Mycotic aortic and left iliac ruptured aneurysm due to Escherichia Coli: a case report and literature overview

Abstract

Mycotic aneurysm is a life-threatening disease often caused by Salmonella, Staphylococci and Streptococci species. Interestingly, Escherichia Coli (E. Coli) is described as a rare causative agent. We report the case of a patient who developed a mycotic aortic and ruptured left iliac aneurysm due to E. Coli. The patient developed a secondary aortic graft infection due to a mesenteric ischemia with fecal peritonitis. A literature overview of the current knowledge on mycotic aortic aneurysms specifically due to E. Coli is discussed including the clinical characteristics of patients, the management of the disease and the post-operative outcomes.

Keywords:

• Escherichia coli
• mycotic aneurysm
• abdominal aortic aneurysm
• graft infection

Acknowledgements

We thank Dr Charles Voyton for his careful proofreading of the final manuscript.

Ethical approval

Informed consent has been obtained from the patient for publication of the case report and accompanying images.

Disclosure statement

No potential conflict of interest was reported by the author(s).