Mycotic aneurysm of the tibioperoneal trunk: a first manifestation of an infected endocarditis

Author:

Belczak Sergio Quilici1,Sincos Igor Rafael1,Teivelis Marcelo Passos2,Oliveira Carlos Alberto Sian de2,Fragoso Hélio1,Aun Ricardo3

Affiliation:

1. Faculdade São Camilo

2. Universidade de São Paulo

3. Hospital Israelita Albert Einstein

Abstract

Infrapopliteal mycotic aneurysm resulting from endocarditis is rare, with only a few reported cases. We describe the case of a 28-year-old male patient who was suffering with pain and edema in the right leg. The ultrasound revealed an aneurysm of the right tibioperoneal trunk and a deep vein thrombosis (DVT). The patient was admitted and developed acute congestive heart failure, being diagnosed with possible endocarditis. A pseudo-aneurysm was revealed by arteriography. Aggressive antibiotic treatment was initiated, and open surgery confirmed a mycotic pseudo-aneurysm of the tibioperoneal trunk. To our knowledge, this is the 8th case reported of an infected aneurysm in this particular location.

Publisher

FapUNIFESP (SciELO)

Subject

Infectious Diseases,General Medicine

Reference12 articles.

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2. Bacteriologic and surgical determinants of survival in patients with mycotic aneurysms;Brown SL;J Vasc Surg,1984

3. Mycotic aneurysm of the tibioperoneal trunk as a complication of aortic valve endocarditis due to lactobacillus case infection: case report and review of literature;Khasnis A;Infect Dis Clin Pract,2006

4. Mycotic aneurysm of the tibioperoneal trunk: An extremely rare localization with pseudo-phlebitis clinical presentation;Kreidy R;J Med Liban,2006

5. Mycotic aneurysm after kidney transplantation;Lacombe M;Chirurgie,1999

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