Bacteroides fragilis aortic arch pseudoaneurysm: case report with review

We present a case of 58-year-old woman with underlying diabetes mellitus, hepatitis C virus-related liver cirrhosis, and total hysterectomy for uterine myoma 11 moths ago, who was diagnosed ruptured aortic arch mycotic pseudoaneurysm after a certain period of survey for her unknown fever cause. Afte...

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Bibliographic Details
Published in:Journal of cardiothoracic surgery 2008-05, Vol.3 (1), p.29-29, Article 29
Main Authors: Lee, Hsin-Ling, Liu, Kung-Hung, Yang, Yu-Jen, Kan, Chung-Dann
Format: Article
Language:English
Subjects:
Anaerobic bacteria
Aneurysm, False - diagnosis
Aneurysm, False - microbiology
Aneurysm, False - therapy
Aneurysm, Infected - diagnosis
Aneurysm, Infected - microbiology
Aneurysm, Infected - therapy
Aneurysms
Anti-Bacterial Agents - therapeutic use
Aortic Aneurysm, Thoracic - diagnosis
Aortic Aneurysm, Thoracic - microbiology
Aortic Aneurysm, Thoracic - therapy
Bacteroides fragilis
Bacteroides fragilis - isolation & purification
Bacteroides Infections - diagnosis
Bacteroides Infections - microbiology
Bacteroides Infections - therapy
Blood Vessel Prosthesis Implantation - methods
Care and treatment
Case studies
Causes of
Diagnosis
Diagnosis, Differential
Echocardiography
Fatal Outcome
Female
Health aspects
Humans
Middle Aged
Physiological aspects
Review
Tomography, X-Ray Computed
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Summary:We present a case of 58-year-old woman with underlying diabetes mellitus, hepatitis C virus-related liver cirrhosis, and total hysterectomy for uterine myoma 11 moths ago, who was diagnosed ruptured aortic arch mycotic pseudoaneurysm after a certain period of survey for her unknown fever cause. After emergent surgery with prosthetic graft interposition, all her blood cultures and tissue cultures revealed pathogen with Bacteroides fragilis. Although mycotic aneurysms have been well described in literatures, an aneurysm infected solely with Bacteroides fragilis is unusual, with only eight similar cases in the literature. Here we reported the only female case with her specific clinical and management course and summarized all reported cases of mycotic aneurysm caused by Bacteroides fragilis to clarify their conditions and treatments, alert the difficulty in diagnosis, and importance of highly suspicious.
ISSN:1749-8090
1749-8090
DOI:10.1186/1749-8090-3-29