Rapidly Enlarging Iliac Aneurysm Secondary to Listeria Monotogenes Infection A Case Report

Infected aneurysms caused by Listeria monocytogenes are rare. Worldwide, 16 cases have been reported, none in the iliac system. The authors report the case of an 80-year-old man being followed for small aortic and right common iliac artery (RCIA) aneurysms who presented with progressive gastrointest...

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Published inVascular and endovascular surgery Vol. 37; no. 2; pp. 145 - 149
Main Authors Clouse, W. Darrin, DeWitt, Caroline C., Hagino, Ryan T., DeCaprio, Jeffrey, Kashyap, Vikram S.
Format Journal Article
LanguageEnglish
Published Thousand Oaks, CA SAGE Publications 01.03.2003
Subjects
Listeria monocytogenes
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Summary:Infected aneurysms caused by Listeria monocytogenes are rare. Worldwide, 16 cases have been reported, none in the iliac system. The authors report the case of an 80-year-old man being followed for small aortic and right common iliac artery (RCIA) aneurysms who presented with progressive gastrointestinal symptoms. Serial computed tomography demonstrated a 200% increase in RCIA diameter with development of infection over 1 month. Right axillobifemoral bypass and aneurysm resection were performed. The authors believe this case represents the first description of bacteremic seeding of an iliac degenerative aneurysm by Listeria monocytogenes. The natural history and aggressive course of vascular infection with this organism are documented.
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ISSN:1538-5744
1938-9116
DOI:10.1177/153857440303700211