1/16. Mycotic aneurysm of the aortic arch.A 61-year-old diabetic woman presented with a mycotic aneurysm of the aortic arch, also involving the left subclavian and vertebral arteries, caused by staphylococcus aureus. Two months before, she had suffered from staphylococcal septic arthritis in her left knee. The patient was treated with antibiotics and an emergency operation was performed involving aneurysm excision and in situ synthetic graft replacement. She died on the fourth postoperative day from hemorrhagic shock.- - - - - - - - - - ranking = 1keywords = diabetic (Clic here for more details about this article) |
2/16. Case report. Mycotic arteritis due to aspergillus fumigatus in a diabetic with retrobulbar aspergillosis and mycotic meningitis.A 74-year-old man with diabetes mellitus type II, retinopathy and polyneuropathy suffered from exophthalmus, ptosis and diplopia. magnetic resonance imaging and computer tomography showed a space-occupying process in the right orbital apex. An extranasal ethmoidectomy accompanied by an orbitotomia revealed the presence of septated hyphae. aspergillus fumigatus was grown from the tissue. After surgical removal of the fungal masses, therapy with amphotericin b (1 mg kg(-1) body weight) plus itraconazole (Sempera, 200 mg per day) over 6 weeks was initiated. Five months later the patient's condition deteriorated again, with vomiting, nausea and pain behind the right eye plus increasing exophthalmus. Antifungal therapy was started again with amphotericin b and 5-fluorocytosine. neutropenia did not occur. The patient became somnolent and deteriorated, a meningitis was suggested. Aspergillus antigen (titre 1:2, Pastorex) was detected in liquor. Anti-Aspergillus antibodies were not detectable. Both the right eye and retrobulbar fungal masses were eradicated by means of an exenteratio bulbi et orbitae. However, renal insufficiency and an apallic syndrome developed and the patient died. At autopsy, a mycotic aneurysm of the arteria carotis interna dextra was detected. The mycotic vasculitis of this aneurysm had caused a rupture of the blood vessel followed by a massive subarachnoidal haemorrhage. In addition, severe mycotic sphenoidal sinusitis and aspergillosis of the right orbit were seen, which had led to a bifrontal meningitis.- - - - - - - - - - ranking = 4keywords = diabetic (Clic here for more details about this article) |
3/16. Clinically occult isolated right iliac mycotic aneurysm with duodenal involvement in a diabetic elderly man: multislice CT diagnosis.A diabetic old man presented with vague abdominal discomfort and intermittent tarry stools for 2 days and gastric ulcers with bleeding was diagnosed after endoscopy. Multislice computed tomography (MSCT) clearly depicted an isolated right iliac mycotic aneurysm with retroperitoneal extension and duodenal involvement. Timely operation and effective antibiotic treatment resulted in complete recovery. To our knowledge, this is the first report of an isolated mycotic iliac artery aneurysm (IAA) complicated with an aneurysmo-duodenal fistula induced by klebsiella pneumoniae.- - - - - - - - - - ranking = 5keywords = diabetic (Clic here for more details about this article) |
4/16. Complications of ENT infections: pseudoaneurysm of the internal carotid artery.Ear, nose and throat infections are common, especially in children and young adults. Since the advent of antibiotics, complications from tonsillitis and pharyngeal abscess are rare, but potentially lethal. Vascular complications can be imaged with Doppler ultrasound and CT scan. The treatment of infectious vascular complications represents a significant challenge. We describe the case of a young girl presenting with a pseudoaneurysm of the internal carotid and thrombosis of the internal jugular vein. Endovascular therapy was utilized to treat the patient.- - - - - - - - - - ranking = 32.334573988635keywords = vascular complication (Clic here for more details about this article) |
5/16. Mycotic aneurysm due to burkholderia pseudomallei infection: case reports and literature review.melioidosis caused by burkholderia pseudomallei infection is endemic in Southeast asia and Northern australia. Cardiovascular complications resulting in mycotic aneurysms are very rare. To our knowledge, there have only been 6 isolated case reports published in the literature to date. We report 6 cases of melioidosis in singapore that presented as aortic aneurysms.- - - - - - - - - - ranking = 32.334573988635keywords = vascular complication (Clic here for more details about this article) |
6/16. Serendipitous scintigraphic detection of asymptomatic anastomotic pseudoaneurysms in human pancreatic allografts.Two cases of scintigraphically detected asymptomatic graft anastomotic pseudoaneurysms are reported. Both patients previously underwent simultaneous renal and pancreatic transplantation. The role of imaging in the diagnosis of this relatively rare, but potentially lethal, vascular complication of pancreatic transplantation is discussed. This is the first report of anastomotic pseudoaneurysms in pancreatic transplants being diagnosed by scintigraphy.- - - - - - - - - - ranking = 32.334573988635keywords = vascular complication (Clic here for more details about this article) |
7/16. Mycotic aortic aneurysm infected by clostridium septicum--a case history.The authors describe a sixty-seven-year-old hypertensive, diabetic man with a mycotic abdominal aortic aneurysm infected with clostridium septicum. The patient had colonic polyps but no malignant disease. They could find only one other report of a mycotic aneurysm infected with C. septicum. In that case, as in most other cases of C. septicum bacteremia, the patient had gastrointestinal cancer. Their case suggests that treatment for a clostridial infection should be considered in patients with known gastrointestinal disease, signs and symptoms of sepsis, and abdominal pain. Conversely, patients known to have a C. septicum infection should be evaluated for gastrointestinal lesions.- - - - - - - - - - ranking = 1keywords = diabetic (Clic here for more details about this article) |
8/16. Antibiotic therapy for arterial infection: lessons from the successful treatment of a mycotic femoral artery aneurysm without surgical reconstruction.A mycotic femoral artery aneurysm developed in a diabetic man with bacteremia from a staphylococcus aureus urinary tract infection. Because of severe concomitant congestive heart failure and hypothyroidism, surgical reconstruction of the femoral artery was deferred while the patient received an intensive course of intravenous nafcillin. This led to stabilization of the size of the femoral aneurysm for two years, during which time it remained asymptomatic. Three such cases of nonsurgical treatment of a mycotic aneurysm have been documented. Surgical ligation, drainage, and bypass remain the mainstay therapies for mycotic aneurysms, but these cases demonstrate the possibility of sterilizing a primary arterial infection under the highly selected circumstances of an exquisitely sensitive organism, absence of periarterial abscess and readily observable anatomic location. Most importantly, these cases provide assurance that a six-week course of parenteral antibiotics is a reasonable adjunctive treatment for residual endovascular infection.- - - - - - - - - - ranking = 1keywords = diabetic (Clic here for more details about this article) |
9/16. Computed tomography and ultrasound diagnosis of mycotic aneurysm of the abdominal aorta due to salmonella.The case of a 56 year old diabetic Chinese male, with a salmonella bovismorbificans (serogroup C) mycotic aneurysm of the abdominal aorta is presented. The lesion was seen by computed tomography and ultrasound and the patient was successfully treated by primary resection, debridement and grafting. Computed tomography criteria for the diagnosis of mycotic aneurysms of the abdominal aorta are discussed. Ultrasound identified the aortic aneurysm correctly but was unable to demonstrate the associated psoas abscess in this case.- - - - - - - - - - ranking = 1keywords = diabetic (Clic here for more details about this article) |
10/16. Vascular manifestations in patients with ehlers-danlos syndrome.ehlers-danlos syndrome (EDS) is clinically and genetically a heterogenous disorder of connective tissue synthesis. Seven clinical types of this disease have been identified and the underlying biochemical defects defined in types IV through VII. Unfortunately, most patients with major vascular complications of EDS have few, if any of the commonly recognized musculoskeletal and cutaneous abnormalities. Recognition of the correct diagnosis and the application of accepted vascular surgical techniques may improve the morbidity and mortality for these patients.- - - - - - - - - - ranking = 32.334573988635keywords = vascular complication (Clic here for more details about this article) |
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