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Angiology
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Mycotic Aortic Aneurysm Infected by Clostridium septicum — A Case History

Liam Hurley

Department of Surgery at Cardinal Cushing Hospital, Brockton, Massachusetts, Department of Surgery, St. Elizabeth's Hospital, Boston, Massachusetts

Kenneth Howe

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. septi cum infection should be evaluated for gastrointestinal lesions.

Angiology, Vol. 42, No. 7, 585-589 (1991)
DOI: 10.1177/000331979104200711


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[Abstract] [PDF]



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