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Int J Angiol 2012; 21(03): 147-150
DOI: 10.1055/s-0032-1315627
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

A Case of Infective Abdominal Aortic Aneurysm due to Haemophilus influenzae Type B

Toshimitsu Sato
1   Department of Vascular Surgery, Gifu Prefectural Tajimi Hospital, Gifu, Japan
,
Masayoshi Kobayashi
2   Division of Vascular Surgery, Department of Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan
› Author Affiliations
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Publication History

Publication Date:
23 August 2012 (online)

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Abstract

Infective abdominal aortic aneurysm (IAAA) is relatively rare, but a case which is caused by Haemophilus influenzae type B is very rare. We experienced one IAAA case due to H. influenzae type B. The patient was 69-year-old man presenting with severe abdominal and back pain and elevated C-reactive protein (CRP), as inflammatory marker. The patient was found to have saccular aneurysm infrarenal aorta on computed tomography scanning. First, we started to treat him with antibiotic agent and second, we operated him at day 8 after admission with expanded polytetrafluoroethylene graft. Revascularization was made in situ reconstruction. As the result of culture with aneurysm wall, we found that the cause of this aneurysm was the infection of H. influenzae type B. As far as we know, this bacterium is scarcely reported as the cause of infective aortic aneurysms. We reported this IAAA case with the review of the English literature.

Keywords

abdominal aortic aneurysm - infection - mycotic aneurysm - polytetrafluoroethylene - C-reactive protein - in situ reconstruction - false aneurysm
 

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