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Mycotic splenic artery aneurysm secondary to Coxiella burnetii endocarditis

C Antonopoulos1, M Karagianni, N Galanakis

  • 1First Department of Surgery, Nikea General Hospital, Pireus, Greece. k_antono@hotmail.com

Annals of Vascular Surgery
|December 29, 2009
PubMed

Insights

Mycotic splenic artery aneurysms are rare but dangerous. This case highlights Coxiella burnetii as a cause, emphasizing its importance in culture-negative endocarditis and mycotic aneurysms.

Area of Science:

  • Vascular Surgery
  • Infectious Diseases
  • Cardiology

Background:

  • Mycotic artery aneurysms are uncommon yet life-threatening vascular conditions.
  • High rupture risk necessitates prompt diagnosis and treatment.
  • Predisposing factors include bacterial endocarditis, trauma, and compromised immunity.

Observation:

  • A 6 cm mycotic splenic artery aneurysm was identified proximal to the splenic hilum.
  • The aneurysm was secondary to bacterial endocarditis caused by Coxiella burnetii.
  • This represents the first reported case of a splenic artery aneurysm due to Coxiella burnetii.

Findings:

  • Surgical intervention was performed, including aneurysm resection, splenectomy, and distal pancreatectomy.
  • The patient's condition was successfully managed through surgical treatment.
  • Culture-negative endocarditis cases with mycotic aneurysms require investigation for Coxiella burnetii.

Implications:

  • Highlights the significance of Coxiella burnetii in culture-negative endocarditis and mycotic aneurysms.
  • Underscores the need for specific diagnostic considerations in patients with these conditions.
  • Informs surgical and infectious disease management strategies for rare vascular infections.

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