Experience With Infected Aneurysms of the Abdominal Aorta
- 1 November 1975
- journal article
- case report
- Published by American Medical Association (AMA) in Archives of Surgery
- Vol. 110 (11), 1281-1286
- https://doi.org/10.1001/archsurg.1975.01360170021002
Abstract
• Seventeen consecutive patients with abdominal aortic aneurysms were treated during a 14-year period. Fever was the most common symptom first to appear (12 patients), either as fever of unknown origin or in association with other symptoms. Several factors raise the suspicion of an infected aneurysm: positive blood cultures, erosion of lumbar vertebrae, lack of aortic calcification, aneurysms found in female patients or after a prolonged illness of bacteremia. Staphylococci (41%) and Salmonella (18%) were the most common organisms. Aneurysms with Gramnegative organisms exhibited a greater tendency toward early rupture than those with Gram-positive organisms (84% vs 10%), and were associated with a higher mortality. Delay in making the diagnosis adversely affected the death rate. "Infected aneurysm" is suggested as a better term than "mycotic aneurysm," since fungi are rarely involved. (Arch Surg 110:1281-1286, 1975)Keywords
This publication has 15 references indexed in Scilit:
- Mycotic AneurysmsArchives of Surgery, 1974
- One-Stage Operative Therapy for Salmonella Mycotic Abdominal Aortic AneurysmAnnals of Surgery, 1974
- Obturator Bypass for Mycotic Aneurysm in the Drug AddictArchives of Surgery, 1970
- MYCOTIC ANEURYSMSAmerican Journal of Roentgenology, 1968
- Primary Mycotic Aneurysms of the AortaArchives of Surgery, 1967
- Bacterial infection of aortic aneurysms: A Clinicopathologic studyThe American Journal of Surgery, 1967
- Surgical Treatment of Mycotic AneurysmsArchives of Surgery, 1962
- MYCOTIC ANEURYSMSAnnals of Surgery, 1954
- MYCOTIC (BACTERIAL) ANEURYSMS OF INTRAVASCULAR ORIGINArchives of Internal Medicine, 1923
- The Gulstonian Lectures, on Malignant EndocarditisBMJ, 1885