A palpable tender abdominal mass in a patient with endocarditis on antibiotics for 5 weeks

• 作者: Lourdes C. Corman Stephanie L. Smeltzer
• 来源期刊: 临床医学病理报告(英文)
• 学科: 医学
• 关键词: MYCOTIC ANEURYSM PSEUDOANEURYSM Enterococcal ENDOCARDITIS
• 年，卷（期）: 2013,（1）
• 页码范围: 58-59
• 页数: 2页
• 分类号: R5

摘要

Mycotic aneurysms are a rare finding in the post-antibiotic era but must still be considered as a cause of abdominal pain in a patient with endocarditis. We present a case of a 47-year-old man with a history of IV drug use and a prior episode of endocarditis who developed a mycotic aneurysm while hospitalized on IV antibiotic therapy for aortic valve endocarditis. Due to their life-threatening character and often lack of evident clinical picture, mycotic aneurysms should still remain in high suspicion for a patient with abdominal pain in the setting of endocarditis.