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Abdominal aortic aneurysm repair complicated by infection with Clostridium septicum

Sarah E Colwick1, Fuad Alkhoury, Jeremiah T Martin

  • 1Department of Surgery, Hospital of Saint Raphael, New Haven, CT 06511, USA. scolwick@gmail.com

Annals of Vascular Surgery
|May 31, 2011
PubMed

Insights

Endovascular abdominal aortic aneurysm repair can lead to rare but serious stent-graft infections. This case highlights Clostridium septicum as a potential, previously unreported cause of such infections.

Area of Science:

  • Vascular Surgery
  • Infectious Diseases
  • Microbiology

Background:

  • Endovascular Abdominal Aortic Aneurysm (AAA) repair is a common procedure.
  • Aortic stent-graft infection is a rare but severe complication.
  • Infections typically arise from skin or gastrointestinal flora.

Observation:

  • Clostridium septicum, an anaerobic bacterium from the GI tract, causes spontaneous gas gangrene.
  • This is the first reported instance of Clostridium septicum causing an endovascular AAA graft infection.

Findings:

  • The patient developed an endovascular AAA graft infection.
  • The causative agent was identified as Clostridium septicum.

Implications:

  • This finding expands the known pathogens responsible for endovascular graft infections.
  • Awareness of Clostridium septicum is crucial for diagnosing and treating rare AAA graft infections.

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