TY  - BOOK
AU  - Alimi, Yewande
AU  - Sosin, Michael
TI  - Implications of Clostridium septicum in vascular surgery: a case report and outcomes literature review
SN  - 0890-5096
PY  - 2017///
KW  - *Adenocarcinoma/mi [Microbiology]
KW  - *Aneurysm, Infected/su [Surgery]
KW  - *Aortic Aneurysm, Abdominal/su [Surgery]
KW  - *Blood Vessel Prosthesis Implantation
KW  - *Clostridium Infections/su [Surgery]
KW  - *Clostridium septicum/ip [Isolation & Purification]
KW  - *Colonic Neoplasms/mi [Microbiology]
KW  - Adenocarcinoma/dg [Diagnostic Imaging]
KW  - Adenocarcinoma/su [Surgery]
KW  - Adult
KW  - Aged
KW  - Aged, 80 and over
KW  - Aneurysm, Infected/dg [Diagnostic Imaging]
KW  - Aneurysm, Infected/mi [Microbiology]
KW  - Anti-Bacterial Agents/tu [Therapeutic Use]
KW  - Aortic Aneurysm, Abdominal/dg [Diagnostic Imaging]
KW  - Aortic Aneurysm, Abdominal/mi [Microbiology]
KW  - Aortography/mt [Methods]
KW  - Biopsy
KW  - Clostridium Infections/dg [Diagnostic Imaging]
KW  - Clostridium Infections/mi [Microbiology]
KW  - Colectomy
KW  - Colonic Neoplasms/dg [Diagnostic Imaging]
KW  - Colonic Neoplasms/su [Surgery]
KW  - Colonoscopy
KW  - Computed Tomography Angiography
KW  - Early Detection of Cancer/mt [Methods]
KW  - Female
KW  - Humans
KW  - Male
KW  - Middle Aged
KW  - Treatment Outcome
KW  - MedStar Washington Hospital Center
KW  - Surgery
KW  - Journal Article
N1  - Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007
N2  - 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
UR  - https://dx.doi.org/10.1016/j.avsg.2017.03.178
ER  -