A Rare Report of Infectious Emphysematous Aortitis Secondary to Clostridium septicum without Prior Vascular Intervention
The term “mycotic aneurysm” was first used by Osler in 1882 to describe a mushroom-shaped aneurysm in subacute bacterial endocarditis. Mycotic aneurysms account for only 2.6% of all aneurysms of the aorta. Rarer still are anaerobic infections secondary to organisms such as Clostridium septicum, whic...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017-01-01
|
| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/4984325 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832564202178347008 |
|---|---|
| author | Ciel Harris Joseph Geffen Keyrillos Rizg Stuart Shah Aaron Richardson Cherisse Baldeo Avinash Ramdass |
| author_facet | Ciel Harris Joseph Geffen Keyrillos Rizg Stuart Shah Aaron Richardson Cherisse Baldeo Avinash Ramdass |
| author_sort | Ciel Harris |
| collection | DOAJ |
| description | The term “mycotic aneurysm” was first used by Osler in 1882 to describe a mushroom-shaped aneurysm in subacute bacterial endocarditis. Mycotic aneurysms account for only 2.6% of all aneurysms of the aorta. Rarer still are anaerobic infections secondary to organisms such as Clostridium septicum, which results in emphysematous aortitis. The vast majority of emphysematous aortic infections occur as a result of instrumentation; however, in this case we present an infection de novo. A 75-year-old male presented with a 2-week history of progressive fatigue and chest pain that then developed into constitutional symptoms. Chest radiograph demonstrated an obvious widened mediastinum. CT angiogram of his chest then confirmed this finding as well as significant periaortic gas and focal outpouching. Numerous diverticuli with inflammatory changes consistent with diverticulitis was observed on CT abdomen. Blood cultures returned positive for Clostridium septicum. Definitive treatment was discussed including debridement and graft insertion; however, patient decided on conservative management and was discharged on intravenous antibiotics. Unfortunately, as in most cases of emphysematous aortitis that do not undergo surgical management, the patient succumbed to his illness. The lesson provided will be the epidemiology of emphysematous aortitis, presentation, diagnosis, management, and prognosis through a case report. |
| format | Article |
| id | doaj-art-71bb9f68b96f4b13941d51e629050237 |
| institution | Kabale University |
| issn | 2090-6986 2090-6994 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-71bb9f68b96f4b13941d51e6290502372025-02-03T01:11:30ZengWileyCase Reports in Vascular Medicine2090-69862090-69942017-01-01201710.1155/2017/49843254984325A Rare Report of Infectious Emphysematous Aortitis Secondary to Clostridium septicum without Prior Vascular InterventionCiel Harris0Joseph Geffen1Keyrillos Rizg2Stuart Shah3Aaron Richardson4Cherisse Baldeo5Avinash Ramdass6Internal Medicine, University of Florida College of Medicine-Jacksonville, Jacksonville, FL, USAInternal Medicine, University of Florida College of Medicine-Jacksonville, Jacksonville, FL, USAInternal Medicine, University of Florida College of Medicine-Jacksonville, Jacksonville, FL, USAInternal Medicine, University of Florida College of Medicine-Jacksonville, Jacksonville, FL, USAInternal Medicine, University of Florida College of Medicine-Jacksonville, Jacksonville, FL, USAInternal Medicine, University of Florida College of Medicine-Jacksonville, Jacksonville, FL, USAPulmonary, Sleep and Critical Care Medicine, University of Florida College of Medicine-Jacksonville, Jacksonville, FL, USAThe term “mycotic aneurysm” was first used by Osler in 1882 to describe a mushroom-shaped aneurysm in subacute bacterial endocarditis. Mycotic aneurysms account for only 2.6% of all aneurysms of the aorta. Rarer still are anaerobic infections secondary to organisms such as Clostridium septicum, which results in emphysematous aortitis. The vast majority of emphysematous aortic infections occur as a result of instrumentation; however, in this case we present an infection de novo. A 75-year-old male presented with a 2-week history of progressive fatigue and chest pain that then developed into constitutional symptoms. Chest radiograph demonstrated an obvious widened mediastinum. CT angiogram of his chest then confirmed this finding as well as significant periaortic gas and focal outpouching. Numerous diverticuli with inflammatory changes consistent with diverticulitis was observed on CT abdomen. Blood cultures returned positive for Clostridium septicum. Definitive treatment was discussed including debridement and graft insertion; however, patient decided on conservative management and was discharged on intravenous antibiotics. Unfortunately, as in most cases of emphysematous aortitis that do not undergo surgical management, the patient succumbed to his illness. The lesson provided will be the epidemiology of emphysematous aortitis, presentation, diagnosis, management, and prognosis through a case report.http://dx.doi.org/10.1155/2017/4984325 |
| spellingShingle | Ciel Harris Joseph Geffen Keyrillos Rizg Stuart Shah Aaron Richardson Cherisse Baldeo Avinash Ramdass A Rare Report of Infectious Emphysematous Aortitis Secondary to Clostridium septicum without Prior Vascular Intervention Case Reports in Vascular Medicine |
| title | A Rare Report of Infectious Emphysematous Aortitis Secondary to Clostridium septicum without Prior Vascular Intervention |
| title_full | A Rare Report of Infectious Emphysematous Aortitis Secondary to Clostridium septicum without Prior Vascular Intervention |
| title_fullStr | A Rare Report of Infectious Emphysematous Aortitis Secondary to Clostridium septicum without Prior Vascular Intervention |
| title_full_unstemmed | A Rare Report of Infectious Emphysematous Aortitis Secondary to Clostridium septicum without Prior Vascular Intervention |
| title_short | A Rare Report of Infectious Emphysematous Aortitis Secondary to Clostridium septicum without Prior Vascular Intervention |
| title_sort | rare report of infectious emphysematous aortitis secondary to clostridium septicum without prior vascular intervention |
| url | http://dx.doi.org/10.1155/2017/4984325 |
| work_keys_str_mv | AT cielharris ararereportofinfectiousemphysematousaortitissecondarytoclostridiumsepticumwithoutpriorvascularintervention AT josephgeffen ararereportofinfectiousemphysematousaortitissecondarytoclostridiumsepticumwithoutpriorvascularintervention AT keyrillosrizg ararereportofinfectiousemphysematousaortitissecondarytoclostridiumsepticumwithoutpriorvascularintervention AT stuartshah ararereportofinfectiousemphysematousaortitissecondarytoclostridiumsepticumwithoutpriorvascularintervention AT aaronrichardson ararereportofinfectiousemphysematousaortitissecondarytoclostridiumsepticumwithoutpriorvascularintervention AT cherissebaldeo ararereportofinfectiousemphysematousaortitissecondarytoclostridiumsepticumwithoutpriorvascularintervention AT avinashramdass ararereportofinfectiousemphysematousaortitissecondarytoclostridiumsepticumwithoutpriorvascularintervention AT cielharris rarereportofinfectiousemphysematousaortitissecondarytoclostridiumsepticumwithoutpriorvascularintervention AT josephgeffen rarereportofinfectiousemphysematousaortitissecondarytoclostridiumsepticumwithoutpriorvascularintervention AT keyrillosrizg rarereportofinfectiousemphysematousaortitissecondarytoclostridiumsepticumwithoutpriorvascularintervention AT stuartshah rarereportofinfectiousemphysematousaortitissecondarytoclostridiumsepticumwithoutpriorvascularintervention AT aaronrichardson rarereportofinfectiousemphysematousaortitissecondarytoclostridiumsepticumwithoutpriorvascularintervention AT cherissebaldeo rarereportofinfectiousemphysematousaortitissecondarytoclostridiumsepticumwithoutpriorvascularintervention AT avinashramdass rarereportofinfectiousemphysematousaortitissecondarytoclostridiumsepticumwithoutpriorvascularintervention |