Rapidly Growing Aneurysm with Ulcer-like Projection Complicated with Bacteroides ovatus Bacteremia

被引:1
|
作者
Kusunoki, Masayoshi [1 ]
Ohta, Ryuichi [2 ]
Sawa, Jumpei [2 ]
Sano, Chiaki [3 ]
机构
[1] Shimane Prefectural Cent Hosp, Dept Crit Care & Emergency Med, Izumo, Shimane 6930068, Japan
[2] Unnan City Hosp, Community Care, Unnan, Shimane 6991221, Japan
[3] Shimane Univ, Fac Med, Dept Community Med Management, Izumo, Shimane 6938501, Japan
关键词
infected aneurysm; anaerobes; ulcer-like projection; bacteremia; Bacteroides ovatus; AORTIC-ANEURYSM;
D O I
10.3390/reports4030028
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The incidence of anaerobic bacteremia has been increasing over the past several decades. Further, antibiotic resistance in Bacteroides is a pertinent issue. A 76-year-old man was brought to our hospital with complaints of fever, chills, and abdominal pain. Empiric antibiotics induced minimal relief. The blood culture was positive for multi-drug resistant Bacteroides ovatus. Our patient developed a periaortic abscess in the abdominal aorta and a thoracic aortic aneurysm with ulcer-like projection (ULP), which rapidly increased in size. He was transferred to the tertiary medical institution for surgical drainage. This case suggests that bacteremia can exacerbate aneurysms with ulcerative lesions. Anaerobic bacteremia is a possible differential diagnosis when periaortic abscess formation is present. Early surgical consultation and appropriate antibiotic selection are crucial in anaerobic bacteremia treatment.
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页数:4
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