Successful Endovascular Treatment of an Infected Aortic Aneurysm Induced by Klebsiella pneumoniae
변홍권, 김육, 이정환, 이지선, 박길선,
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변홍권 ( Byun Hong-Gwon )
Chungbuk National University Hospital Department of Radiology
김육 ( Kim Yook )
Chungbuk National University Hospital Department of Radiology
이정환 ( Lee Jung-Hwan )
Chungbuk National University Hospital Department of Radiology
이지선 ( Lee Ji-Sun )
Chungbuk National University Hospital Department of Radiology
박길선 ( Park Kil-Sun )
Chungbuk National University College of Medicine Department of Radiology
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.
키워드
Aneurysm, Infected; Endovascular Procedure; Klebsiella Infections; Antibiotics
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