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Acupuncture induced necrotizing aortitis with infected pseudoaneurysm formation
Sak Lee1, Sang Hyun Lim, Do-Kyun Kim
1Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul, Korea.
Yonsei Medical Journal
|May 3, 2008
Summary
Necrotizing aortitis, a severe infection of the aorta, can arise from procedures like acupuncture. Prompt diagnosis and surgical intervention are crucial for survival in bacterial aortitis cases.
Area of Science:
- Vascular Surgery
- Infectious Diseases
- Medical Case Reports
Background:
- Necrotizing aortitis is a rare, life-threatening condition often caused by bacterial infections, typically affecting the abdominal aorta.
- Prompt diagnosis and urgent treatment are critical for managing this severe and fatal disease.
Observation:
- A case report details a 79-year-old man who developed bacterial aortitis with a pseudoaneurysm after acupuncture.
- The infection led to a near-rupture of the aorta, necessitating emergency surgical intervention.
Findings:
- Microbiologic examination identified Escherichia coli and methicillin-resistant Staphylococcus aureus (MRSA) as the causative agents.
- Surgical treatment involved explolaparotomy, aortic resection, debridement, and axillary-to-bifemoral bypass grafting.
Implications:
- This case highlights the potential for iatrogenic complications, such as bacterial aortitis, from invasive procedures like acupuncture.
- Emphasizes the importance of thorough patient history, rapid diagnosis, and immediate surgical management in necrotizing aortitis.
- Underscores the need for vigilance regarding unusual presentations of bacterial aortitis, even in the absence of typical risk factors.
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