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KMID : 1144320140460010054
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감염과 화학요법
2014 Volume.46 No. 1 p.54 ~ p.58
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Mycotic Abdominal Aortic Aneurysm Caused by Bacteroides Thetaiotaomicron and Acinetobacter Lwoffii: The First Case in Korea
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Kim Min-Gyu
Jeon Jae-Woong
Ryu Il-Hwan
Lee Jae-Joon
Kim Joo-Seok
Choi Ji-Wook
Cho Byung-Sun
Yoon Hee-Jung
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Abstract
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Mycotic aneurysms are uncommon, but are fatal without appropriate management. Previous reports have shown that anaerobes and gram-negative organisms are less common but more dangerous than other causative agents of mycotic aneurysm. We report the case of a 60-year-old man with poorly controlled diabetes mellitus and atherosclerosis in the aorta, and a 10-day of history of lower abdominal pain and fever. This man was diagnosed with an uncommon abdominal aorta mycotic aneurysm caused by Bacteroides thetaiotaomicron and Acinetobacter lwoffii. The aneurysm was successfully treated with antibiotics therapy and aorto-bi-external iliac artery bypass with debridement of the infected aortic wall. We present this case together with a review of the relevant literature.
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KEYWORD
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Aneurysm, Infected, Bacteroides thetaiotaomicron, Acinetobacter lwoffii
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