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Misdiagnosed infected aneurysm presenting as pyrexia of unknown origin (PUO)

M Abdikarim1, S Shahari1, M A Idris1

  • 1Department of Surgery, Vascular Unit, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, 56000, Kuala Lumpur, Malaysia.

La Clinica Terapeutica
|September 10, 2014
PubMed

Insights

Infected aneurysms are rare but life-threatening conditions. Early detection and treatment, including antibiotics and surgery, are crucial for better patient outcomes.

Area of Science:

  • Vascular Surgery
  • Infectious Diseases
  • Clinical Medicine

Background:

  • Infected aneurysms present a significant threat, causing high morbidity and mortality.
  • Early diagnosis and prompt treatment are critical for improving prognosis.
  • The incidence of true mycotic aneurysms has decreased with advances in antibiotic therapy and reduced endocarditis rates.

Observation:

  • This case highlights an infected aneurysm presenting as pyrexia of unknown origin.
  • The study discusses the clinical features of this rare condition.
  • Challenges in the treatment of infected aneurysms are explored.

Findings:

  • Infected aneurysms require a multi-faceted treatment approach.
  • Standard treatment involves antibiotics and aggressive surgical intervention.
  • Vascular reconstruction may be necessary depending on the case.

Implications:

  • Recognizing infected aneurysms, even with atypical presentations like fever of unknown origin, is vital.
  • Effective management necessitates a combination of medical and surgical expertise.
  • Further understanding of clinical features can aid in timely diagnosis and treatment of these rare vascular emergencies.
Keywords:
PUOanatomyaneurysminfectedmorbiditysurgery

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