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Conservative management of a ruptured mycotic aneurysm
Mycotic aneurysms are a well-recognised complication of infective endocarditis. In contrast to many sequelae of endocarditis, they can present late in the course of the disease, despite adequate treatment. We discuss the case of an 82-year-old patient who was successfully treated for Enterococcus fa...
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| Published in: | BMJ case reports 2013-05, Vol.2013, p.bcr2013008579 |
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| cites | cdi_FETCH-LOGICAL-b4419-e8cf81370de30495e4f1c5a17e9705db2232b9a53bda946d577b8d1f43c69e8e3 |
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| container_start_page | bcr2013008579 |
| container_title | BMJ case reports |
| container_volume | 2013 |
| creator | Lodge, Freya Conway, Nerys Waterfield, Nick |
| description | Mycotic aneurysms are a well-recognised complication of infective endocarditis. In contrast to many sequelae of endocarditis, they can present late in the course of the disease, despite adequate treatment. We discuss the case of an 82-year-old patient who was successfully treated for Enterococcus faecalis endocarditis, but presented late with a hypotensive collapse. CT imaging demonstrated a ruptured mycotic aneurysm. He underwent laparotomy, but the decision was made to treat conservatively to protect the vascular supply to the bowel. The patient subsequently made a full recovery. |
| doi_str_mv | 10.1136/bcr-2013-008579 |
| format | article |
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In contrast to many sequelae of endocarditis, they can present late in the course of the disease, despite adequate treatment. We discuss the case of an 82-year-old patient who was successfully treated for Enterococcus faecalis endocarditis, but presented late with a hypotensive collapse. CT imaging demonstrated a ruptured mycotic aneurysm. He underwent laparotomy, but the decision was made to treat conservatively to protect the vascular supply to the bowel. The patient subsequently made a full recovery.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2013-008579</identifier><identifier>PMID: 23682082</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>80 Years ; Abdomen ; Aged, 80 and over ; Aneurysm, Infected - etiology ; Aneurysm, Infected - therapy ; Aneurysm, Ruptured - etiology ; Aneurysm, Ruptured - therapy ; Aneurysms ; Anti-Bacterial Agents - therapeutic use ; Antibiotics ; Embolization, Therapeutic ; Endocarditis, Bacterial - complications ; Enterococcus faecalis ; Gram-Positive Bacterial Infections - complications ; Gram-Positive Bacterial Infections - therapy ; Heart failure ; Humans ; Magnetic Resonance Angiography ; Male ; Medical imaging ; Mesenteric Artery, Superior ; Mortality ; Pain ; Patients ; Reminder of Important Clinical Lesson ; Tomography, X-Ray Computed ; Ultrasonic imaging ; United Kingdom ; Urine ; Veins & arteries ; White</subject><ispartof>BMJ case reports, 2013-05, Vol.2013, p.bcr2013008579</ispartof><rights>2013 BMJ Publishing Group Ltd</rights><rights>Copyright: 2013 2013 BMJ Publishing Group Ltd</rights><rights>2013 BMJ Publishing Group Ltd 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b4419-e8cf81370de30495e4f1c5a17e9705db2232b9a53bda946d577b8d1f43c69e8e3</citedby><cites>FETCH-LOGICAL-b4419-e8cf81370de30495e4f1c5a17e9705db2232b9a53bda946d577b8d1f43c69e8e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3669805/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3669805/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23682082$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lodge, Freya</creatorcontrib><creatorcontrib>Conway, Nerys</creatorcontrib><creatorcontrib>Waterfield, Nick</creatorcontrib><title>Conservative management of a ruptured mycotic aneurysm</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>Mycotic aneurysms are a well-recognised complication of infective endocarditis. In contrast to many sequelae of endocarditis, they can present late in the course of the disease, despite adequate treatment. We discuss the case of an 82-year-old patient who was successfully treated for Enterococcus faecalis endocarditis, but presented late with a hypotensive collapse. CT imaging demonstrated a ruptured mycotic aneurysm. He underwent laparotomy, but the decision was made to treat conservatively to protect the vascular supply to the bowel. 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In contrast to many sequelae of endocarditis, they can present late in the course of the disease, despite adequate treatment. We discuss the case of an 82-year-old patient who was successfully treated for Enterococcus faecalis endocarditis, but presented late with a hypotensive collapse. CT imaging demonstrated a ruptured mycotic aneurysm. He underwent laparotomy, but the decision was made to treat conservatively to protect the vascular supply to the bowel. The patient subsequently made a full recovery.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>23682082</pmid><doi>10.1136/bcr-2013-008579</doi><oa>free_for_read</oa></addata></record> |
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| source | PubMed (Medline) |
| subjects | 80 Years Abdomen Aged, 80 and over Aneurysm, Infected - etiology Aneurysm, Infected - therapy Aneurysm, Ruptured - etiology Aneurysm, Ruptured - therapy Aneurysms Anti-Bacterial Agents - therapeutic use Antibiotics Embolization, Therapeutic Endocarditis, Bacterial - complications Enterococcus faecalis Gram-Positive Bacterial Infections - complications Gram-Positive Bacterial Infections - therapy Heart failure Humans Magnetic Resonance Angiography Male Medical imaging Mesenteric Artery, Superior Mortality Pain Patients Reminder of Important Clinical Lesson Tomography, X-Ray Computed Ultrasonic imaging United Kingdom Urine Veins & arteries White |
| title | Conservative management of a ruptured mycotic aneurysm |
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