Abstract
A 68-year-old man who presented with periodic fever and generalized weakness was diagnosed with Enterococcus faecalis bacteraemia from an infected abdominal aneurysm. The aneurysm was new: aortic dilatation was absent a year before. In such patients the diagnosis “microbial aortitis” is more appropriate than “mycotic aneurysm”. We discuss the pathophysiology, epidemiology, prognosis and treatment of this condition.
Highlights
Infections of the bloodstream often lead to a straight-forward diagnosis, e.g. infective endocarditis, infection of endovascular prosthetic material or infection of a pre-existing aortic aneurysm.Here, we want to draw attention to a case with an insidious presentation of a mycotic aneurysm with subfebrile temperature lasting for months, no potential diagnostic clues and an unexpected source of bloodstream infection in a previously healthy man. 2
During that period he developed a bacteraemia with Enterococcus faecalis, which was treated as a catheter-related sepsis by removing the central venous line and subsequent treatment with 2 grams amoxicillin 6
We present a patient with an Enterococcus bacteraemia from an infected abdominal aneurysm
Summary
Infections of the bloodstream often lead to a straight-forward diagnosis, e.g. infective endocarditis, infection of endovascular prosthetic material or infection of a pre-existing aortic aneurysm. We want to draw attention to a case with an insidious presentation of a mycotic aneurysm with subfebrile temperature lasting for months, no potential diagnostic clues and an unexpected source of bloodstream infection in a previously healthy man
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