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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
Mycotic aortic aneurysm secondary to spondylodiscitis: A case report and review
Hicham Benramdane1,2, Hamid Ziani1,2, Siham Nasri1,2
1Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco.
Abstract:
Mycotic aneurysms are a rare but potentially life-threatening complication of infections, particularly those involving the spine. Spondylodiscitis, a bacterial or fungal infection of the intervertebral disc, is a known risk factor for the development of mycotic aneurysms. Early diagnosis and prompt treatment are crucial for improving patient outcomes. We report the case of a 79-year-old patient with a history of diabetes admitted for chronic back pain refractory to medical treatment. A cervico-thoraco-abdomino-pelvic CT scan showed infectious spondylodiscitis at the lumbar level complicated by a mycotic aneurysm of the infrarenal abdominal aorta. This case highlights the diagnostic challenges associated with mycotic aneurysms, particularly when they arise from a contiguous infectious focus. Imaging modalities, such as computed tomography (CT) and magnetic resonance imaging (MRI), play a pivotal role in identifying these aneurysms and assessing their extent. The patient underwent surgical management of the spondylodiscitis and the mycotic aneurysm. A stent was placed to reinforce the weakened aortic wall and prevent rupture. Postoperative management included long-term antibiotic therapy to eradicate the infection. The patient experienced a favorable outcome, with resolution of symptoms and improved quality of life.
Insights
Mycotic aneurysms, a rare infection complication, can arise from spondylodiscitis. Prompt diagnosis and surgical intervention, as seen in this case, are vital for successful treatment and patient recovery.
Area of Science:
- Infectious Diseases
- Vascular Surgery
- Radiology
Background:
- Mycotic aneurysms are rare but life-threatening infections, often linked to spinal infections like spondylodiscitis.
- Spondylodiscitis, an intervertebral disc infection, is a significant risk factor for developing mycotic aneurysms.
- Early diagnosis and prompt treatment are critical for improving patient outcomes in mycotic aneurysm cases.
Observation:
- A 79-year-old diabetic patient presented with chronic back pain.
- Imaging revealed lumbar spondylodiscitis complicated by an infrarenal abdominal aortic mycotic aneurysm.
- This case highlights diagnostic challenges of mycotic aneurysms originating from contiguous infections.
Findings:
- Computed tomography (CT) and magnetic resonance imaging (MRI) are crucial for diagnosing mycotic aneurysms and assessing their extent.
- Surgical management involving stent placement successfully reinforced the weakened aortic wall.
- Long-term antibiotic therapy was essential for eradicating the underlying infection.
Implications:
- This case underscores the importance of considering mycotic aneurysms in patients with spondylodiscitis.
- Effective management requires a multidisciplinary approach combining surgical intervention and prolonged antibiotic treatment.
- Successful treatment leads to symptom resolution and improved quality of life for patients.
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