Abstract
Mycotic aneurysms are an uncommon occurrence, withStaphylococcus and Salmonella species found to be the causative pathogen in up to 95% of cases. We believe this is the first described case of a common femoral artery mycotic aneurysm due to Listeria monocytogenes. A 66-year-old male presented with a two-month history of an increasing painful mass in his left groin, on the background of immunosuppression treatment for ankylosing spondylitis. He was afebrile on assessment, with a normal white cell count. Contrast enhanced CT scan showed a common femoral artery aneurysm, with no infective features. His aneurysm was excised and repaired with a Dacron tube graft. L. monocytogenes was cultured from the aneurysm tissue, and he was commenced on appropriate antibiotic treatment. The prosthetic graft was also replaced with a venous bypass of the aneurysm. L. monocytogenes is a rare cause of mycotic aneurysm with less than 40 cases reported in the literature. Immunosuppression is a recognised risk factor for Listerial infections. Immunocompromised patients may not display typical clinical or biochemical features associated with a mycotic aneurysm. Prosthetic graft infections are associated with significant mortality, with excision of the ...Continue Reading
References
Jan 1, 1989·Journal of Computer Assisted Tomography·R H BlairJ P Polga
Jan 1, 1997·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·B Lorber
Mar 27, 2001·Annals of Vascular Surgery·P PatraUNKNOWN Association Universitaire de Recherche en Chirurgie (AURC)
Nov 9, 2001·Journal of Vascular Surgery·G S OderichP Gloviczki
Feb 28, 2002·The Journal of Infectious Diseases·Edward J Wing, Stephen H Gregory
Mar 8, 2003·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·K DaenensA Nevelsteen
Apr 2, 2003·Vascular and Endovascular Surgery·W Darrin ClouseVikram S Kashyap
Feb 6, 2004·Diagnostic Microbiology and Infectious Disease·Holger RohdeDietrich Mack
Jun 26, 2004·Journal of Vascular Surgery·Ron-Bin HsuShu-Hsun Chu
Feb 1, 2005·Kansenshōgaku zasshi. The Journal of the Japanese Association for Infectious Diseases·Eiji YokoyamaSadato Ichinohe
May 15, 2007·Annals of Vascular Surgery·Ron-Bin Hsu, Fang-Yue Lin
Apr 14, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·O Ehsan, C P Gibbons
Feb 10, 2018·Vascular and Endovascular Surgery·Maxime ElensRobert Verhelst
Oct 21, 2018·International Journal of Surgery·Riaz A AghaUNKNOWN SCARE Group