Profunda femoris mycotic aneurysm as a complication of bacterial endocarditis: a case report and review of the literature

Ann R Coll Surg Engl. 2021 Sep;103(8):e259-e261. doi: 10.1308/rcsann.2020.7117.

Abstract

Profunda femoris aneurysms account for only 0.5% of all peripheral artery aneurysms. This case documents a profunda femoris mycotic aneurysm (MA) in a 47-year-old woman, three years post-treatment of bacterial endocarditis. The patient underwent an open surgical excision of the aneurysm with antibiotic cover and made a successful recovery. A literature review was carried out to look at other MA cases to summarise the most common presentations, infective agents and management strategies.

Keywords: Mycotic aneurysm; Profunda femoris; True aneurysm.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aneurysm, Infected / microbiology*
  • Aneurysm, Infected / therapy
  • Anti-Bacterial Agents / therapeutic use
  • Endocarditis, Bacterial / complications*
  • Endocarditis, Bacterial / microbiology
  • Female
  • Femoral Artery / microbiology*
  • Femoral Artery / surgery
  • Humans
  • Middle Aged
  • Staphylococcus
  • Streptococcal Infections / complications
  • Streptococcal Infections / drug therapy

Substances

  • Anti-Bacterial Agents

Supplementary concepts

  • Staphylococcus warneri