Extracranial mycotic aneurysms in infective endocarditis

Mansur, Alfredo José; Grinberg, Max; Leão, Pedro Puech; Chung, Curie; Stolf, Noedir A. G; Pileggi, F

doi:10.1002/clc.4960090204

Cited by 34 publications

(14 citation statements)

References 11 publications

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“…Autologous venous grafts have a lower risk of recurrent infection than do synthetic materials. 275,276 Long-term suppressive oral antimicrobial therapy may be desirable in patients at high risk of recurrence of infection, such as those with interposed vascular grafts in infected areas.…”

Section: Extracranial Masmentioning

confidence: 99%

Infective Endocarditis

Baddour¹,

Wilson²,

Bayer³

et al. 2005

Circulation

1,274

436

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Background-Despite advances in medical, surgical, and critical care interventions, infective endocarditis remains a disease that is associated with considerable morbidity and mortality. The continuing evolution of antimicrobial resistance among common pathogens that cause infective endocarditis creates additional therapeutic issues for physicians to manage in this potentially life-threatening illness. Methods and Results-This work represents the third iteration of an infective endocarditis "treatment" document developed by the American Heart Association under the auspices of the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease of the Young. It updates recommendations for diagnosis, treatment, and management of complications of infective endocarditis. A multidisciplinary committee of experts drafted this document to assist physicians in the evolving care of patients with infective endocarditis in the new millennium. This extensive document is accompanied by an executive summary that covers the key points of the diagnosis, antimicrobial therapy, and management of infective endocarditis. For the first time, an evidence-based scoring system that is used by the American College of Cardiology and the American Heart Association was applied to treatment recommendations. Tables also have been included that provide input on the use of echocardiography during diagnosis and treatment of infective endocarditis, evaluation and treatment of culture-negative endocarditis, and short-term and long-term management of patients during and after completion of antimicrobial treatment. To assist physicians who care for children, pediatric dosing was added to each treatment regimen. Conclusions-The recommendations outlined in this update should assist physicians in all aspects of patient care in the diagnosis, medical and surgical treatment, and follow-up of infective endocarditis, as well as management of associated complications. Clinical variability and complexity in infective endocarditis, however, dictate that these guidelines be used to support and not supplant physician-directed decisions in individual patient management. (Circulation. 2005; 111:e394-e433.)

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Section: Extracranial Masmentioning

confidence: 99%

Infective Endocarditis

Baddour¹,

Wilson²,

Bayer³

et al. 2005

Circulation

1,274

436

View full text Add to dashboard Cite

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“…Inflammation of the aortic wall (Takayasu arteritis or infective endarteritis), or congenital weakness of the aortic arterial wall play a significant role in the development of aneurysm formation in patients with unoperated CA [8][9][10]. However, since the patient refused to undergo corrective surgery we are not able to define the exact etiology of saccular aortic aneurysm.…”

Section: Discussionmentioning

confidence: 82%

A Large Calcified Saccular Aneurysm in a Patient with Aortic Coarctation

Çelik

İyisoy

Kurşaklıoğlu

et al. 2005

Int J Cardiovasc Imaging

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Coarctation of the aorta (CA) accounts for 5% of all congenital heart disease. One of the most feared complications of coarctation of the aorta is the development of saccular aortic aneurysm. In this paper, we described a 20-year-old man with coarctation of the aorta in association with a large calcified saccular thoracic aneurysm just distal to the coarcted segment detected both in aortography and magnetic resonance angiography (MRA).

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“…These have been described in almost all arteries, ranging from peripheral arteries, such as the peroneal and ulnar arteries, to major arteries, such as the cerebral vessels and the aorta. 9 SMA aneurysms are rare, comprising only 8% of all visceral artery aneurysms. 10 More than 60% of SMA aneurysms are infectious in origin.…”

Section: Discussionmentioning

confidence: 99%

Superior mesenteric artery aneurysm in a patient with infective endocarditis

Devon

Miller

2014

CJEM

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Infective endocarditis (IE) is a rare but serious condition. We present a case of endocarditis in a healthy 40-year-old male with no predisposing conditions. His physical examination was suggestive of peripheral microembolization and prompted us to consider the diagnosis of IE and order the appropriate investigations. After treatment, he later presented to the emergency department with abdominal pain, and a superior mesenteric artery aneurysm was discovered. We discuss recent advances in the changing epidemiology and microbiology of IE, review the presentation and diagnosis of IE, and highlight the potential complications of this disease. RÉ SUMÉL'endocardite infectieuse (EI) est une maladie rare mais grave. Il sera ici question d'un cas d'endocardite chez un homme de 40 ans, auparavant en bonne santé et exempt de facteur de pré disposition. L'examen physique é tait é vocateur d'une micro-embolie pé riphé rique, ce qui a incité à envisager le diagnostic d'EI et à procé der à une exploration approprié e. Aprè s le traitement, le patient est revenu au service des urgences pour des douleurs abdominales, et les examens ont ré vé lé la pré sence d'un ané vrisme de l'artè re mé senté rique supé rieure. Nous ferons donc é tat, dans le pré sent article, des changements observé s dans l'é pidé miologie et la microbiologie de cette affection; passerons en revue le tableau clinique de l'EI et le diagnostic; et ferons ressortir les complications possibles de cette maladie. Keywords: endocarditis, fever, Janeway lesions, Staphylococcus aureusInfective endocarditis (IE) is the inflammation of the endocardium and heart valves caused by bacteria or fungi. It is an uncommon condition with an incidence of between 2 and 10 per 100,000 person-years. Despite advances in diagnosis and treatment, it still has a high mortality rate, with in-hospital mortality of 15 to 20% and 1-year mortality of 20 to 30%. Recent prospective studies show that the epidemiology and microbiology of IE are changing over time. There is a higher rate of diagnosis of health care-associated IE and Staphylococcus aureus IE.1 In the emergency department (ED), key points include maintaining an appropriate index of suspicion in patients with risk factors or specific presentations, performing a thorough history and physical examination, and obtaining blood cultures prior to antibiotic administration if possible. Despite being treated for IE, patients can still present to EDs with relapse and delayed complications of IE. CASE REPORTA 40-year-old previously healthy male presented to our ED with a 1-week history of fever and chills and a 2-day history of pain and redness on his right foot. His only medication was ciprofloxacin, which he had been taking for 6 days. This was prescribed for a presumed urinary tract infection based on complaints of dysuria, urinary frequency, and left flank pain on the second day of illness, which had resolved by the time of representation. He had no other infectious symptoms to account for his fever and no recent travel history. ...

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Extracranial mycotic aneurysms in infective endocarditis

Cited by 34 publications

References 11 publications

Infective Endocarditis

Infective Endocarditis

A Large Calcified Saccular Aneurysm in a Patient with Aortic Coarctation

Superior mesenteric artery aneurysm in a patient with infective endocarditis

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