prevent graft reinfection.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2025.101814

Authors: Margarita Pipinos, Kelly Cawcutt, Alexandra Sorrick, Jonathan Thompson

Institution: University of Nebraska Medical Center

Language: English

Topic: Infectious Aortic and Vascular Conditions

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,250