Implications of Clostridium septicum in vascular surgery: a case report and outcomes literature review.
Citation: Annals of Vascular Surgery. 43:314.e5-314.e11, 2017 AugPMID: 28479472Institution: MedStar Washington Hospital CenterDepartment: SurgeryForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Adenocarcinoma/mi [Microbiology] | *Aneurysm, Infected/su [Surgery] | *Aortic Aneurysm, Abdominal/su [Surgery] | *Blood Vessel Prosthesis Implantation | *Clostridium Infections/su [Surgery] | *Clostridium septicum/ip [Isolation & Purification] | *Colonic Neoplasms/mi [Microbiology] | Adenocarcinoma/dg [Diagnostic Imaging] | Adenocarcinoma/su [Surgery] | Adult | Aged | Aged, 80 and over | Aneurysm, Infected/dg [Diagnostic Imaging] | Aneurysm, Infected/mi [Microbiology] | Anti-Bacterial Agents/tu [Therapeutic Use] | Aortic Aneurysm, Abdominal/dg [Diagnostic Imaging] | Aortic Aneurysm, Abdominal/mi [Microbiology] | Aortography/mt [Methods] | Biopsy | Clostridium Infections/dg [Diagnostic Imaging] | Clostridium Infections/mi [Microbiology] | Colectomy | Colonic Neoplasms/dg [Diagnostic Imaging] | Colonic Neoplasms/su [Surgery] | Colonoscopy | Computed Tomography Angiography | Early Detection of Cancer/mt [Methods] | Female | Humans | Male | Middle Aged | Treatment OutcomeYear: 2017Local holdings: Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007ISSN:- 0890-5096
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | 28479472 | Available | 28479472 |
Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007
Clostridium septicum is a rare organism, accounting for approximately 1.3% of clostridial infections and is associated with synchronous colonic malignancy. This case report describes a patient successfully treated for a mycotic aortic aneurysm secondary to C. septicum bacteremia. Subsequent evaluation confirmed a colonic malignancy, prompting early intervention. A systematic literature review revealing a rate of gastrointestinal malignancy in this patient population is 71%, hematologic malignancy is 3.9%, with the remaining cohort of patients having an unknown source. Infectious involvement of the aorta and associated vascular structures portends a poor prognosis with a 57% mortality rate. Our case and updated review demonstrates the implications of C. septicum vascular seeding and subsequent treatment outcomes.
Copyright (C) 2017 Elsevier Inc. All rights reserved.
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