A 59-year-old man with persistent fever, aphasia and leg pain

Labbe et al examine the case of a 59-year-old man with peripheral mycotic aneurysm adjacent to the deep vein thrombosis (DVT). The patient's enterococcal endocarditis began insidiously. His leukocyte count was within the reference range, as was found in 53% of patients in a retrospective cohort...

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Bibliographic Details
Published inCanadian Medical Association journal (CMAJ) Vol. 193; no. 15; pp. E517 - E520
Main Authors Labbé, Benoît M, Harvey-Michaud, Pierre-Luc, Lafleur, Alexandre
Format Journal Article
LanguageEnglish
Published Canada CMA Joule Inc 12.04.2021
CMA Impact, Inc
Joule Inc
Subjects
Abdomen
Aneurysms
Antibiotics
Aphasia
Cancer
Case reports
Drug dosages
Embolization
Endocarditis
Fever
Hyperthermia
Infections
Ischemia
Medical imaging
Medical screening
Mens health
Metastasis
Pain
Patients
Practice
Sepsis
Stroke
Tests, problems and exercises
Ultrasonic imaging
Veins & arteries
Canada
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Summary:Labbe et al examine the case of a 59-year-old man with peripheral mycotic aneurysm adjacent to the deep vein thrombosis (DVT). The patient's enterococcal endocarditis began insidiously. His leukocyte count was within the reference range, as was found in 53% of patients in a retrospective cohort study. The patient's fibular aneurysm was caused by a septic embolus that created a focus of infection in the fibular artery wall, and it is possible that a small mycotic aneurysm was missed by the first ultrasonography. The local infection and inflammation may have caused a DVT in the contiguous posterior tibial vein. Compression by the growing mycotic aneurysm could explain the persistence of the DVT despite anticoagulation treatment.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:0820-3946
1488-2329
DOI:10.1503/cmaj.201491