Mycotic Aortic Aneurysm: A Rare Etiology of Septic Shock

Kaitlin M Bowers1, Vishnu Mudrakola2, Christopher M Lloyd3

  • 1Emergency Medicine, Campbell University School of Osteopathic Medicine, Lillington, USA.

Cureus
|May 25, 2022
PubMed

Insights

Mycotic aneurysm of the aorta is a rare, high-mortality condition. Early suspicion and antibiotic therapy in elderly patients are crucial for managing this aortic infection and preventing rupture.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Vascular Surgery

Background:

  • Mycotic aneurysm of the aorta is a rare condition with a high mortality rate, primarily due to the risk of rupture.
  • It predominantly affects individuals over 65, often presenting with fever and back pain.

Observation:

  • This case report details a mycotic aneurysm of the aorta in an elderly female.
  • The patient presented with atypical symptoms including vague abdominal pain, flank pain, and generalized weakness.

Findings:

  • The case highlights the importance of a thorough investigative approach and appropriate diagnostic modalities for mycotic aneurysms.
  • Early identification and management are critical for successful patient outcomes.

Implications:

  • A high index of suspicion for mycotic aneurysms is essential in critically ill elderly patients.
  • Prompt antibiotic therapy is crucial for source control and improving survival rates in aortic mycotic aneurysms.

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