A Conservative Approach to a Large Mycotic Pulmonary Pseudoaneurysm

Pulmonary mycotic pseudoaneurysm is a rare complication of bacteremia with high associated mortality. We present a case of a large proximal pulmonary artery pseudoaneurysm as a result of methicillin-sensitive Staphylococcus aureus bacteremia, originating from a tunneled dialysis catheter infection....

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Bibliographic Details
Published in:Case reports in pulmonology 2021-11, Vol.2021, p.1-4
Main Authors: Torpey, Erin, Spears, Jenna, Al-Saiegh, Yousif, Roeser, Mindi
Format: Article
Language:English
Subjects:
Aneurysms
Antibiotics
Asymptomatic
Blood clot
Blood clots
Case Report
Case reports
Catheters
Embolization
Endocarditis
Fever
Health aspects
Hemoptysis
Infection
Infections
Infectious diseases
Laboratories
Medical imaging
Methicillin
Metronidazole
Mortality
Ostomy
Pseudoaneurysm
Pulmonary arteries
Salmonella
Sepsis
Surveillance
Thoracic surgery
Thrombosis
Vascular surgery
Veins & arteries
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Summary:Pulmonary mycotic pseudoaneurysm is a rare complication of bacteremia with high associated mortality. We present a case of a large proximal pulmonary artery pseudoaneurysm as a result of methicillin-sensitive Staphylococcus aureus bacteremia, originating from a tunneled dialysis catheter infection. This case was ultimately managed conservatively with surveillance imaging and a prolonged intravenous antibiotic course, rather than with surgical or interventional management. To our knowledge, this is the first reported case of a mycotic pulmonary pseudoaneurysm due to septic embolization of an infected superior vena cava thrombus.
ISSN:2090-6846
2090-6854
DOI:10.1155/2021/6456216