Intrarenal mycotic aneurysm

Ganem, Emil J.; Wallwork, David W.; Irving, William

doi:10.1016/0090-4295(77)90318-1

Cited by 5 publications

(1 citation statement)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Increasing attention has been drawn to the link between urological processes and infected aneurysms, arising by dissemination of organisms originating from urinary tract infections with overspill to the blood, facilitated by instrumentation and indwelling catheters [10-12]. One study reports increasing age and atherosclerotic problems as risk factors [10].…”

Section: Discussionmentioning

confidence: 99%

Multi-resistant Escherichia coli and mycotic aneurysm: two case reports

et al. 2009

View full text Add to dashboard Cite

IntroductionMycotic aneurysms account for a small proportion of all aneurysms. Escherichia coli a gram-negative organism, is recognised as a rare cause of aortic aneurysm. We report two cases of mycotic aneurysm caused by the same strain of multi-resistant Escherichia coli. The purpose of this case report is to highlight the possibility that this strain may be associated with an increased risk of endovascular infection especially in extra-aortic sites. These aneurysms can be difficult to detect and can have serious consequences.Case presentationIn case one, the patient presented with symptoms and signs of septicaemia secondary to a urinary tract infection. Despite adequate treatment the patient continued with pyrexia and raised inflammatory markers, therefore a series of CT scans of the abdomen and thorax were performed, which revealed two intra-thoracic pseudo-aneurysms with associated haematomas. In case two, the patient also developed Escherichia coli septicaemia. On day 44 he developed a swelling on the right side of his neck. An ultrasound scan showed a pseudoaneurysm of the right common carotid artery.ConclusionsWhilst a case report cannot prove that a heightened risk exists, we suggest that it is an area worthy of further surveillance. We recommend when older patients with atheromatosis develop prolonged Escherichia coli septicaemia, the possibility of an infected aneurysm should be borne in mind.

show abstract

Section: Discussionmentioning

confidence: 99%

Multi-resistant Escherichia coli and mycotic aneurysm: two case reports

et al. 2009

View full text Add to dashboard Cite

show abstract

Total therapeutic embolization of the kidney for hypertension in a child with a mycotic aneurysm

Cohen

Fisher

Yoon

1983

Cardiovasc Intervent Radiol

View full text Add to dashboard Cite

A 7-year-old boy with bacterial endocarditis developed renal artery mycotic aneurysm and diffuse distal occlusions of the renal branches. Blood pressure in the patient returned to normal after obliteration of flow to the left kidney with Gelfoam, Ivalon, and a Gianturco coil. An end loop of the coil used for embolization remained in the lumen of the aorta against its lateral side. Improper coil placement did not result in complications; the boy later died due to neurologic and pulmonary complications. We discuss the therapeutic potential of renal embolization, as well as the risks of particulate and ethanol embolization, in the treatment of renal vascular hypertension from mycotic aneurysms.

show abstract