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Mycotic aortic aneurysm in a debilitated patient with compromised immunity; beware of Candida! / Aneurisma micótico da aorta em paciente debilitado com imunidade comprometida - um alerta para Cândida
Gunawardena, Thilina; Godakandage, Manujaya; Abeywickrama, Sachith; Cassim, Rezni; Wijeyaratne, Mandika.
  • Gunawardena, Thilina; The Royal Liverpool University Hospital. Liverpool. GB
  • Godakandage, Manujaya; The Royal Liverpool University Hospital. Liverpool. GB
  • Abeywickrama, Sachith; The Royal Liverpool University Hospital. Liverpool. GB
  • Cassim, Rezni; The Royal Liverpool University Hospital. Liverpool. GB
  • Wijeyaratne, Mandika; The Royal Liverpool University Hospital. Liverpool. GB
J. vasc. bras ; 20: e20210122, 2021. graf
Article in English | LILACS | ID: biblio-1351011
ABSTRACT
Abstract Candida is a rare cause of infected aortic aneurysms. We report the case of a diabetic patient with end stage kidney disease who underwent repair of a leaking abdominal aortic aneurysm. He was on long-term antibiotic treatment for malignant otitis externa. Candida albicans was isolated from the culture of the excised aneurysm wall. An infected aortic aneurysm due to Candida has not been previously reported in a patient with malignant otitis externa. This case report aims to highlight that Candida should be suspected as a cause of infected aortic aneurysms in patients with debilitation and chronic immunosuppression. Management of such cases can be extremely challenging, especially in resource-poor settings, and we will be touching upon the advantages and disadvantages of various treatment options.
RESUMO
Resumo A cândida é uma causa rara de aneurismas da aorta infecciosos. Relatamos o caso de um paciente diabético com doença renal terminal, que foi submetido a reparo de aneurisma da aorta abdominal com vazamento. Ele estava em tratamento de longo prazo com antibióticos para otite externa maligna. A Candida albicans foi isolada da cultura da parede do aneurisma que sofreu a excisão. Não há relatos prévios de aneurisma da aorta infeccioso causado por cândida em pacientes com otite externa maligna. Este relato de caso visa reforçar que a cândida deve ser uma das suspeitas de causa de aneurisma da aorta infeccioso em pacientes debilitados e com imunossupressão crônica. O manejo desses casos pode ser extremamente desafiador, principalmente em contextos em que os recursos são escassos, e mencionaremos as vantagens e desvantagens das diversas opções de tratamento.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Otitis Externa / Aneurysm, Infected / Aortic Aneurysm, Abdominal Type of study: Etiology study / Screening study Limits: Aged / Humans / Male Language: English Journal: J. vasc. bras Journal subject: Cardiology Year: 2021 Type: Article Affiliation country: United kingdom Institution/Affiliation country: The Royal Liverpool University Hospital/GB

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Full text: Available Index: LILACS (Americas) Main subject: Otitis Externa / Aneurysm, Infected / Aortic Aneurysm, Abdominal Type of study: Etiology study / Screening study Limits: Aged / Humans / Male Language: English Journal: J. vasc. bras Journal subject: Cardiology Year: 2021 Type: Article Affiliation country: United kingdom Institution/Affiliation country: The Royal Liverpool University Hospital/GB