Cryptococcal aortitis presenting as a symptomatic abdominal aortic aneurysm

Joseph Karam, Athanasios Tsiouris, Jose Antonio Vazquez, Alexander Shepard

Research output: Contribution to journalArticle

Abstract

We report a case of cryptococcal aortitis in a 59-year-old man presenting as a symptomatic suprarenal abdominal aortic aneurysm (AAA). The patient underwent repair of his aneurysm using a rifampin-soaked graft with omental wrapping. Intraoperative Gram stains showed yeast organisms, the cultures eventually grew Cryptococcus neoformans with results available 43 days postoperatively. He was started on antifungal therapy intraoperatively and will be on lifelong antifungal treatment. Our case is the first report of cryptoccocal aortitis presenting as a symptomatic AAA; the diagnosis of a true mycotic aneurysm was made intraoperatively.

Original languageEnglish (US)
Pages (from-to)363.e9-363.e11
JournalAnnals of Vascular Surgery
Volume29
Issue number2
DOIs
StatePublished - Feb 1 2015

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Aortitis
Abdominal Aortic Aneurysm
Infected Aneurysm
Cryptococcus neoformans
Rifampin
Aneurysm
Yeasts
Transplants
Therapeutics

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

Cryptococcal aortitis presenting as a symptomatic abdominal aortic aneurysm. / Karam, Joseph; Tsiouris, Athanasios; Vazquez, Jose Antonio; Shepard, Alexander.

In: Annals of Vascular Surgery, Vol. 29, No. 2, 01.02.2015, p. 363.e9-363.e11.

Research output: Contribution to journalArticle

Karam, Joseph ; Tsiouris, Athanasios ; Vazquez, Jose Antonio ; Shepard, Alexander. / Cryptococcal aortitis presenting as a symptomatic abdominal aortic aneurysm. In: Annals of Vascular Surgery. 2015 ; Vol. 29, No. 2. pp. 363.e9-363.e11.
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