Mycotic cervical carotid aneurysm

D K Naik1, N R Atkinson, P L Field

  • 1Vascular Unit, Royal Melbourne Hospital, Victoria, Australia.

Insights

Mycotic aneurysms affecting the extracranial carotid arteries are rare. This case highlights an internal carotid artery mycotic aneurysm occurring after perineal sepsis surgery.

Area of Science:

  • Vascular Surgery
  • Infectious Diseases
  • Medical Case Reports

Background:

  • Mycotic aneurysms of the extracranial carotid arteries are uncommon vascular infections.
  • Staphylococcus is the most frequent causative organism, though other bacteria like Escherichia coli have been implicated.

Observation:

  • This report details a rare case of a mycotic aneurysm in the internal carotid artery.
  • The patient presented with this condition two months post-laparotomy for perineal sepsis.

Findings:

  • The case adds to the limited English literature on mycotic aneurysms of the extracranial carotid arteries.
  • It underscores the potential for delayed presentation of these rare infections.

Implications:

  • This case emphasizes the importance of considering mycotic aneurysms in patients with sepsis, even with delayed presentation.
  • Early diagnosis and treatment are crucial for managing these potentially life-threatening vascular complications.

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