• Surgical infections · Aug 2008

    Case Reports

    Continued lumbar spinal erosion after repair of chronic contained rupture of a mycotic abdominal aortic aneurysm.

    • Ricky Harminder Bhogal, Mohammed Nayeemuddin, Irfan Akhtar, Mel Grainger, and Richard Downing.
    • Department of Vascular Surgery, Worcester Royal Hospital, Worcester, United Kingdom. balsin@hotmail.com
    • Surg Infect (Larchmt). 2008 Aug 1;9(4):475-80.

    IntroductionMycotic aneurysm of the aorta is a rare, dangerous condition. We report a case of an abdominal aortic aneurysm (AAA) caused by Candida albicans.MethodsCase report and review of pertinent English-language literature.Case ReportA 48 year-old man presented with an acute exacerbation of long-standing back pain. Examination revealed a pulsatile epigastric mass, and radiologic examinations confirmed a 9 cm chronic contained rupture of an inflammatory infrarenal AAA. At operation, no posterior aneurysm sac was found, and lumbar vertebral erosion was noted. Lower limb vascularity was secured with left axillo-bifemoral bypass. The patient presented 12 months later with severe non-mechanical back pain. Imaging confirmed continuing vertebral erosion. At laparotomy, an autologous fibula strut was used for spinal stabilization.ConclusionAggressive multimodality therapy of infected AAA and associated vertebral osteomyelitis is necessary for a successful outcome.

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