[Skip to Navigation]
Views 1,128
Citations 0
Images in Dermatology
February 19, 2020

Unilateral Septic Emboli From an Infected Pseudoaneurysm

Author Affiliations
  • 1Southern Illinois University School of Medicine, Springfield
  • 2Division of Dermatology, Southern Illinois University School of Medicine, Springfield
JAMA Dermatol. 2020;156(4):452. doi:10.1001/jamadermatol.2019.4927

A man in his 60s was admitted with a 3-day history of right lower extremity pain, edema, weakness, and rash. His medical history was significant for an untreated oral abscess 2 months previously as well as an unremarkable coronary angiogram performed via the right common femoral artery 9 years ago. On examination, he was febrile, with unilateral right lower extremity edema, weakness, tenderness, and purpuric macules and papules (Figure 1). Multiple blood cultures were positive for Streptococcus dysgalactiae. Unilateral localization of cutaneous lesions suggested a locoregional source of septic emboli. Computed tomography angiography showed a pseudoaneurysm of the right common femoral artery compressing the right femoral vein, which contained a partially occlusive thrombus (Figure 2). A transesophageal echocardiogram was unremarkable.

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words
    ×