Cardiobacterium Endocarditis Presenting With Large Bilateral Infrapopliteal Mycotic Aneurysms

Most previously reported cases involved major axial vessels proximal to the popliteal artery, although rare tibial aneurysms (including 6 peroneal aneurysms) have been reported. 2 One case has been reported of bilateral tibial aneurysms associated with IE and Brucella canis bacteremia. 3 In that rep...

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Bibliographic Details
Published in:The American surgeon 2021-12, Vol.87 (12), p.1980-1982
Main Authors: Aryankalayil, Joseph, Endicott, Kendal M., Drucker, Charles B., Karwowski, John, Nagarsheth, Khanjan
Format: Article
Language:English
Subjects:
Adult
Aneurysm
Aneurysm, Infected - complications
Aneurysm, Infected - diagnosis
Aneurysm, Infected - microbiology
Aneurysm, Infected - pathology
Aneurysms
Antibiotics
Aorta
Aortic valve
Bacteremia
Blood vessels
Cardiobacterium
Cardiovascular system
Chlamydia
Compartment syndrome
Computed Tomography Angiography
Embolization
Endocarditis
Endocarditis, Bacterial - complications
Endocarditis, Bacterial - diagnosis
Endocarditis, Bacterial - microbiology
Endocarditis, Bacterial - pathology
Endovascular coiling
Etiology
Foreign bodies
Gram-Negative Bacterial Infections - complications
Gram-Negative Bacterial Infections - diagnosis
Gram-Negative Bacterial Infections - microbiology
Gram-Negative Bacterial Infections - pathology
Heart valves
Humans
Implants
Intravenous administration
Male
Medical imaging
Pain
Popliteal Artery - microbiology
Popliteal Artery - pathology
Tomography
Veins & arteries
Virulence
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Description
Summary:Most previously reported cases involved major axial vessels proximal to the popliteal artery, although rare tibial aneurysms (including 6 peroneal aneurysms) have been reported. 2 One case has been reported of bilateral tibial aneurysms associated with IE and Brucella canis bacteremia. 3 In that report as well as in our case presentation, intraoperative cultures of the aneurysm were negative despite positive blood cultures. A single case report from 2003 describes C. valvarum endocarditis with associated ruptured cerebral artery aneurysm in a 37-year-old male with a congenital bicuspid aortic valve. 4 Different therapeutic options for treatment exist. Endovascular coil embolization with covered stent alone has been reported in the case of a small peroneal aneurysm without signs of compartment syndrome, but the long-term consequences of introducing foreign bodies into known infectious aneurysms are unclear. 2 Intravenous antibiotics should be tailored to the attributable bacterial etiology in all cases.
ISSN:0003-1348
1555-9823
DOI:10.1177/0003134820933612