Favorable Conservative Management of a Rare Primary Aortitis Secondary to Listeria Monocytogenes: Case Report and Review of the Literature

Arzola, Luis H.; Anaya‐Ayala, Javier E.; López-Peña, Gabriel; Luna, Lizeth; Ruben-Castillo, Christopher; Contreras-Jimenez, Emmanuel; Laparra-Escareño, Hugo; Hinojosa, Carlos A.

doi:10.1177/15385744211004056

Cited by 2 publications

(3 citation statements)

References 15 publications

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“…To account for the low sensitivity of blood culture for L monocytogenes , 9,10 we performed blood culture tests 3 times in total (once at the time of surgery, and twice after surgery), and the results were negative. Furthermore, the patient did not have any symptoms or abnormalities in the blood tests during the follow-up period before surgery.…”

Section: Discussionmentioning

confidence: 99%

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Endovascular Aortic Repair for a Symptomatic Mycotic Aneurysm With Listeria monocytogenes: A Case Report

Masuda

Azuma

Furukawa

et al. 2023

Vasc Endovascular Surg

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Purpose To report a case of successful endovascular aortic repair for a symptomatic mycotic abdominal aortic aneurysm infected with Listeria monocytogenes. Case Report We report the case of an 88-year-old woman who presented with acute abdominal pain and vomiting. Approximately a year prior to her presentation, the patient was diagnosed with a mycotic abdominal aortic aneurysm with Listeria monocytogenes and was treated conservatively for more than 2 months at another hospital. At our hospital, contrast-enhanced computed tomography revealed an abdominal aortic aneurysm and an aneurysm of the left internal iliac artery. Endovascular aortic repair was performed successfully. At 16 months after the surgery, the patient remained asymptomatic on long-term antibiotics, and there was no enlargement of the aneurysm. Conclusion Endovascular aortic repair and lifelong antibiotics may be an alternative therapy for mycotic abdominal aortic aneurysms. However, the risk of recurrent infection is high and warrants long-term follow-up.

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Section: Discussionmentioning

confidence: 99%

“…In our case, in spite of the fact that the antibiotic agent was administered intravenously for over 2 months, the enlargement of mycotic AAA could not be prevented. 10 Generally, most complications related to infection occur within the first year. Non- Salmonella infection is a significant risk factor for mortality.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Aortic Repair for a Symptomatic Mycotic Aneurysm With Listeria monocytogenes: A Case Report

Masuda

Azuma

Furukawa

et al. 2023

Vasc Endovascular Surg

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“…L. monocytogenes has also been associated with primary aortitis (only a few cases reported in the literature) and serious vascular and graft infections in immunocompromised hosts, patients with malignancy or previously treated aneurysms (3)(4)(5)(6). Infections of L. monocytogenes may be resistant to several antibiotics such as cephalosporins, first generation quinolones, sulfamethoxazole, fosfomycin, oxacillin, and lincosamides but seem to respond well to others such as penicillins, trimethoprim, aminoglycosides, macrolides, and vancomycin (1).…”

Section: Introductionmentioning

confidence: 99%

First case of aorto‑bi‑iliac endograft thrombotic infection by Listeria monocytogenes: A case report

et al. 2022

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Listeria monocytogenes may cause serious vascular and graft infections. In the present case report, a 71-year-old man underwent partial prosthetic endograft replacement due to high-flow endoleak and limb occlusion. Following surgery, a multiple empiric antibiotic regime was initiated due to fever, malaise, abdominal tenderness and signs of an acute abdomen; however, in spite of this, the clinical condition of the patient worsened. An aorto-enteric fistula was discovered, and duodenal resection with duodeno-jejunal anastomosis packaging was performed. Gastrointestinal bleeding originating from this anastomosis both complicated and prolonged the clinical course, necessitating appropriate parenteral support and endoscopic hemostasis. The growth of Candida lusitanae in the drained abdominal and pleural effusion, and the isolation of L. monocytogenes from the thrombus inside the removed abdominal aorto-bi-iliac endograft allowed for establishment of a specific antibiotic treatment. After a suitable period of clinical improvement, the patient was transferred to a clinical rehabilitation center. At the present time, the patient maintains a good condition. To the best of our knowledge, the present study represents the first described case of thrombotic infection of an aorto-bi-iliac endograft by L. monocytogenes. In the event of graft thrombotic occlusion, L. monocytogenes infection should be considered as a potential cause. In case of complications requiring open conversion, even if not suspected from the medical history of the patient, the possibility of an underlying and occult infection should always be excluded with an in-depth preoperative work-up.

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Favorable Conservative Management of a Rare Primary Aortitis Secondary to Listeria Monocytogenes: Case Report and Review of the Literature

Cited by 2 publications

References 15 publications

Endovascular Aortic Repair for a Symptomatic Mycotic Aneurysm With Listeria monocytogenes: A Case Report

Endovascular Aortic Repair for a Symptomatic Mycotic Aneurysm With Listeria monocytogenes: A Case Report

First case of aorto‑bi‑iliac endograft thrombotic infection by Listeria monocytogenes: A case report

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