Mycotic aneurysms, especially outside the aorta, are uncommon, with group A Streptococcus a particularly rare cause. We report a case of extra-aortic mycotic aneurysm following a sore throat without demonstrable bacteremia where identification of the pathological organism was made by molecular diagnostic techniques after a standard laboratory culture was negative.

DESCRIPTION A Cambodian-born French 61-year-old man with several cardiovascular risk factors (current smoker, dyslipidaemia, diabetes mellitus without renal impairment, excessive alcohol use or iron overload) was admitted 6 months after his last travel in Cambodia during the wet season. The patient complained of subacute abdominal pains, which became recently intense, without fever or diarrhoea...

A 60-year-old man with chronic myelomonocytic leukemia was admitted for bacterial meningitis. Initial cranial CT and CT angiography (figure, A) were normal. Four days after admission, the patient became comatose. A subsequent cranial CT (figure, B) revealed a subarachnoid hemorrhage, and CT angiography (figure, C) showed a newly developed aneurysm of the basilar artery. We diagnosed a mycotic a...

Salmonella mycotic aneurysm is a rare but potentially fatal condition. Mortality is high without timely intervention. The clinical presentation is protean and early diagnosis requires a high degree of clinical alertness. Prompt surgical intervention and prolonged antimicrobial therapy are keys to successful treatment. We report an 81-year-old man with an atypical presentation of Salmonella myco...

Salmonella mycotic aneurysms of the descending thoracic aorta are exceedingly rare. There are few case reports and even fewer reports of long term survival. The case of a 68-year-old female presenting with a mycotic aneurysm of the descending thoracic aorta caused by Salmonella species is described, which involved successful surgical intervention.

A 52-year-old woman with a 3-week history of fever and cough was diagnosed as having bacterial endocarditis with vegetation and severe mitral valve insufficiency by echocardiography. Blood culture revealed Streptococcus mitis. After antibiotic treatment for 3 weeks, the patient noticed swelling with pain in her left groin. Computed tomography revealed an occluded aneurysm in the left common fem...

UNLABELLED INTRODUCTION Mycotic aneurysms are rarely listed among the possible complications of osteomyelitis of the long bones. To the best of our knowledge this is the first case of chronic osteomyelitis associated with a pathological fracture of the femur and a mycotic aneurysm of the femoral artery. CASE PRESENTATION We present the case of a 13-year-old Ugandan boy who was referred to ...

Mycotic renal artery aneurysms are rarely seen. Because the renal artery is located deep within the retroperitoneum, open surgical repair is highly invasive. Endovascular repair with a covered stent, followed by an adequate antibiotic regimen, may offer a treatment alternative for elderly and emaciated patients. We report the first case of using a covered stent in treating a mycotic renal arter...

We present a case of 58-year-old woman with underlying diabetes mellitus, hepatitis C virus-related liver cirrhosis, and total hysterectomy for uterine myoma 11 moths ago, who was diagnosed ruptured aortic arch mycotic pseudoaneurysm after a certain period of survey for her unknown fever cause. After emergent surgery with prosthetic graft interposition, all her blood cultures and tissue culture...

An 82-year-old Japanese man, who presented with a fever and abdominal pain, was admitted to our hospital. According to enhanced computed tomography images, the probable diagnosis was abdominal aortic mycotic aneurysm. Eight sets of blood cultures obtained from the patient were negative. Despite administering treatment with vancomycin and ceftriaxone, the aneurysm progressively enlarged. He unde...