Implications of Clostridium septicum in Vascular Surgery: A Case Report and Outcomes Literature Review.
Ann Vasc Surg
; 43: 314.e5-314.e11, 2017 Aug.
Article
em En
| MEDLINE
| ID: mdl-28479472
ABSTRACT
Clostridium septicum is a rare organism, accounting for approximately 1.3% of clostridial infections and is associated with synchronous colonic malignancy. This case report describes a patient successfully treated for a mycotic aortic aneurysm secondary to C. septicum bacteremia. Subsequent evaluation confirmed a colonic malignancy, prompting early intervention. A systematic literature review revealing a rate of gastrointestinal malignancy in this patient population is 71%, and hematologic malignancy is 3.9%, with the remaining cohort of patients having an unknown source. Infectious involvement of the aorta and associated vascular structures portends a poor prognosis with a 57% mortality rate. Our case and updated review demonstrates the implications of C. septicum vascular seeding and subsequent treatment outcomes.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Aneurisma Infectado
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Adenocarcinoma
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Infecções por Clostridium
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Aneurisma da Aorta Abdominal
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Neoplasias do Colo
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Implante de Prótese Vascular
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Clostridium septicum
Tipo de estudo:
Diagnostic_studies
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Prognostic_studies
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Screening_studies
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Systematic_reviews
Limite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Ann Vasc Surg
Assunto da revista:
ANGIOLOGIA
Ano de publicação:
2017
Tipo de documento:
Article