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Article
March 1983

Mycotic Aortic Aneurysm: A Complication of Campylobacterfetus Septicemia

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.

Arch Intern Med. 1983;143(3):609-610. doi:10.1001/archinte.1983.00350030223047
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)

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