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CC BY 4.0 · Aorta (Stamford) 2019; 07(02): 056-058
DOI: 10.1055/s-0039-1688449
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Brucella-Induced Ruptured Infrarenal Dissecting Abdominal Aortic Aneurysm

Harishankar Ramachandran Nair 
1   Department of Vascular and Thoracic Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India
,
Prakash Goura
1   Department of Vascular and Thoracic Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India
,
Shivanesan Pitchai 
1   Department of Vascular and Thoracic Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India
,
Unnikrishnan Madathipat
1   Department of Vascular and Thoracic Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India
› Author Affiliations Funding None.
Further Information

Publication History

24 April 2017

22 February 2019

Publication Date:
17 September 2019 (online)

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Abstract

Mycotic aneurysms, often saccular, accounting for approximately 2.5% of all abdominal aortic aneurysms, possess increased risk of rupture, uncontrolled sepsis, and protracted hospital stay and are associated with high morbidity and mortality. The authors report the case of a 49-year-old female with no known comorbidities who presented with free rupture of an infrarenal dissecting mycotic aneurysm and underwent emergent open repair successfully. The etiological agent, Brucella melitensis, a Gram-negative zoonotic coccobacillus, is rarely reported to cause mycotic aneurysm.

Keywords

ruptured mycotic aortic aneurysm - open aneurysm repair - Brucella melitensis
 

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