Management of an abdominal aortic aneurysm infected with Campylobacter fetus: a case report

Ann Vasc Surg. 2007 Mar;21(2):137-42. doi: 10.1016/j.avsg.2007.01.002.

Abstract

We present a rare case of an abdominal aortic aneurysm (AAA) infected with Campylobacter fetus. The patient presented with abdominal pain and leukocytosis, without a palpable AAA. Computed tomography (CT) of the abdomen showed a 3.1 x 3.0 cm infrarenal abdominal aneurysm with an extra-aortic fluid collection. At surgery, an in situ graft was placed. Intraoperative aortic wall cultures grew pansensitive C. fetus, and blood cultures remained negative. At 9-month follow-up, the patient was doing well without complaints. To our knowledge, this represents only the ninth reported case of an AAA with an aortic wall culture positive for C. fetus.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aneurysm, Infected / diagnostic imaging
  • Aneurysm, Infected / drug therapy
  • Aneurysm, Infected / microbiology
  • Aneurysm, Infected / surgery*
  • Anti-Bacterial Agents / administration & dosage
  • Aortic Aneurysm, Abdominal / diagnostic imaging
  • Aortic Aneurysm, Abdominal / drug therapy
  • Aortic Aneurysm, Abdominal / microbiology
  • Aortic Aneurysm, Abdominal / surgery*
  • Blood Vessel Prosthesis Implantation*
  • Campylobacter fetus / isolation & purification*
  • Drug Administration Schedule
  • Humans
  • Male
  • Ofloxacin / administration & dosage
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents
  • Ofloxacin