Successful Endovascular Treatment of an Infected Aortic Aneurysm Induced by Klebsiella pneumoniae
10.3348/jksr.2020.81.3.733
- Author:
Hong Gwon BYUN
1
;
Yook KIM
;
Jung Hwan LEE
;
Jisun LEE
;
Kil Sun PARK
Author Information
1. Department of Radiology, Chungbuk National University Hospital, Cheongju, Korea
- Publication Type:Case Report
- From:Journal of the Korean Radiological Society
2020;81(3):733-738
- CountryRepublic of Korea
-
Abstract:
Aortic aneurysms infected by Klebsiella pneumoniae are rarely seen. We describe a 50-year-old man with infected aortic aneurysm that was successfully treated with endovascular aneurysm repair (EVAR). Diagnosis was confirmed using blood culture and computed tomography (CT). Intravenous antibiotics were immediately administered, with improvements in clinical findings and negative blood cultures before the procedure. Twenty-four months after the procedure, the patient was stable and serial CT revealed regression of the infected aortic aneurysm. Therefore, after controlling bacteremia and fever with targeted antibiotic therapy, EVAR can be considered as an alternative for patients who have serious comorbidities and are ineligible for conventional surgery.