Abstract
A 64-year-old man was admitted with abdominal pain 6 weeks after treatment with intravenous flucloxacillin for cellulitis of his right leg. Urgent operation was necessary for a mycotic aneurysm of the abdominal aorta due to infection with Pasteurella multocida, a microorganism residing in the oral cavity of domestic animals that very rarely causes infection of native arteries or grafts. The aorta was repaired with a rifampin-coated tube graft. Despite postoperative duodenal perforation, abdominal Candida infections, wound dehiscence, and renal insufficiency, the patient is alive 1 year postoperatively.
MeSH terms
-
Abdominal Pain / microbiology
-
Alcoholism / complications
-
Aneurysm, Infected / diagnostic imaging
-
Aneurysm, Infected / microbiology*
-
Aneurysm, Infected / surgery
-
Anti-Bacterial Agents / administration & dosage
-
Aortic Aneurysm, Abdominal / diagnostic imaging
-
Aortic Aneurysm, Abdominal / microbiology*
-
Aortic Aneurysm, Abdominal / surgery
-
Aortography / methods
-
Blood Vessel Prosthesis
-
Blood Vessel Prosthesis Implantation / instrumentation
-
Coated Materials, Biocompatible
-
Humans
-
Male
-
Middle Aged
-
Pasteurella multocida / isolation & purification*
-
Prosthesis Design
-
Rifampin / administration & dosage
-
Tomography, X-Ray Computed
-
Treatment Outcome
Substances
-
Anti-Bacterial Agents
-
Coated Materials, Biocompatible
-
Rifampin