Korean J Infect Dis.  1999 Apr;31(2):160-162.

A Case of Infective Endocarditis Complicated with Mycotic Aneurysm of Superior Mesenteric Artery

Affiliations
  • 1Division of Infectious Disease, Department of Medicine, Sungkunkwan University, College of Medicine, Samsung Medical Center, Seoul, Korea.
  • 2Division of Cardiolgy, Department of Medicine, Sungkunkwan University, College of Medicine, Samsung Medical Center, Seoul, Korea.

Abstract

Mycotic aneurysm of mesenteric artery is an uncommon complication of infective endocarditis. Early diagnosis is important and surgical intervention is often needed for effective treatment of mycotic aneurysm of mesenteric artery because of the high incidence of aneurysmal rupture. We experienced a case of infective endocarditis complicated with mycotic aneurysm of the superior mesenteric artery in a 54-year old man, who was admitted because of pain on the right lower quadrant of abdomen. Echocardiography showed mitral regurgit-ation and vegetations on the mitral valve and viridans streptococcus was identified from blood cultures. He was successfully treated with ceftriaxone and gentamicin for the initial 2 weeks, then ceftriaxone alone for two weeks more without surgical intervention. To our knowledge, this is the first case of infective endocarditis complicated with superior mesenteric artery aneurysm in Korea.

Keyword

Endocarditis; Mycotic aneurysm; Superior mesenteric artery aneurysm

MeSH Terms

Abdomen
Aneurysm
Aneurysm, Infected*
Ceftriaxone
Early Diagnosis
Echocardiography
Endocarditis*
Gentamicins
Humans
Incidence
Korea
Mesenteric Arteries
Mesenteric Artery, Superior*
Middle Aged
Mitral Valve
Rupture
Streptococcus
Ceftriaxone
Gentamicins
Full Text Links
  • KJID
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr