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Mycotic aneurysms

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https://www.readbyqxmd.com/read/28397739/native-valve-endocarditis-caused-by-kocuria-rosea-complicated-by-peripheral-mycotic-aneurysm-in-an-elderly-host
#1
P Gunaseelan, G Suresh, V Raghavan, S Varadarajan
Infective endocarditis still remains a dreaded illness among treating physicians because of the disease course, its need for meticulous antibiotic management, complications, and overall morbidity. Peripheral mycotic aneurysms are a rarely reported complication of infective endocarditis. Mycotic aneurysms occur in about 5%-10% of cases of infective endocarditis, and most of them involve the intracranial vessels. Here, we report a case of native valve endocarditis in a 74-year-old man caused by Kocuria rosea...
April 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28377878/miliary-tuberculosis-in-a-patient-with-tuberculous-mycotic-aneurysm-of-the-abdominal-aorta-case-report-and-review-of-the-literature
#2
Katerina Manika, Christoforos Efthymiou, Georgios Damianidis, Elisavet Zioga, Eleni Papadaki, Kalliopi Lagoudi, Ioannis Kioumis
The combination of miliary tuberculosis and tuberculous mycotic aneurysm has been described in the literature. We present the case of an 84-year-old man who was diagnosed with a mycotic aneurysm of the abdominal aorta and an adjacent soft tissue mass, after a 3- month history of fever. The patient underwent endovascular restoration of the aneurysm and was treated with broad-spectrum antibiotics. One and a half months later the fever relapsed and the chest CT scan revealed findings consistent with miliary tuberculosis and opacities of both upper lobes not present before, while the abdominal CT scan revealed an increase in the size of the para-aortic mass...
2017: Respiratory Medicine Case Reports
https://www.readbyqxmd.com/read/28367383/multiple-calcifying-pseudoneoplasms-of-the-neuraxis
#3
Leonardo B Brasiliense, Dennis W Dickson, Raouf E Nakhleh, Rabih G Tawk, Robert Wharen
Calcifying pseudoneoplasms of the neuraxis (CAPNONs) are extremely rare tumors that are frequently misdiagnosed and overlooked by clinicians. To date, only 40 intracranial lesions have been reported, and in all instances, they were found as a solitary calcified mass. To our knowledge, the current case report is the first to illustrate the development of multiple intraaxial CAPNONs and shed more light on the origin of these lesions. We discuss the case of a 67-year-old woman who presented with a six-year history of recurrent seizures...
February 21, 2017: Curēus
https://www.readbyqxmd.com/read/28359717/-in-situ-endografting-in-the-treatment-of-arterial-and-graft-infections
#4
REVIEW
Georges M Haidar, Taylor D Hicks, David S Strosberg, Hosam F El-Sayed, Mark G Davies
OBJECTIVE: Endografts (eg, aortic aneurysm device or covered stent) are increasingly being used to temporize or treat arterial and graft infections in inaccessible areas, in patients with compromised anatomy, or in the presence of active bleeding or rupture. This summary examines the evidence for "in situ" endografting in the treatment these conditions. METHODS: A two-level search strategy of the literature (MEDLINE, PubMed, Google Scholar, and The Cochrane Library) was performed for relevant articles listed between January 2000 and December 2015...
March 27, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28348903/successful-treatment-of-clostridium-difficile-bacteremia-with-aortic-mycotic-aneurysm-in-a-patient-with-prior-endovascular-aortic-aneurysm-repair
#5
Kairav Shah, Rebecca Brauch, Kartikeya Cherabuddi
The clinical spectrum of Clostridium difficile infection can range from benign gastrointestinal colonization to mild diarrhea and life threatening conditions such as pseudomembranous colitis and toxic megacolon. Extraintestinal manifestations of C. difficile are rare. Here, we report a patient with a history of an endovascular aortic aneurysm repair (EVAR) presenting with an endovascular leak complicated by C. difficile bacteremia and a mycotic aneurysm. He was successfully treated with an explant of the EVAR, an aorto-left renal bypass, and aorto-bi-iliac bypass graft placement along with a six-week duration of intravenous vancomycin and oral metronidazole...
2017: Case Reports in Infectious Diseases
https://www.readbyqxmd.com/read/28342521/endovascular-management-of-chronic-symptomatic-aortic-dissection-with-the-streamliner-multilayer-flow-modulator-twelve-month-outcomes-from-the-global-registry
#6
Sherif Sultan, Edel P Kavanagh, Florian Stefanov, Mohamed Sultan, Ala Elhelali, Victor Costache, Edward Diethrich, Niamh Hynes
OBJECTIVE: Reported are initial 12-month outcomes of patients with chronic symptomatic aortic dissection managed by the Streamliner Multilayer Flow Modulator (SMFM; Cardiatis, Isnes, Belgium). Primary end points were freedom from rupture- and aortic-related death, and reduction in false lumen index. Secondary end points were patency of great vessels and visceral branches, and freedom of stroke, paraplegia, and renal failure. METHODS: Out of 876 SMFM implanted globally, we have knowledge of 542...
April 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28316859/mycotic-aneurysm-after-bacillus-calmette-gu%C3%A3-rin-treatment-case-report-and-review-of-the-literature
#7
Nathaniel D Coddington, Jesse K Sandberg, Chen Yang, Jennifer K Sehn, Eric H Kim, Seth A Strope
Background. Intravesicular Bacillus Calmette-Guérin (BCG) is an effective adjunctive therapy for superficial bladder cancer that has been shown to delay recurrence and progression of disease. Serious side effects are relatively rare but are difficult to diagnosis and commonly overlooked. Case Presentation. We report the case of a patient who was found to have mycotic aortic aneurysms secondary to treatment with BCG after a prolonged course with multiple intervening hospitalizations. Conclusion. Through this report, we discuss our present understanding of BCG infection following treatment and review the literature regarding this particular rare manifestation...
2017: Case Reports in Urology
https://www.readbyqxmd.com/read/28293008/-successful-emergency-management-of-an-infected-thoracic-aortic-aneurysm-rupture-using-a-pedicled-latissimus-dorsi-flap-after-stent-graft-implantation-report-of-a-case
#8
Susumu Takeuchi, Hiroyuki Tanaka, Yoshiro Hori
We report a case of ruptured mycotic thoracic aortic aneurysm treated with a pedicled latissimus dorsi flap after stent-graft implantation. The patient was a 64-year-old woman with diabetes mellitus that had developed septicemia as a result of pyelonephritis and a perinephric abscess. The patient required emergency stent-graft implantation due to rupture of an infected thoracic aortic aneurysm on hospital day 10. On hospital day 19, the abscess cavity was debrided and irrigated, and a pedicled latissimus dorsi flap was created...
March 2017: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://www.readbyqxmd.com/read/28283187/successful-delayed-coiling-of-a-ruptured-growing-distal-posterior-cerebral-artery-mycotic-aneurysm
#9
C Champeaux, N Walker, J Derwin, A Grivas
Intracranial infectious aneurysm (IIA) is a rare form of cerebrovascular malformation for which obliteration may be undertaken after rupture or non-response to targeted antibiotic therapy. We discuss the case of a 19-year-old man who presented with acute neurologic decline (Glasgow Coma Scale of 8) and endocarditis. CT images demonstrated subarachnoid haemorrhage, hydrocephalus and a mycotic aneurysm on the left posterior cerebral artery. Conservative management was initially decided due to the high risk of stroke and hemianopia...
March 7, 2017: Neuro-Chirurgie
https://www.readbyqxmd.com/read/28279718/the-role-of-endovascular-in-situ-revascularization-in-the-treatment-of-arterial-and-graft-infections
#10
David S Strosberg, Babatunde Oriowo, Mark Davies, Hosam F El Sayed
Mycotic aneurysms and prosthetic graft infections are traditionally treated with excision of the infected tissue or graft, often requiring anatomical or extra-anatomical bypass, carrying significant morbidity and mortality. Currently, the role of endovascular repair without excision in this setting has yet to be defined. We present two case scenarios whereby mycotic pseudoaneurysms were successfully treated with endovascular stent graft coverage, and to present an in-depth review of endovascular in-situ revascularziation in the treatment of arterial and graft infections...
March 6, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28276329/fatal-rupture-of-a-mycotic-aneurysm-of-the-right-coronary-artery-post-pneumococcal-sepsis
#11
N Nieborg, K Koopman, A V M Moller, I G Kruithof, T K Kremer Hovinga
Aneurysms of the coronary arteries are rare and mycotic coronary aneurysms are even rarer. We report a unique, yet unfortunately autopsy-proven fatal case of a ruptured atherosclerotic mycotic aneurysm of the right coronary artery with streptococcus pneumoniae in a non-immunocompromised patient resulting in cor tamponade and death.
March 2017: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/28254599/invasive-orbital-apex-aspergillosis-with-mycotic-aneurysm-formation-and-subarachnoid-hemorrhage-in-immunocompetent-patients
#12
Saleh S Baeesa, Mohamad Bakhaidar, Naushad A B Ahamed, Tariq A Madani
BACKGROUND: Invasive orbital apex aspergillosis (IOAA) is an aggressive form of aspergillus infection that usually affects immunocompromised patients. It can cause orbital apex syndrome and, if not treated promptly, may progress rapidly causing fatal complications. Subarachnoid hemorrhage (SAH) secondary to ruptured mycotic aneurysms is a very rare complication of invasive aspergillosis. We aim to describe our management and the outcome of six immunocompetent patients with IOAA with subsequent SAH secondary to ruptured mycotic aneurysms...
February 27, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28243347/mycotic-intracranial-aneurysm-secondary-to-left-ventricular-assist-device-infection
#13
Juan M Remirez, Yasmin Sabet, Marshall Baca, Alberto Maud, Salvador Cruz-Flores, Gustavo J Rodriguez, Debabrata Mukherjee, Aamer Abbas
BACKGROUND: Mycotic aneurysms are a complication of infective endocarditis. Infection of left ventricular assist devices (LVADs) may lead to bacteremia and fever causing complications similar to those seen in patients with prosthetic valve endocarditis. Intracranial mycotic aneurysms are rare, and their presence is signaled by the development of subarachnoid hemorrhage in the setting of bacteremia and aneurysms located distal to the circle of Willis. CASE PRESENTATION: We present the case of a patient with a LVAD presenting with headache who is found to have an intracranial mycotic aneurysm through computed tomography angiography of the head...
January 2017: Journal of Vascular and Interventional Neurology
https://www.readbyqxmd.com/read/28209306/successful-coil-embolization-of-a-ruptured-mycotic-aneurysm-that-developed-three-days-after-septic-embolic-infarction-case-report-and-review-of-the-literature
#14
Joshua L Wang, Archana P Hinduja, Ciarán J Powers
BACKGROUND: Infectious intracranial aneurysms (IIAs) are rare entities and are often associated with septic embolus from infectious endocarditis. They may develop rapidly and carry a higher risk of rupture and mortality compared to noninfectious aneurysms. However, the development and rupture of an IIA within 48h in a patient with septic infarction patient is exceedingly rare. CASE DESCRIPTION: In this report, we describe a 25-year-old male who presented with left-sided hemiparesis and dysarthria from septic embolus to the right middle cerebral artery...
February 10, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/28197832/non-surgical-management-of-a-mycotic-internal-iliac-artery-aneurysm-in-a-neonate-case-report-and-review-of-the-literature
#15
Philippa Jackson, Helen Bryant, Jeanette Kraft, Sean O'Riordan, Jai Patel, Grainne Bourke
We report a unique case of neonatal mycotic internal iliac artery aneurysm managed non-operatively. The child had multifocal osteomyelitis and no history of umbilical artery catheterisation. The aneurysm was regularly scanned and monitored until its obliteration by thrombus 17 days after initial detection. Contingency plans for either interventional radiological coiling or open surgical repair were in place had the aneurysm grown or the child deteriorated.
February 14, 2017: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/28153625/ruptured-mycotic-aneurysm-and-cerebral-vasospasm-in-the-setting-of-endocarditis-and-heart-failure-requiring-cardiothoracic-surgery-case-report-and-literature-review
#16
Chih-Ta Lin, Bruce Tranmer, Susan Durham, David Johnson, Mark Hamlin, R Morton Bolman
BACKGROUND: Ruptured mycotic aneurysm in the setting of cardiac failure and cerebral vasospasm presents unique management challenges. CASE DESCRIPTION: A patient with a ruptured mycotic aneurysm with subarachnoid hemorrhage, cerebral vasospasm, and endocarditis with heart failure successfully underwent craniotomy, neuroendovascular treatment, and cardiopulmonary bypass for mitral valve replacement while in cerebral vasospasm. This case highlights clinical management strategies for a patient with a ruptured mycotic aneurysm, subarachnoid hemorrhage, cerebral vasospasm, endocarditis, and heart failure...
January 31, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28149113/subdural-hematoma-and-mycotic-aneurysm-bleed
#17
Atul Goel
No abstract text is available yet for this article.
January 2017: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/28126017/ruptured-aortic-aneurysm-due-to-mycobacterium-bovis-bcg-with-a-delayed-bacteriological-diagnosis-due-to-false-negative-result-of-the-mpb-64-immunochromatographic-assay
#18
J Simar, L Belkhir, B Tombal, E André
BACKGROUND: Adjuvant therapy with bacillus Calmette-Guerin (BCG), a live attenuated strain of Mycobacterium bovis, has become the treatment of choice for low-risk superficial bladder carcinoma following transurethral resection of the bladder. Complications following vesical BCG instillations are uncommon but, in some cases, severe side-effects can occur such as sepsis or mycotic aneurysm. Besides usual laboratory techniques used for the diagnosis of Mycobacterium tuberculosis complex (MTBC) infections (smear microscopy and cultures), commercial immunochromatographic assays detecting MBP64, a 24 kDa M...
January 26, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28118952/the-only-case-of-mycotic-aneurysm-of-the-pica-clinical-radiological-remarks-and-review-of-literature
#19
Manolo Piccirilli, Emiliano Prizio, Delia Cannizzaro, Maria Pia Tropeano, Giulio Guidetti, Antonio Santoro
We present the first and only case, reported in literature, of a 67-years-old man with a mycotic aneurysm (MA) of the left posterior inferior cerebellar artery (PICA), caused by group B Streptococcus, that we surgically treated, performing neck aneurysm clipping, preserving patency of parent vessel. Moreover the peculiarity of this case is represented by the fact that the MA is originated from a tooth abscess, treated about two years before. To date, there have been only 10 cases of association between MA with either tooth pathologies or dental surgical procedures and our case is the only one originating from PICA...
April 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/28106966/pericardial-fat-flap-surgical-technique-for-infection-control-after-graft-replacement
#20
Yoshitsugu Nakamura, Yohei Kawatani, Yujiro Ito, Takaki Hori
Surgical treatment of mycotic aneurysm of the thoracic aorta is challenging because contamination from surrounding tissues may occur even after complete debridement with a prosthetic graft replacement of the aneurysm. This study describes the simple but very useful technique of using a pericardial fat flap to protect the prosthetic graft from reinfection.
January 18, 2017: Multimedia Manual of Cardiothoracic Surgery: MMCTS
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