• Purva Ranchal, Adam Ferin, Rahul Gupta, Ramin Malekan, Joshua Goldberg, Igor Laskowski, and Marc Y El Khoury.
• Department of Internal Medicine, Westchester Medical Center, New York Medical College, Valhalla, New York.
• J Card Surg. 2020 Feb 1; 35 (2): 514-517.

BackgroundClostridium septicum aortitis is a lethal infection. C. septicum has a strong association with an underlying malignancy, most commonly in the colon.AimEarly identification methods and management strategies of C. Septicum infection.Materials And MethodsWe present a 64-year-old man with aortic aneurysm and C. septicum bacteremia with unknown malignancy who passed away on the fourth day of hospitalization despite emergent endovascular intervention. Computed tomography showed periaortic gas which is the hallmark of infection.DiscussionThis case report highlights the need of prompt surgical treatment and its different modalities along with the early use of appropriate antibiotics due to the rapid spread of infection associated with high fatality. The authors also discuss the association of C. septicum aortitis with underlying occult malignancies.ConclusionDelay in identification and treatment of C. Septicum is associated with very high mortality rates.© 2019 Wiley Periodicals, Inc.

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