TY - JOUR
T1 - Management of ruptured abdominal aortic aneurysm infected with Listeria monocytogenes in a patient with poor dentition
AU - Le, Quang
AU - Kanneganti, Manasa
AU - Tracci, Margaret C.
N1 - Publisher Copyright:
© 2022 The Author(s)
PY - 2022/3
Y1 - 2022/3
N2 - Purpose: Despite initial description of mycotic aneurysms dating back to late 19th century, there are relatively few reported cases of listeriosis in an abdominal aortic aneurysm and a lack of optimal treatment consensus. In this case study, we report a rare case of a ruptured mycotic abdominal aortic aneurysm (AAA) caused by Listeria monocytogenes followed by a brief review of the relevant literature. Our case presents a novel infection source, thought to be from the patient's extensive dental caries. Case presentation: The patient was a 68-year-old male who presented with severe back pain and syncope with Computed Tomography (CT) findings of a ruptured paravisceral aorta with an 8.3 cm retroperitoneal pseudoaneurysm. He underwent an emergent open thoracoabdominal aortic repair with a rifampin soaked Coselli graft with bilateral renal artery bypasses with extensive debridement of the infected aortic tissue. Post-operatively, his cultures were positive for Listeria monocytogenes, and he was treated with long term antibiotics. Despite being discharged after an uneventful post-operative course, he presented to the hospital three weeks later with a ruptured proximal anastomosis and passed away.
AB - Purpose: Despite initial description of mycotic aneurysms dating back to late 19th century, there are relatively few reported cases of listeriosis in an abdominal aortic aneurysm and a lack of optimal treatment consensus. In this case study, we report a rare case of a ruptured mycotic abdominal aortic aneurysm (AAA) caused by Listeria monocytogenes followed by a brief review of the relevant literature. Our case presents a novel infection source, thought to be from the patient's extensive dental caries. Case presentation: The patient was a 68-year-old male who presented with severe back pain and syncope with Computed Tomography (CT) findings of a ruptured paravisceral aorta with an 8.3 cm retroperitoneal pseudoaneurysm. He underwent an emergent open thoracoabdominal aortic repair with a rifampin soaked Coselli graft with bilateral renal artery bypasses with extensive debridement of the infected aortic tissue. Post-operatively, his cultures were positive for Listeria monocytogenes, and he was treated with long term antibiotics. Despite being discharged after an uneventful post-operative course, he presented to the hospital three weeks later with a ruptured proximal anastomosis and passed away.
KW - Bacteremia of dental origin
KW - Listeria monocytogenes
KW - Mycotic abdominal aortic aneurysm
UR - http://www.scopus.com/inward/record.url?scp=85179864248&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85179864248&partnerID=8YFLogxK
U2 - 10.1016/j.avsurg.2022.100041
DO - 10.1016/j.avsurg.2022.100041
M3 - Article
AN - SCOPUS:85179864248
SN - 2772-6878
VL - 2
JO - Annals of Vascular Surgery - Brief Reports and Innovations
JF - Annals of Vascular Surgery - Brief Reports and Innovations
IS - 1
M1 - 100041
ER -