Abstract
Purpose
To review the presentation, imaging, clinical management, and outcomes in patients
with mycotic aneurysm (MA).
Methods
Fifty-five cases in 49 patients (33 men, 16 women, average age: 66.2 years) were identified.
Results
Of 49 patients, only 20% presented with the classic clinical triad of fever, elevated
white count, and pain. Computed tomography was the most utilized imaging modality;
focal vascular outpouching was the most frequent imaging finding (76%). There was
17% mortality rate within 6 months of diagnosis despite intervention.
Conclusions
Clinical presentation and blood cultures can be nonspecific, highlighting the importance
of imaging diagnosis of MA to expedite treatment.
Keywords
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Article info
Publication history
Published online: December 08, 2015
Accepted:
December 1,
2015
Received in revised form:
November 7,
2015
Received:
August 17,
2015
Footnotes
☆Conflict of interest disclosure: The authors declared no conflicts of interest and have no financial disclosures.
Identification
Copyright
© 2015 Elsevier Inc. All rights reserved.
