Open AccessPRIMARILY INFECTED ANEURYSM OF THE INFRARENAL PORTION OF THE ABDOMINAL AORTA
Author(s) -
А. А. Лызиков,
Melvin H. Kaplan
Publication year - 2018
Publication title -
problemy zdorovʹâ i èkologii
Language(s) - English
Resource type - Journals
eISSN - 2708-6011
pISSN - 2220-0967
DOI - 10.51523/2708-6011.2018-15-3-13
Subject(s) - medicine , citrobacter freundii , abdominal aorta , aneurysm , surgery , abdominal aortic aneurysm , mycotic aneurysm , aorta , lumen (anatomy) , radiology , revascularization , biochemistry , escherichia coli , myocardial infarction , klebsiella pneumoniae , gene , chemistry
Primarily infected aneurysm of the abdominal aorta is a rare but life-threatening disease that is difficult to diagnose. The progression of the disease and absence of timely surgical treatment lead to development of such complications as a rupture, which is accompanied by an extremely high mortality rate. The article presents a clinical case of a verified infected aneurysm of the infrarenal aorta caused by Citrobacter freundii . The clinical case describes successful treatment of a primary infected aortic aneurysm with open surgical resection and revascularization by aortic-bifemoral bypass. The intraoperative findings allowed to suspect that the aneurysm was infected, and a sample from its lumen was taken for bacteriological examination. The specific features of the course of the postoperative period were a long-term remitting fever, a long period of lymphorrhea from areas of postoperative wounds. This condition required adjustment of the antibacterial therapy according to the sensitivity of the detected Citrobacter freundii .