J Korean Soc Radiol.
2020 May;81(3):733-738. 10.3348/jksr.2020.81.3.733.
Successful Endovascular Treatment of an Infected Aortic Aneurysm Induced by Klebsiella pneumoniae
- Affiliations
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- 1Department of Radiology, Chungbuk National University Hospital, Cheongju, Korea
- 2Department of Radiology, Chungbuk National University College of Medicine, Cheongju, Korea
- KMID: 2502370
- DOI: http://doi.org/10.3348/jksr.2020.81.3.733
Abstract
- Aortic aneurysms infected by Klebsiella pneumoniae are rarely seen. We describe a 50-year-old man with infected aortic aneurysm that was successfully treated with endovascular aneurysm repair (EVAR). Diagnosis was confirmed using blood culture and computed tomography (CT). Intravenous antibiotics were immediately administered, with improvements in clinical findings and negative blood cultures before the procedure. Twenty-four months after the procedure, the patient was stable and serial CT revealed regression of the infected aortic aneurysm. Therefore, after controlling bacteremia and fever with targeted antibiotic therapy, EVAR can be considered as an alternative for patients who have serious comorbidities and are ineligible for conventional surgery.
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