Successfully treated infected aneurysm caused by Listeria monocytogenes

Toyoshima, Hirokazu; Hirano, Kōji; Tanigawa, Motoaki; Masuda, Naoto; Ishiguro, Chiaki; Tanaka, Hiroyuki; Nakanishi, Yuki; Sakabe, Shigetoshi

doi:10.1016/j.idcr.2021.e01206

Cited by 2 publications

(2 citation statements)

References 19 publications

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“…Almost all cases reported have occurred in elderly patients with a male predominance, and most involved aortic and common iliac arteries. Among non-aortic aneurysms, none involved underlying hardware and most occurred in iliac, femoral and popliteal arteries, with only one case each involving the inferior mesenteric, superior mesenteric and internal carotid arteries was reported4 10–17 (table 2). We thus report the first known case of common hepatic artery aneurysm due to L. monocytogenes .…”

Section: Discussionmentioning

confidence: 99%

“… 2 Of available reports on hepatic listeriosis, solitary or multiple liver abscesses, diffuse hepatitis and granulomatous hepatitis have been recorded. 2 Mycotic arterial aneurysms secondary to L. monocytogenes are likewise rare, and the described reports frequently involve the abdominal aorta, iliac artery, 4 or include the presence of prosthetic material. 5 …”

Section: Introductionmentioning

confidence: 99%

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Multiple liver abscesses secondary toListeria monocytogenescomplicated by hepatic artery mycotic aneurysm

Qi,

Tamizuddin,

Gisi

et al. 2023

BMJ Case Rep

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A woman in her 50s presented to the emergency department with 5 days of abdominal pain, nausea and vomiting. CT imaging of her liver demonstrated three enhancing, cystic lesions in her hepatic parenchyma and a large enhancing lesion in her porta hepatis concerning for a hepatic artery aneurysm. Radiographic-guided drainage was performed on two accessible liver abscesses, and cultures from this drainage grewListeria monocytogenes. Serial imaging of the aneurysm demonstrated that the aneurysm spontaneously thrombosed and did not require further intervention. She was subsequently discharged on intravenous ampicillin with a plan to continue until radiographic resolution of the abscesses.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Multiple liver abscesses secondary toListeria monocytogenescomplicated by hepatic artery mycotic aneurysm

Qi,

Tamizuddin,

Gisi

et al. 2023

BMJ Case Rep

View full text Add to dashboard Cite

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Endovascular Treatment for Isolated Infected Iliac Artery Aneurysms

et al. 2023

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Purpose: Isolated infected iliac artery aneurysms (IIIAAs) are extremely rare, life-threatening, and intractable. This study aimed to evaluate the outcomes of endovascular treatment in patients with IIIAAs. Methods: A retrospective study was conducted for all patients who underwent endovascular treatment for IIIAAs between June 2012 and June 2022 in 3 hospitals. The clinical data and follow-up outcomes were reviewed and assessed. Results: Fifteen patients were included in this study. The median age was 69 years, 12 patients (80%) were men, and 8 (53%) had hypertension. Most of the patients presented with abdominal or lumbar pain (87%) and fever (60%). The offending pathogen was identified in 11 patients (73%). Fifteen patients had a total of 16 IIIAAs, with 12 (75%) involving the common iliac artery. The immediate technical success rate was 100%, and the 30-day mortality was 7%. Infection-related complications occurred in 2 patients (13%) during hospitalization who were treated by open surgery at a later stage. The median follow-up was 23 months (range: 6–80 months, mean: 32 ± 25 months). Aneurysm recurrence was identified in one patient (7%) 5 months after endovascular repair. It was managed by endovascular stent-graft repair with percutaneous catheter drainage. No patients died during the follow-up period. Conclusion: Endovascular treatment is feasible, safe, and effective for patients with IIIAAs, achieving acceptable clinical outcomes. Infection surveillance with essential reintervention should be considered for potential infection-related complications. Clinical Impact This study first reported that 15 patients underwent endovascular treatment for primary isolated infected iliac artery aneurysms (IIIAAs). It showed a good early and midterm outcomes. This is the first and largest multi-center study and the first literature review of IIIAAs. It provides an evidence that endovascular treatment is feasible, safe, and effective to treat IIIAAs. It suggests endovascular treatment is a promising alternative or a bridge to conventional open surgery for IIIAAs. This may promote endovascular therapy in the management of IIIAAs. It would help clinicians to make an appropriate treatment choice for IIIAAs.

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Successfully treated infected aneurysm caused by Listeria monocytogenes

Cited by 2 publications

References 19 publications

Multiple liver abscesses secondary toListeria monocytogenescomplicated by hepatic artery mycotic aneurysm

Multiple liver abscesses secondary toListeria monocytogenescomplicated by hepatic artery mycotic aneurysm

Endovascular Treatment for Isolated Infected Iliac Artery Aneurysms

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