Yersinia enterocolitica: a rare cause of infected aortic aneurysm successfully treated with antibiotics and endovascular repair. Issue 2 (June 2014)

• Record Type: Journal Article
• Authors: Kumar, Prashant; Zhang, John; Miller, Sarah; Wilton, Gavin
• Is Part Of: JMM case reports. Volume 1:Issue 2(2014)
• Publication Date: 2014-06
• Subjects: abdominal aortic aneurysm -- antibiotics -- endovascular repair -- Yersinia enterocolitica; Medical microbiology -- Periodicals; 616.9041
• DOI: 10.1099/jmmcr.0.002626
• Languages: English
• ISSNs: 2053-3721

Abstract

Abstract : Introduction: Yersinia enterocolitica is a Gram‐negative coccobacillus belonging to the family Enterobacteriaceae . We present a rare case of abdominal aortic aneurysm infected with Y. enterocolitica that was successfully managed using intravenous antibiotics and endovascular aneurysm repair. Case presentation: A 74‐year‐old male was admitted with a 1‐week history of feeling generally unwell with worsening abdominal pain radiating through to his back. Inflammatory markers were raised and blood cultures grew Y. enterocolitica biotype 2. A computed topography scan revealed a 50 mm infected abdominal aortic aneurysm. The patient was successfully treated with intravenous antibiotics and endovascular aneurysm repair. Conclusion: Whilst endovascular aneurysm repair has been increasingly used to treat aortic aneurysms infected with a variety of pathogens, this is, to our knowledge, the first reported case of an aortic aneurysm infected with Y. enterocolitica being treated by such a technique. Further research is required to establish the long‐term outcomes of patients undergoing endovascular repair of infected aneurysms.