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Mycotic Abdominal Aortic Aneurysm Caused by Bacteroides Thetaiotaomicron and Acinetobacter Lwoffii: The First Case in Korea

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초록

Mycotic aneurysms are uncommon, but are fatal without appropriate management. Previous reports have shown that anaerobesand gram-negative organisms are less common but more dangerous than other causative agents of mycotic aneurysm. Wereport the case of a 60-year-old man with poorly controlled diabetes mellitus and atherosclerosis in the aorta, and a 10-day ofhistory of lower abdominal pain and fever. This man was diagnosed with an uncommon abdominal aorta mycotic aneurysmcaused by Bacteroides thetaiotaomicron and Acinetobacter lwoffi i. The aneurysm was successfully treated with antibiotics therapyand aorto-bi-external iliac artery bypass with debridement of the infected aortic wall. We present this case together with areview of the relevant literature.

Abstract

Mycotic aneurysms are uncommon, but are fatal without appropriate management. Previous reports have shown that anaerobesand gram-negative organisms are less common but more dangerous than other causative agents of mycotic aneurysm. Wereport the case of a 60-year-old man with poorly controlled diabetes mellitus and atherosclerosis in the aorta, and a 10-day ofhistory of lower abdominal pain and fever. This man was diagnosed with an uncommon abdominal aorta mycotic aneurysmcaused by Bacteroides thetaiotaomicron and Acinetobacter lwoffi i. The aneurysm was successfully treated with antibiotics therapyand aorto-bi-external iliac artery bypass with debridement of the infected aortic wall. We present this case together with areview of the relevant literature.

참고문헌 (15)

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  11. Miragliotta G, "Bacteroides thetaiotaomicron in posthysterectomy infection", Anaerobe, 12, pp.276~278 (2006)
  12. Rathinavelu S, "Acinetobacter lwoffii infection and gastritis", Microbes Infect, 5, pp.651~657 (2003)
  13. Weinstein MP, "Blood culture contamination: persisting problems and partial progress", J Clin Microbiol, 41, pp.2275~2278 (2003)
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