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Mycotic carotid aneurysm.

R J Grossi, D Onofrey, C Tvetenstrand

    Journal of Vascular Surgery
    |July 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Mycotic aneurysms of the extracranial internal carotid artery are rare. Prompt diagnosis and surgical intervention are crucial, with Salmonella enteritidis being a rare cause.

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    Area of Science:

    • Vascular Surgery
    • Infectious Diseases
    • Microbiology

    Background:

    • Mycotic aneurysms of the extracranial internal carotid artery (ICA) are uncommon vascular infections.
    • Typically present as pulsatile neck masses with pain, tenderness, and fever.
    • Staphylococcus aureus and Streptococcus pyogenes are the most frequently implicated organisms.

    Observation:

    • This case report details a rare instance of a mycotic ICA aneurysm caused by Salmonella enteritidis.
    • A literature review identified only one prior case of Salmonella-related mycotic carotid aneurysm.
    • The patient presented with symptoms consistent with an infected aneurysm.

    Findings:

    • The diagnosis required prompt recognition and urgent surgical management.
    • The patient's infection was caused by Salmonella enteritidis, an unusual pathogen for this condition.

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  • Successful surgical repair was achieved using an end-to-end anastomosis with a Pruitt-Inahara shunt.

    • Implications:

    • Highlights the importance of considering unusual pathogens like Salmonella in mycotic aneurysms.
    • Emphasizes the necessity of timely surgical intervention for extracranial ICA mycotic aneurysms.
    • Demonstrates the efficacy of reconstructive surgical techniques, such as end-to-end anastomosis, in managing these rare conditions.