Korean J Crit Care Med.  2014 Aug;29(3):231-233. 10.4266/kjccm.2014.29.3.231.

Mycotic Aneurysm of the Aortic Arch

Affiliations
  • 1Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. cmcws@hanmail.net

Abstract

A mycotic aneurysm of the thoracic aorta is rare. We report a case of mycotic aneurysm that developed in the aortic arch. An 86-year-old man was admitted with fever and general weakness. Blood culture yielded methicillin-resistant Staphylococcus aureus. Chest X-ray showed an enlarged aortic arch, and computed tomography scan revealed an aneurysm in the aortic arch. The patient was treated only with antibiotics and not surgically. The size of the aneurysm increased rapidly, resulting in bronchial obstruction and superimposed pneumonia. The patient died of respiratory failure.

Keyword

aortic arch; infected aneurysm; Staphylococcus aureus

MeSH Terms

Aged, 80 and over
Aneurysm
Aneurysm, Infected*
Anti-Bacterial Agents
Aorta, Thoracic*
Fever
Humans
Methicillin-Resistant Staphylococcus aureus
Pneumonia
Respiratory Insufficiency
Staphylococcus aureus
Thorax
Anti-Bacterial Agents
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