Pseudoaneurysm of the ascending aorta: case report of a donor-derived Pseudomonas infection in a heart transplant recipient

Mycotic aortic pseudoaneurysm is a rare complication after heart transplantation (HTX) with remarkable mortality. Intrathoracic infection is a well-documented predisposing factor for this disease. Staphylococcus aureus, Pseudomonas aeruginosa or Candida species are commonly isolated from resected sp...

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Bibliographic Details
Published in:BMC infectious diseases 2021-08, Vol.21 (1), p.1-847, Article 847
Main Authors: Kugler, Szilvia, Pólos, Miklós, Király, Ãkos, Pataki, Ãkos, Koppányi, Ãdám, Varga, Tamás, Szakál-Tóth, Zsófia, Parázs, Nóra, Teszák, Tímea, Tarjányi, Zoltán, Prinz, Gyula, Hartyánszky, István, Szabolcs, Zoltán, Merkely, Béla, Sax, Balázs
Format: Article
Language:English
Subjects:
Abscesses
Aneurysms
Antibiotics
Antiinfectives and antibacterials
Aorta
Aortic pseudoaneurysm
Asymptomatic
Blood circulation disorders
Blood pressure
C-reactive protein
Case Report
Case reports
Case studies
Causes of
Ceftazidime
Ciprofloxacin
Complications and side effects
Computed tomography
Connective tissue
Coronary vessels
Diabetes mellitus
Disease prevention
Donor-derived infection
Endocarditis
Health aspects
Heart
Heart transplantation
Heart transplants
Infections
Inflammation
Interrogation
Kidneys
Laboratory tests
Microorganisms
Organ transplant recipients
Organs
Patients
Pneumonia
Prophylaxis
Prostheses
Pseudoaneurysm
Pseudomonas
Pseudomonas aeruginosa
Pseudomonas aeruginosa infections
Pulmonary arteries
Saccule
Severe acute respiratory syndrome coronavirus 2
Surgery
Surveillance
Therapy
Transplantation
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Summary:Mycotic aortic pseudoaneurysm is a rare complication after heart transplantation (HTX) with remarkable mortality. Intrathoracic infection is a well-documented predisposing factor for this disease. Staphylococcus aureus, Pseudomonas aeruginosa or Candida species are commonly isolated from resected specimens of the pseudoaneurysms. We demonstrate a unique case of mycotic pseudoaneurysm caused by presumably donor-derived Pseudomonas infection in a heart transplant recipient. Donor-derived infection is a rare but potential cause of aortitis. Early diagnosis, surgical intervention and adjuvant antibiotic therapy seem to be the keys to successful management of mycotic pseudoaneurysms after HTX.
ISSN:1471-2334
1471-2334
DOI:10.1186/s12879-021-06557-y