Psoas abscess associated with aortic endograft infection caused by bacteremia of Listeria monocytogenes

Ma, Jen-Wen; Hu, Sung-Yuan; Lin, Tzeng‐Jih; Tsai, Che-An

doi:10.1097/md.0000000000017885

Cited by 12 publications

(5 citation statements)

References 24 publications

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“…Risk factors include diabetes, intravenous drug use, human immunodeficiency virus (HIV) infection, renal failure, and other forms of immunosuppression [1,2]. Secondary IPA occurs when a nearby infectious/inflammatory process extends directly into the iliopsoas [3,4]. Secondary psoas abscess occurs due to the direct spread of infection from a neighboring structure into the psoas muscle.…”

Section: Discussionmentioning

confidence: 99%

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An Aortic Abscess Associated with Psoas Abscess: A Case Report

SELKİ

Demir

Boğan

2023

Journal of Emergency Medicine Case Reports

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In this article, we report a case in which a psoas abscess opened into the aneurysmatic abdominal aorta, and abscess formation was observed in the aortic lumen containing a stent. A 57-year-old male patient presented to the emergency department with a complaint of abdominal pain. During the abdominal examination of the patient, tenderness and defense were detected in the right lower quadrant. Contrast-enhanced computed tomography (CT) angiography of the abdominal aorta was ordered because the patient had a history of previous stenting and right lower quadrant deficiency. In the right iliopsoas muscle, there was an increase in size suggestive of abscess formation with air densities. The diameter of the ascending aorta was 44 mm. At the level of the descending thoracic aortic bifurcation, an aneurysmatic appearance was noted in a segment of approximately 140 mm extending to the proximities of both main iliac arteries, and USG showed air in the wall in the aneurysmatic section and mural wall thickening with thrombus. In this case, although the abscess eroded the aneurysmatic aortic wall, acute bleeding did not develop due to the presence of a stent. We wanted to share the rare image on computed tomography (massive air-fluid level around the stent in the aortic lumen), especially in our case with the medical literature.

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Section: Discussionmentioning

confidence: 99%

“…It can occur primarily or secondary. It may present with nonspecific symptoms such as abdominal pain, fever, loss of appetite, weight loss, and limping [1][2][3][4][5][6][7]. The most common pathogens detected in the abscess fluid are Staphylococcus aureus (88.4%), Streptococcus (4.9%), and Escherichia coli (2.8%) [6].…”

Section: Introductionmentioning

confidence: 99%

An Aortic Abscess Associated with Psoas Abscess: A Case Report

SELKİ

Demir

Boğan

2023

Journal of Emergency Medicine Case Reports

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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%

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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“…PA was also described in the infected stent graft material in previous studies. There were multiple bacterial species cultured from pus [12,13] . We should pay attention to patients who received a stent graft.…”

Section: Discussionmentioning

confidence: 99%

Aetiology and clinical characteristics of psoas abscesses in China, 2011-2021: A retrospective study

Zhou

Wang

et al. 2022

Preprint

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Psoas abscess (PA) is an uncommon disease that has been increasingly reported in recent years. We reviewed patients with PA and analysed their clinical characteristics to improve the understanding of this rare disorder. The study retrospectively reviewed the clinical presentations, microbiology, and outcomes of patients with PA between 2011 and 2021 in Zhejiang Provincial People’s Hospital in China. There were 35 cases out of 23057427 hospitalised adult patients; the mean age was 60 years, and 65.7% of the patients were male. Primary symptoms were typically nonspecific. In all, 17 abscesses were considered secondary, and the most common aetiology was infective spondylitis. The most common causative organism for primary PA was Staphylococcus aureus, followed by Escherichia coli, while for secondary abscesses, there were multiple bacterial species. The overall in-hospital mortality rate was 6%. Secondary PA patients had longer hospital stays (mean, 23 vs. 28 days). PAs, as a serious infectious condition, usually present with nonspecific symptoms and laboratory test results, making early diagnosis difficult. The aetiological profiles differed from those reported in our study. Initial clinical status and subsequent imaging studies can lead to favourable outcomes.

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Psoas abscess associated with aortic endograft infection caused by bacteremia of Listeria monocytogenes

Cited by 12 publications

References 24 publications

An Aortic Abscess Associated with Psoas Abscess: A Case Report

An Aortic Abscess Associated with Psoas Abscess: A Case Report

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

Aetiology and clinical characteristics of psoas abscesses in China, 2011-2021: A retrospective study

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