A mycotic aneurysm caused by a Clostridium septicum is a rare infection and has a strong association with colorectal cancer. If left untreated, the mortality rate of the first 24 h is high. This case report discusses the optimal treatment of emergency surgery combined with antibiotic treatment to improve survival. We present a fatal case of a 71-year-old male with absceda- tion of a caecal carcinoma who shortly after developed a mycotic aneurysm of the infrarenal aorta as a result of a C. septicum infection. Keywords Mycotic aneurysm · Colorectal cancer · Clostridium septicum · Gas gangrene · Antibiotic treatment Introduction Case presentation Clostridium septicum (C. septicum) is an anaerobic, gram- A 71-year-old male with a medical history of hyperten- positive spore-forming bacterium. Despite the fact that C. sion and benign prostatic hyperplasia presented himself septicum only accounts for 1.3% of all clostridial infections, to a general practitioner with cramping pain located in the C. septicum is well known for its association with colorectal right abdomen for 6 weeks. He also suffered from signifi- cancer (CRC), often occult . One of the clinical manifes- cant unintentional weight loss of 14 kg (14.1%). At physical tations following CRC is gas gangrene, which causes aor- examination, a tumour
Infection – Springer Journals
Published: May 29, 2018
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