Mycotic Aneursym
The rarity of the disease implies that few centres acquire experience in managing these patients. Indeed, there remains a lack of consensus regarding diagnostic criteria and reporting standards - Karl Sörelius
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Aortic Mycotic Aneurysm - A Rare Cause, A Common Clinical Presentation
MA are infrequent but they can virtually involve any arterial territory. The aorta is the predominantly affected artery followed by extremities, cerebral and splanchnic circulations, often at points of vessel bifurcartion. Risk factors for infected aneurysm include trauma, endocarditis, impaired immunity and advanced age.
The clinical manifestations depend upon the site of the aneurysm. Its typical presentation includes an important systemic inflammatory response with fever and increased inflammatory markers, associated with a painful and pulsatile mass with growing dimensions. However, this scenario is often limited to the situations where the vessels involved are peripheral arteries
Articles of Interest
Mycotic Aortic Aneurysms
Although endovascular repair might be a durable option for some patients, late infection-associated complications frequently occur and are often lethal. An overall analysis of this rare pathology, its different diagnostic modalities, treatment options, and prognosis are presented and discussed in this chapter
Overview of infected (mycotic) arterial aneurysm
The clinical manifestations depend upon the site of the aneurysm. The classic presentation is a painful, pulsatile, and enlarging mass together with systemic features of infection, such as fever and malaise. The mass may be palpable or demonstrable only by imaging. In the setting of aneurysm involving the aorta, the patients may complain of back or abdominal pain.
Systematic Review of the Management of Mycotic Aortic Aneurysms
The rarity of the disease implies that few centres acquire experience in managing these patients. Indeed, there remains a lack of consensus regarding diagnostic criteria and reporting standards.
Resources
Radiopaedia
Mycotic aneurysms are aneurysms arising from infection of the arterial wall, usually bacterial. It is a complication of the hematogenous spread of bacterial infection, classically from the heart.
StatPearls
A mycotic aneurysm is dilation of an arterial wall due to infection. The term "mycotic" was coined by Willaim Osler in his Gulstonian lectures, where he described a man with multiple aortic mycotic aneurysms in a patient with valve vegetations, which resembled the appearance of a fleshy fungus.
