Mycotic aneurysms of the tibioperoneal arteries

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M A McKee1, J L Ballard

  • 1Division of General Surgery, Loma Linda University Medical Center, Loma Linda, CA 92354, USA.

Annals of Vascular Surgery
|March 11, 1999
PubMed

Insights

This case report details a rare instance of multiple pediatric mycotic aneurysms in the lower leg arteries caused by Brucella canis endocarditis. Management requires individualized vascular reconstruction strategies.

Area of Science:

  • Vascular Surgery
  • Infectious Diseases
  • Pediatric Cardiology

Background:

  • Mycotic aneurysms are rare arterial infections, often linked to endocarditis.
  • Tibioperoneal artery involvement is exceptionally uncommon in pediatric cases.
  • Brucella canis endocarditis is an unusual etiology for vascular complications.

Observation:

  • A pediatric patient presented with multiple mycotic aneurysms affecting the posterior tibial and peroneal arteries.
  • The patient had a preceding episode of endocarditis.
  • The causative agent identified was Brucella canis.

Findings:

  • This is the first reported case of multiple mycotic aneurysms specifically in the tibioperoneal arteries in a pediatric patient.
  • The identification of Brucella canis as the pathogen is unique, differing from typical gram-positive organisms often seen in intravenous drug users.
  • Successful vascular reconstruction was achieved, though challenging.

Implications:

  • This case expands the known spectrum of mycotic aneurysm presentation in pediatric patients.
  • It highlights the importance of considering Brucella canis in endocarditis cases with unusual vascular manifestations.
  • Individualized treatment approaches are crucial for managing complex tibioperoneal mycotic aneurysms.

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