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A mycotic abdominal aortic aneurysm caused by Listeria monocytogenes in a patient with HIV infection
  1. Jesper Damsgaard Gunst,
  2. Søren Jensen-Fangel
  1. Department of Infectious Diseases, Aarhus University Hospital, Aarhus N, Denmark
  1. Correspondence to Jesper Damsgaard Gunst, jesper.damsgaard{at}


A 65-year-old man with HIV infection presented with acute severe abdominal pain radiating to the back. A CT scan revealed an infrarenal abdominal aortic aneurysm, and an aortobifemoral bypass was undertaken. Subsequently, tissue specimens from the aortic wall grew Listeria monocytogenes. The patient received 8 weeks of intravenous antibiotic treatment followed by oral sulfotrim as secondary prophylaxis and made an uneventful recovery.

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