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Evolution of Bacterial Arteritis Into a Mycotic Aortic Aneurysm

Section of Vascular and Endovascular Surgery, East Carolina University, Greenville, North Carolina

Dorian deFreitas, MD

Section of Vascular and Endovascular Surgery, East Carolina University, Greenville, North Carolina

Charles S. Powell, MD, FACS

Section of Vascular and Endovascular Surgery, East Carolina University, Greenville, North Carolina

Michael Stoner, MD

Section of Vascular and Endovascular Surgery, East Carolina University, Greenville, North Carolina

Arteritis and mycotic aneurysms have been well described for more than 100 years. The authors report a case of bacterial arteritis that presented with pneumatosis of the aortic wall and that evolved over 1 week into an infected abdominal aortic aneurysm. This case documents the rapid progression from arteritis to mycotic aneurysm, highlighting the need for close radiologic follow-up and aggressive medical and surgical management.

Key Words: arteritis • mycotic aneurysm • antiobiotics

Vascular and Endovascular Surgery, Vol. 41, No. 2, 158-160 (2007)
DOI: 10.1177/1538574406298516


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