Abdominal aortic aneurysm infected by Yersinia enterocolitica
Abstract
Main clinical manifestations of Yersinia enterocolitica infections are acute gastroenteritis and pseudoappendicitis. Although extra intestinal complications have been documented, vascular infections are very rare. We report a case of Yersinia enterocolitica infection of an aortoabdominal aneurysm in a 78-year-old male patient with previous history of aneurysm. The patient was admitted to the Emergency Department with a condition of acute abdomen; after performing an angiotomography, he underwent aortic vascular replacement with homograft because of suspicion of rupture. He evolved with shock, multiple organ system failure and died shortly after surgery. Y. enterocolitica was recovered from cultures of aorta and thrombus. Pathogenesis of this infection may be related to release of septic emboli arising from endocarditis or bacteremia, or by contiguous foci of infection. Suspected diagnosis was infection of the aortic aneurysm by an adjacent intestinal infection though no previous symptoms, such as diarrhea, were documented. Cardiac echodoppler showed no evidence of bacterial endocarditis.
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References
2- Barcudi D, Contreras Funes V, González P, Huerta V, Grupo colaborativo de Yersinia de Córdoba, Sola C, Cortes P. Análisis fenotípico y genotípico de aislamientos clínicos de Yersinia enterocolitica de la ciudad de Córdoba, Argentina. Presencia bioquímica Dic 2014; 299: 5-10.
3- Sabina Y, Rahman A, Ray RC, Montet D. Yersinia enterocolitica: Mode of Transmission, Molecular Insights of Virulence, and Pathogenesis of Infection. J Pathog. 2011; 2011:429069.
4- Fàbrega A, Vila J. Yersinia enterocolitica: pathogenesis, virulence and antimicrobial resistance. Enferm Infecc Microbiol Clin. 2012 Jan; 30(1):24-32.
5- Rodio DM, Bressan A, Ambrosi C, Scribano D, Tolli R, Mansour W et al. Yersinia enterocolitica in Italy: A Case of Septicemia and Abdominal Aortic Aneurysm Infection. Front Med (Lausanne). 2018 May 24; 5:156.
6- Kumar HR, Eskandari MK. The benefit of early repair for a mycotic aortic aneurysm due to Yersinia enterocolitica infection. J Vasc Surg Cases. 2015 Mar 18; 1(1):61-64.
7- Perez Burkhardt JL. Aneurismas micóticos: particularidades diagnósticas y de tratamiento. Angiología. 2016; 68(1):46–54
8- Cepeda González C, García Benedito P, Rodríguez Maya B, Culebras Requena J. Aortitis bacteriana aguda por Yersinia enterocolitica. Enferm Infecc Microbiol Clin. 2016 Nov 34(9):604-605.
9- Maeda H, Umezawa H, Goshima M, Hattori T, Nakamura T, Umeda T, Shiono M. Primary infected abdominal aortic aneurysm: surgical procedures, early mortality rates, and a survey of the prevalence of infectious organisms over a 30-year period. Surg Today. 2011 Mar; 41(3):346-51.
10- Gkouletsos T, Patas K, Lambrinidis G, Neubauer H, Sprague LD, Ioannidis A, Chatzipanagiotou S. Antimicrobial resistance of Yersinia enterocolitica and presence of plasmid pYV virulence genes in human and animal isolates. New Microbes New Infect. 2019 Oct 7; 32:100604
Copyright (c) 2023 Analía Fernández, Patricia Andres, Sergio Andino Di Masi , Bárbara Aristimuño, Carla Medina Villafuerte, Elizabeth Madsen
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