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Mycotic Aortic AneurysmA Complication of Campylobacterfetus Septicemia
Jonathan R. Anolik, MD;
Donna Mildvan, MD;
Joseph W. Winter, PhD;
Donald Puttlitz, PhD;
Stephen Rubenstein, MD;
Harvey Lozman, MD
Arch Intern Med. 1983;143(3):609-610.
Abstract
• The first surviving case, to our knowledge, of a Campylobacter fetus mycotic aortic aneurysm is reported. Bacteremia and an ileofemoral thrombophlebitis preceded the development of the infected aneurysm, reconfirming the vascular tropism of this organism. The clinical similarity with infections caused by Salmonella choleraesuis is illustrated by this case. The full recovery of our patient attests to the efficacy of extraanatomic bypass combined with long-term antibiotic therapy 2inthe treatment of aortic mycotic aneurysm. Because of frequent changes in nomenclature and insufficient emphasis on speciation of the various campylobacters, pathogenesis and optimal antimicrobial therapy for systemic C fetus infections have not yet been adequately defined.
(Arch Intern Med 1983;143:609-610)
Author Affiliations
From the Departments of Medicine (Drs Anolik, Mildvan, and Rubenstein), Pathology (Drs Mildvan, Winter, and Puttlitz), and Surgery (Dr Lozman), Beth Israel Medical Center, Mount Sinai School of Medicine of the City University of New York. Dr Anolik is presently with the Department of Medicine, George Washington University School of Medicine, Washington, DC.
Footnotes
Accepted for publication July 19, 1982.
Reprint requests to Department of Medicine, Beth Israel Medical Center, 10 Nathan D. Perlman Pl, New York, NY 10003 (Dr Mildvan).
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