A Rare Case of Clostridium septicum Causing an Abdominal Aortic Endograft Leak

Amanda Kravetz, Sadie Martin, Gregory Fortin, Umer Feroze Malik

Abstract


The authors report a case of an African American female, status post-EVAR one and a half years prior, who presented to the emergency department with sudden onset of abdominal pain. Computed tomography revealed a type I endoleak and the presence of periaortic gas. The patient underwent an emergent open abdominal aortic endograft explant with in situ tube graft replacement. Blood and endograft tissue cultures grew Clostridium septicum. The patient died perioperatively of systemic multiple organ failure. C. septicum is a rare infection with lethal propensities and has a strong association with paraneoplastic syndromes. The underlying etiology of this patient’s bacteremia was likely associated with an immunodeficiency secondary to myelodysplastic syndrome. Importantly, if periaortic gas is present, the disease is far advanced and the prognosis is poor regardless of treatment; however, a combination of antibiotics and surgery should be initiated immediately.




J Med Cases • 2013;4(12):816-819
doi: http://dx.doi.org/10.4021/jmc1608e

Keywords


Clostridium septicum; Abdominal aortic endograft leak; Myelodysplastic syndrome

Full Text: HTML PDF
 
Home     |     Log In     |      About     |      Search     |      Current     |      Archives     |      Submit      |     Subscribe


 

     

Aims and Scope

Current Issues

Conflict of Interest

About Publisher

Editorial Board

Archives

Copyright

Company Profile

Editorial Office

Misconduct and Retraction

Permissions

Company Registration

Contact Us

Abstracting and Indexing

ICMJE

Ownership

Instructions to Authors

Access

Declaration of Helsinki

Contact Publisher

Submission Checklist

Reprints

Terms of Use

Company Address

Submit a Manuscript

Open Access Policy

Privacy Policy

Browse Journals

Publishing Fee

Publishing Policy

Disclaimer

Recent Highlights

Peer-Review Process

Publishing Quality

Code of Ethics

Advertising Policy

Manuscript Tracking

Advanced Search

For Librarians

Careers

Publishing Process

Publication Frequency

For Reviewers

Propose a New Journal

       
       

Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.        
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)


This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.journalmc.org   editorial contact: editor@journalmc.org
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.

DECLARATION: THIS JOURNAL SITE OUTLOOK IS DESIGNED BY THE PUBLISHER AND COPYRIGHT PROTECTED. DO NOT COPY!