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Embolization of pulmonary and systemic mycotic pseudoaneurysms in a pediatric patient

Lindsay M Eysenbach1, Joseph Reis1,2, Aaron Bogart1,2

  • 1Department of Radiology, Section of Vascular and Interventional Radiology, University of Washington, 1959 NE Pacific St, Box 357115, Seattle, WA 98195, USA.

Radiology Case Reports
|June 30, 2023
PubMed

Insights

Mycotic pseudoaneurysms are a rare but serious complication in children. This case highlights MRSA bacteremia leading to arterial pseudoaneurysms, successfully treated with embolization.

Area of Science:

  • Pediatric Infectious Diseases
  • Vascular Surgery
  • Medical Imaging

Background:

  • Mycotic pseudoaneurysms are infrequent complications of systemic infections in pediatric patients.
  • Methicillin-resistant Staphylococcus aureus (MRSA) bacteremia can lead to severe vascular complications.

Observation:

  • A previously healthy 11-year-old female presented with MRSA bacteremia.
  • The patient developed both pulmonary and systemic arterial pseudoaneurysms concurrently.
  • Magnetic resonance (MR) and computed tomography (CT) imaging were crucial for diagnosis.

Findings:

  • Coil embolization was an effective treatment modality for both pulmonary and systemic arterial pseudoaneurysms.
  • Successful endovascular management of multiple mycotic pseudoaneurysms in a pediatric patient.

Implications:

  • This case underscores the importance of vigilant monitoring for vascular complications in children with MRSA bacteremia.
  • Early detection and endovascular intervention can lead to favorable outcomes in pediatric mycotic pseudoaneurysms.
  • Highlights the utility of advanced imaging techniques in diagnosing rare vascular conditions in children.
Keywords:
EmbolizationMethicillin-resistant staph aureusMycotic pseudoaneurysmPediatric interventional radiologyPseudoaneurysm

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