Abdominal aortic pseudoaneurysm secondary to melioidosis

Area of Science:

• Infectious Diseases
• Vascular Surgery
• Medical Microbiology

Background:

• Melioidosis is a significant public health concern in Southeast Asia, presenting with diverse clinical manifestations including cutaneous abscesses, pneumonia, and severe sepsis.
• Abdominal aortic pseudoaneurysms are uncommon vascular complications, and their association with melioidosis is exceedingly rare.
• Early and accurate diagnosis of melioidosis-induced pseudoaneurysms is challenging due to the varied presentations of the infection.

Observation:

• This report focuses on two unique cases of abdominal aortic pseudoaneurysms directly resulting from melioidosis.
• The clinical presentation and diagnostic challenges associated with these rare pseudoaneurysms are highlighted.
• The study documents the specific management strategies employed for these complex cases.

Findings:

• Successful treatment of melioidosis-associated abdominal aortic pseudoaneurysms requires a multidisciplinary approach.
• The outcomes of the two presented cases demonstrate the feasibility of managing this rare condition.
• Effective antimicrobial therapy combined with surgical or endovascular intervention is crucial for favorable results.

Implications:

• This case series expands the understanding of melioidosis's potential to cause rare vascular complications.
• It underscores the importance of considering melioidosis in the differential diagnosis of abdominal aortic pseudoaneurysms, particularly in endemic regions.
• The findings provide valuable insights for clinicians managing patients with infectious diseases and complex vascular conditions.