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Case Reports
. 2014 Jan 17:2014:bcr2013202712.
doi: 10.1136/bcr-2013-202712.

A mycotic abdominal aortic aneurysm caused by Listeria monocytogenes in a patient with HIV infection

Jesper Damsgaard Gunst  1 , Søren Jensen-Fangel
Affiliations
Case Reports

A mycotic abdominal aortic aneurysm caused by Listeria monocytogenes in a patient with HIV infection

Jesper Damsgaard Gunst et al. BMJ Case Rep. .

Abstract

A 65-year-old man with HIV infection presented with acute severe abdominal pain radiating to the back. A CT scan revealed an infrarenal abdominal aortic aneurysm, and an aortobifemoral bypass was undertaken. Subsequently, tissue specimens from the aortic wall grew Listeria monocytogenes. The patient received 8 weeks of intravenous antibiotic treatment followed by oral sulfotrim as secondary prophylaxis and made an uneventful recovery.

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Figures

Figure 1
Figure 1
Contrast-enhanced CT scan of the coronal (A) and axial (B) sections revealing a 5 cm wide×8 cm long infrarenal aortic aneurysm (arrow) with periaortic soft tissue attenuation and fat stranding.
See this image and copyright information in PMC

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