Diagnosis and management of mycotic aneurysms

León, Luis R.; Mills, Joseph L.

doi:10.1007/s11908-009-0041-3

Cited by 4 publications

(2 citation statements)

References 41 publications

(50 reference statements)

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“…However, they can be deemed as non-specific screening techniques since other conditions also generate positive results, including lymphoma, malaria, endocarditis, and viral infections [ 11 ]. Confirmatory tests include Treponema pallidum hemagglutination assay (TPHA) and fluorescent treponemal antibody absorption (FTA-ABS), with a specificity of 98% based on monoclonal antibodies and immunofluorescence [ 12 ]. CT and MRI have also improved the accuracy of diagnosis and early detection.…”

Section: Discussionmentioning

confidence: 99%

Sculpting the Silent Intricacies: A Rare Triad of Syphilitic Aneurysms Unveiled

Haddad,

Prince,

Kloub

et al. 2024

Cureus

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This case report revolves around a 73-year-old male patient who initially sought medical attention due to left lower extremity weakness. Suspicions of a potential vascular etiology arose during the initial clinical examination, prompting further investigation. Unexpectedly, computed tomography (CT) imaging of the abdomen and pelvis revealed the presence of three giant aneurysms. Concurrently, positive syphilis titers were identified. The patient's presentation, marked by focal neurological deficits, unveiled the incidental discovery of a triad of aneurysms involving the distal abdominal aorta, right common iliac, and left common iliac. The neurological symptoms observed in the patient were attributed to the compression within the left common iliac artery, leading to compromised blood flow to the lower extremity. Alternatively, the neurological deficits could be linked to neurosyphilis or a combination of both factors. This case underscores the critical role of considering syphilis in patients presenting with neurological symptoms. The unique discovery of extensive aortic abnormalities through imaging studies, specifically CT angiography, emphasized the importance of such diagnostic tools in unraveling complex and potentially life-threatening vascular pathologies. Recognizing the diverse manifestations of syphilis in patients with vast neurological symptoms is crucial for timely diagnosis and multidisciplinary management. This case emphasizes the need to keep a high index of suspicion for syphilis in individuals who have widespread aortic anomalies together with neurological symptoms, to sum up. The triad of aneurysms discovered incidentally in this 73-year-old patient underscores the intricate interplay between vascular and neurological manifestations. The timely diagnosis and multidisciplinary management of both the neurological and vascular aspects of this unique presentation are essential for ensuring optimal patient outcomes.

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Section: Discussionmentioning

confidence: 99%

Sculpting the Silent Intricacies: A Rare Triad of Syphilitic Aneurysms Unveiled

Haddad,

Prince,

Kloub

et al. 2024

Cureus

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“…[8][9][10] The goals of open repair are complete aneurysmal sac excision, debridement of non-viable surrounding tissues, and upper extremity revascularization. 11 Complete sac excision was not done in our case as dissection and sac exposure was extremely difficult which would inevitably have prolonged the operative time in the face of already increasing transfusion requirements. This prompted our decision to widely open the sac, debride it, and leave a drain in place.…”

Section: Commentmentioning

confidence: 94%

Carotid-Axillary Bypass and Debridement for a Mycotic Aneurysm of the Left Subclavian Artery

Obisesan

Manchester

Lin

et al. 2022

Vasc Endovascular Surg

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Mycotic subclavian aneurysms are rare, and their presence typically mandates urgent repair due to the associated high risk of rupture and mortality. A multi-disciplinary team effort is of utmost importance in ensuring favorable results. In this case report, we present a 79-year-old male with a rapidly enlarging mycotic left subclavian artery aneurysm secondary to a retrosternal abscess and left sternoclavicular septic arthritis, who underwent aneurysmal exclusion, a left carotid-left axillary bypass and pectoralis muscle flap coverage with a good outcome.

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Unexpected diagnosis of a neck lump

2019

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A case report of a patient with a right‐sided neck lump initially presenting to his dentist who was subsequently diagnosed with a rare mycotic carotid artery aneurysm. Clinical examination in York out‐patient department led to a high index of suspicion of metastatic squamous cell cancer (SCC). A malignant process was suspected due to the combination of a fixed level 2 neck lump, otalgia and vocal cord palsy. However, a differential diagnosis of an aneurysm became more likely following an MRI scan. The patient subsequently underwent urgent debridement of the carotid artery aneurysm and ligation of the internal carotid artery. Mycotic aneurysms involving the carotid arteries are rare with only around 20 reported cases every decade with a small number of cases reporting dental infection as a potential cause. The definitive diagnosis of a mycotic aneurysm demonstrates how similar the presenting features of a metastatic SCC can be to that of a carotid aneurysm. Despite the low incidence, the importance of considering an aneurysm in the differential diagnosis of neck lumps is highlighted due to possible catastrophic consequences.[Correction statement added on 14 August 2019 after first online publication: The first two sentences of Abstract section were found to be similar and has been updated this version for clarity]

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Diagnosis and management of mycotic aneurysms

Cited by 4 publications

References 41 publications

Sculpting the Silent Intricacies: A Rare Triad of Syphilitic Aneurysms Unveiled

Sculpting the Silent Intricacies: A Rare Triad of Syphilitic Aneurysms Unveiled

Carotid-Axillary Bypass and Debridement for a Mycotic Aneurysm of the Left Subclavian Artery

Unexpected diagnosis of a neck lump

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