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 in | Curēus (Palo Alto, CA) Vol. 16; no. 10; p. e72148 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
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United States
Cureus Inc
22.10.2024
Cureus |
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| Abstract | 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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| AbstractList | 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.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. 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. 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. |
| Author | Lubega, Sulaiman Aliku, Twalib Ariaka, Herbert Nakubulwa, Clare Opio, James |
| AuthorAffiliation | 2 Paediatrics and Child Health, Soroti Regional Referral Hospital, Soroti, UGA 3 School of Medicine, Uganda Christian University, Mukono, UGA 1 Paediatric Cardiology, Uganda Heart Institute, Kampala, UGA 5 Radiology, Uganda Heart Institute, Kampala, UGA 4 Cardiothoracic Surgery, Uganda Heart Institute, Kampala, UGA |
| AuthorAffiliation_xml | – name: 5 Radiology, Uganda Heart Institute, Kampala, UGA – name: 2 Paediatrics and Child Health, Soroti Regional Referral Hospital, Soroti, UGA – name: 1 Paediatric Cardiology, Uganda Heart Institute, Kampala, UGA – name: 3 School of Medicine, Uganda Christian University, Mukono, UGA – name: 4 Cardiothoracic Surgery, Uganda Heart Institute, Kampala, UGA |
| Author_xml | – sequence: 1 givenname: Clare surname: Nakubulwa fullname: Nakubulwa, Clare organization: Paediatrics and Child Health, Soroti Regional Referral Hospital, Soroti, UGA – sequence: 2 givenname: Twalib surname: Aliku fullname: Aliku, Twalib organization: School of Medicine, Uganda Christian University, Mukono, UGA – sequence: 3 givenname: Herbert surname: Ariaka fullname: Ariaka, Herbert organization: Cardiothoracic Surgery, Uganda Heart Institute, Kampala, UGA – sequence: 4 givenname: James surname: Opio fullname: Opio, James organization: Radiology, Uganda Heart Institute, Kampala, UGA – sequence: 5 givenname: Sulaiman surname: Lubega fullname: Lubega, Sulaiman organization: Paediatric Cardiology, Uganda Heart Institute, Kampala, UGA |
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| Cites_doi | 10.1016/S0003-4975(10)60737-0 10.1161/CIR.0000000000000457 10.1016/j.ejvs.2019.05.004 10.1093/ofid/ofae121 10.7759/cureus.31010 10.25259/SNI_560_2019 10.3390/medicina60061007 10.4103/0974-2069.132493 10.3389/fped.2023.1136647 10.7759/cureus.27105 10.1067/mva.2001.110356 10.1093/qjmed/hcq240 10.2147/IDR.S441449 10.1186/s43057-024-00122-4 10.1186/s13019-018-0699-4 |
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| Copyright | Copyright © 2024, Nakubulwa et al. Copyright © 2024, Nakubulwa et al. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. Copyright © 2024, Nakubulwa et al. 2024 Nakubulwa et al. |
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| Keywords | case report pericarditis mycotic aneurysm abdominal aortic aneurysm child |
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| References | Fisk M (ref4) 2012; 105 Diepenbruck SD (ref9) 2023; 11 Restrepo MS (ref8) 2014; 7 Raavi L (ref3) 2022; 14 Sörelius K (ref12) 2019; 58 Jang LC (ref1) 2024; 60 Wilson WR (ref2) 2016; 134 Bergsland J (ref5) 1984; 37 Meier D (ref7) 2018; 13 Calderón-Parra J (ref6) 2024; 11 Song JG (ref10) 2023; 16 Ram A (ref14) 2022; 14 Khormi YH (ref15) 2020; 11 Müller BT (ref11) 2001; 33 Soundararajan AS (ref13) 2024; 32 |
| References_xml | – volume: 37 year: 1984 ident: ref5 article-title: Mycotic aortic aneurysms in children publication-title: Ann Thorac Surg doi: 10.1016/S0003-4975(10)60737-0 contributor: fullname: Bergsland J – volume: 134 year: 2016 ident: ref2 article-title: Vascular graft infections, mycotic aneurysms, and endovascular infections: a scientific statement from the American Heart Association publication-title: Circulation doi: 10.1161/CIR.0000000000000457 contributor: fullname: Wilson WR – volume: 58 year: 2019 ident: ref12 article-title: Systematic review of the management of mycotic aortic aneurysms publication-title: Eur J Vasc Endovasc Surg doi: 10.1016/j.ejvs.2019.05.004 contributor: fullname: Sörelius K – volume: 11 year: 2024 ident: ref6 article-title: Epidemiology and risk factors of mycotic aneurysm in patients with infective endocarditis and the impact of its rupture in outcomes. Analysis of a national prospective cohort publication-title: Open Forum Infect Dis doi: 10.1093/ofid/ofae121 contributor: fullname: Calderón-Parra J – volume: 14 year: 2022 ident: ref3 article-title: Mycotic thoracic aortic aneurysm: epidemiology, pathophysiology, diagnosis, and management publication-title: Cureus doi: 10.7759/cureus.31010 contributor: fullname: Raavi L – volume: 11 year: 2020 ident: ref15 article-title: Malignant clinical course of mycotic intracranial aneurysms in children: a review publication-title: Surg Neurol Int doi: 10.25259/SNI_560_2019 contributor: fullname: Khormi YH – volume: 60 year: 2024 ident: ref1 article-title: Rupture of mycotic abdominal aortic aneurysm as a result of incompletely treated multiple peripheral mycotic aneurysms publication-title: Medicina (Kaunas) doi: 10.3390/medicina60061007 contributor: fullname: Jang LC – volume: 7 year: 2014 ident: ref8 article-title: Mycotic aneurysm in a child with history of coarctation of the aorta repair publication-title: Ann Pediatr Cardiol doi: 10.4103/0974-2069.132493 contributor: fullname: Restrepo MS – volume: 11 year: 2023 ident: ref9 article-title: Endovascular treatment of a mycotic aneurysm in an immunocompromised child with acute leukemia-case report and review of the literature publication-title: Front Pediatr doi: 10.3389/fped.2023.1136647 contributor: fullname: Diepenbruck SD – volume: 14 year: 2022 ident: ref14 article-title: Mycotic aneurysm: a rare etiology of a common presentation publication-title: Cureus doi: 10.7759/cureus.27105 contributor: fullname: Ram A – volume: 33 year: 2001 ident: ref11 article-title: Mycotic aneurysms of the thoracic and abdominal aorta and iliac arteries: experience with anatomic and extra-anatomic repair in 33 cases publication-title: J Vasc Surg doi: 10.1067/mva.2001.110356 contributor: fullname: Müller BT – volume: 105 year: 2012 ident: ref4 article-title: Mycotic aneurysms: a case report, clinical review and novel imaging strategy publication-title: QJM doi: 10.1093/qjmed/hcq240 contributor: fullname: Fisk M – volume: 16 year: 2023 ident: ref10 article-title: Pediatric mycotic pseudoaneurysm of the ascending aorta: a case report publication-title: Infect Drug Resist doi: 10.2147/IDR.S441449 contributor: fullname: Song JG – volume: 32 year: 2024 ident: ref13 article-title: Pediatric precision: navigating the complexity of mycotic pseudoaneurysms in ascending aorta post-atrial septal defect repair - a case report publication-title: Cardiothorac Surg doi: 10.1186/s43057-024-00122-4 contributor: fullname: Soundararajan AS – volume: 13 year: 2018 ident: ref7 article-title: Case report of an unusual combination of purulent pericarditis and false aneurysm of the ascending aorta publication-title: J Cardiothorac Surg doi: 10.1186/s13019-018-0699-4 contributor: fullname: Meier D |
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| Title | A Fatal Abdominal Aortic Mycotic Aneurysm in a Child With Concurrent Pericarditis |
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