A Fatal Abdominal Aortic Mycotic Aneurysm in a Child With Concurrent Pericarditis

Mycotic aneurysms, also called infected aneurysms, are localized irreversible vascular dilations caused by arterial wall infection with subsequent vessel wall weakening. They are rare but potentially life-threatening conditions that can occur from bacterial seeding into an intact vascular wall or su...

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Published inCurēus (Palo Alto, CA) Vol. 16; no. 10; p. e72148
Main Authors Nakubulwa, Clare, Aliku, Twalib, Ariaka, Herbert, Opio, James, Lubega, Sulaiman
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 22.10.2024
Cureus
Subjects
Abdomen
Antibiotics
Blood clots
Blood pressure
Blood tests
Cardiac arrhythmia
Cardiac/Thoracic/Vascular Surgery
Cardiology
Chronic illnesses
Coronary vessels
Edema
Electrocardiography
Endocarditis
Fever
Health facilities
Heart rate
Hemoglobin
Infections
Leukocytes
Medical imaging
Pain
Pediatrics
Pseudoaneurysm
Sepsis
Tropical diseases
Tuberculosis
Ultrasonic imaging
Uganda
case report
pericarditis
mycotic aneurysm
abdominal aortic aneurysm
child
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Summary:Mycotic aneurysms, also called infected aneurysms, are localized irreversible vascular dilations caused by arterial wall infection with subsequent vessel wall weakening. They are rare but potentially life-threatening conditions that can occur from bacterial seeding into an intact vascular wall or superinfection of a pre-existing aneurysm or atherosclerotic plaques. Risk factors in children include coarctation of the aorta, in-dwelling arterial catheters, postcardiac surgery, or immunosuppressive states. We report a rare case of an abdominal aortic mycotic aneurysm in a four-year-old patient with concurrent pericarditis. Her nonspecific presentation with fever and body pains posed a diagnostic and therapeutic challenge. We discuss the risk factors, diagnosis, and management of this condition.
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ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.72148