Abstract
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Highlights
A pseudoaneurysm (PA) is a localized dilatation of an artery due to disruption of the arterial wall which is only contained by the periaortic connective tissue
Two blood culture sets became positive for methicillin-resistant S. aureus (MRSA)
The typical histology of septic vasculitis shows a perivascular inflammatory cell infiltration – neutrophils, lymphocytes or mixed type, that may extend through the dermis with red cell extravasation
Summary
A pseudoaneurysm (PA) is a localized dilatation of an artery due to disruption of the arterial wall which is only contained by the periaortic connective tissue. Biopsy of the skin lesion revealed: dermis showed perivascular inflammation with extension of lymphocytes into the vessel wall and red cell extravasation suggestive of lymphocytic vasculitis. Discussion Our patient presented with fever, a non- pulsatile abdominal lump and distal lower extremity tender vasculitic rashes. Our prime working diagnosis was infective endocarditis with septic emboli but, clinically, there was no murmur and no vegetation or valvular dysfunction on echocardiography.
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