Mycotic Aneurysm of the Descending Thoracic Aorta Caused by Pseudomonas aeruginosa in a Solid Organ Transplant Recipient: Case Report and Review
Autor: | Brad A. Feltis, Gregory J. Beilman, David A. Lee |
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Rok vydání: | 2002 |
Předmět: |
Adult
Male Microbiology (medical) medicine.medical_specialty Penicillanic Acid medicine.disease_cause Organ transplantation Aztreonam Blood Vessel Prosthesis Implantation Vancomycin Antibiotic therapy medicine.artery Secondary Prevention medicine Humans Thoracic aorta Infusions Parenteral Pseudomonas Infections Piperacillin Aortic Aneurysm Thoracic Pseudomonas aeruginosa business.industry Organ Transplantation Mycotic aneurysm Surgery Piperacillin Tazobactam Drug Combination Treatment Outcome Infectious Diseases Debridement cardiovascular system Drug Therapy Combination business Solid organ transplantation Aneurysm Infected medicine.drug |
Zdroj: | Surgical Infections. 3:29-33 |
ISSN: | 1557-8674 1096-2964 |
DOI: | 10.1089/109629602753681131 |
Popis: | Pseudomonas aeruginosa is a rare cause of aortic mycotic aneurysms. Optimal treatment, including reconstructive graft material and appropriate length of antibiotic therapy, is being debated.We describe a 26-year-old kidney-pancreas recipient who developed an aneurysm of the descending thoracic aorta caused by P. aeruginosa.After surgical debridement and cryopreserved allograft reconstruction, parenteral antibiotics were continued for 12 months, at which time the patient was converted to oral antibiotic therapy. Within 6 months, he redeveloped a thoracic aortic aneurysm, necessitating reoperation and lifelong parenteral antibiotic therapy.Herein we review and discuss the relevant literature concerning surgical and antibiotic treatment of mycotic thoracic aneurysms. |
Databáze: | OpenAIRE |
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