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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.
Abstract:
Mycotic aneurysm of the aorta is a rare disease with a high mortality rate due to its likelihood of aneurysmal rupture. This syndrome is predominantly seen in patients over age 65 with the most common presenting symptoms being fever and back pain. Our case illustrates a mycotic aneurysm of the aorta presenting in an elderly female with vague abdominal pain, flank pain, and generalized weakness. We review the investigative approach, diagnostic modalities, and treatment options in patient management. This case emphasizes the need for a high index of suspicion of mycotic aneurysms of the aorta in critically ill elderly patients as early antibiotic therapy can be crucial for source control.
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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