Korean J Med Mycol.  2017 Dec;22(4):172-177. 10.17966/KJMM.2017.22.4.172.

Infected Thoracic Aortic Aneurysm Concurrent with Endophthalmitis by Candida albicans: a Case Report

• Kwon HH

• KMID: 2403738
• DOI: http://doi.org/10.17966/KJMM.2017.22.4.172

Abstract

Candida species cause various invasive fungal diseases, including candidemia, endocarditis, endophthalmitis, peritonitis, osteomyelitis and arthritis, but infected (mycotic) aortic aneurysms caused by Candida species are very rare. So, we report a case of infected thoracic aortic aneurysm concurrent with endophthalmitis by Candida albicans in a 42-year-old man. The patient initially was diagnosed with candidial endophthalmitis and hospitalized for vitrectomy. On admission, he had chest CT taken and infected thoracic aortic aneurysm was detected. He treated with antifungal agent and resection and patch repair of aortic aneurysm. Two months later, a new aneurysm on the patch repair site was detected and thoracic endovascular aortic repair (TEVAR) was performed. After TEVAR and long-term antifungal therapy, his infected aortic aneurysm has been successfully treated.

Keyword

Candida albicans; Infected aortic aneurysm; Mycotic; Endophthalmitis

MeSH Terms

Adult
Aneurysm
Aortic Aneurysm
Aortic Aneurysm, Thoracic*
Arthritis
Candida albicans*
Candida*
Candidemia
Endocarditis
Endophthalmitis*
Humans
Osteomyelitis
Peritonitis
Tomography, X-Ray Computed
Vitrectomy