Ruptured mycotic aneurysm of the superior mesenteric artery secondary to bacterial endocarditis in a 6-year-old-girl

Christophe, Catherine; Burniat, W; Spehl, M; Cogaert, C; Amalou, N; Delaet, F; Biarent, Dominique; Perlmutter, Neal S.

doi:10.1007/bf02388614

Cited by 9 publications

(5 citation statements)

References 7 publications

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“…Before the introduction of antibiotics, syphilis, tuberculosis and untreated endocarditis were among the most common causes of mycotic aneurysms (5,6). Today, intravenous drug abuse, dental extraction and angiographic procedures are the most common predisposing conditions (2, 7-9).…”

Section: Discussionmentioning

confidence: 99%

Mycotic Pseudoaneurysm of the Femoral Artery in a Patient with Psoriasis

2012

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Mycotic aneurysms of the common femoral artery are rare and usually occur in intravenous drug abusers who use the femoral vessels for injection. We herein describe a case of mycotic aneurysm of the common femoral artery caused by methicillin-sensitive Staphylococcus aureus seeding of an atherosclerotic plaque in which the bacteria possibly originated from psoriatic skin lesions. A 67-year-old Caucasian man was admitted to the hospital after experiencing chest pain for two days. He was known to have psoriasis and coronary artery disease with a history of coronary artery bypass grafting surgery three years earlier. He was found to have methicillin-sensitive Staphylococcus aureus bacteremia and later developed a mycotic aneurysm of the femoral artery opposite to the site of catheterization access. Mycotic aneurysms are rare clinical conditions associated with significant morbidity and mortality. In patients with psoriasis, a high prevalence of Staphylococcus aureus colonization of the skin makes possible bacterial seeding of existing atherosclerotic plaques. Therefore, the risk of mycotic pseudoaneurysm formation in these patients should be considered.

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Section: Discussionmentioning

confidence: 99%

Mycotic Pseudoaneurysm of the Femoral Artery in a Patient with Psoriasis

2012

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“…Although quite rare, due to recent advances in technology, the incidence has risen in recent decades. Mycotic aneurysms can be most commonly found in the hepatic artery, splenic artery, descending aorta, intracranial arteries, and the renal artery [1]. Septic emboli are lodged into the vaso vasorum of a vessel wall, with subsequent spread of the infection and weakening of the vessel wall.…”

Section: Discussionmentioning

confidence: 99%

“…Emboli are released from the heart that lodge into the vaso vasorum of an arterial wall, and an inflammatory reaction is then set up. The arterial wall is weakened, most likely from hypersensitivity, leading to an aneurysm [1]. The superior mesenteric artery is an uncommon location for aneurysms, as only 5.5% of visceral aneurysms are found in this location.…”

Section: Introductionmentioning

confidence: 99%

A palpable tender abdominal mass in a patient with endocarditis on antibiotics for 5 weeks

Smeltzer¹,

Corman²

2013

CRCM

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Mycotic aneurysms are a rare finding in the post-antibiotic era but must still be considered as a cause of abdominal pain in a patient with endocarditis. We present a case of a 47-year-old man with a history of IV drug use and a prior episode of endocarditis who developed a mycotic aneurysm while hospitalized on IV antibiotic therapy for aortic valve endocarditis. Due to their life-threatening character and often lack of evident clinical picture, mycotic aneurysms should still remain in high suspicion for a patient with abdominal pain in the setting of endocarditis.

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“…Christophe et al also describe an SMA aneurysm due to mitral valve disease and bacterial endocarditis in a 6-year-old girl. She presented with a slow-growing retro-umbilical mass that on laparotomy was found to be a ruptured SMA aneurysm with a large intramesenteric hematoma (6).…”

Section: Case Reportmentioning

confidence: 99%

Massive Intestinal Bleeding in a Child With Superior Mesenteric Artery Aneurysm and Gastrointestinal Tuberculosis

Kahn

Kirschner

2006

J. pediatr. gastroenterol. nutr.

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Ruptured mycotic aneurysm of the superior mesenteric artery secondary to bacterial endocarditis in a 6-year-old-girl

Abstract: By non-invasive examination we demonstrated a false mycotic aneurysm on a branch of the superior mesenteric artery (SMA). It suddenly ruptured but was managed successfully. The patient had mitral valve disease and probably bacterial endocarditis also.

Cited by 9 publications

References 7 publications

Mycotic Pseudoaneurysm of the Femoral Artery in a Patient with Psoriasis

Mycotic Pseudoaneurysm of the Femoral Artery in a Patient with Psoriasis

A palpable tender abdominal mass in a patient with endocarditis on antibiotics for 5 weeks

Massive Intestinal Bleeding in a Child With Superior Mesenteric Artery Aneurysm and Gastrointestinal Tuberculosis

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