Listeria monocytogenes as a rare cause of mycotic aortic aneurysm

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Presentation transcript:

Listeria monocytogenes as a rare cause of mycotic aortic aneurysm Ahmet Bal, MD, Frank Schönleben, MD, Abbas Agaimy, MD, André Gessner, MD, PhD, Werner Lang, MD Journal of Vascular Surgery Volume 52, Issue 2, Pages 456-459 (August 2010) DOI: 10.1016/j.jvs.2010.03.033 Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 1 Computed tomography (CT) scan of the first patient showing the ruptured mycotic aneurysm and retroperitoneal hematoma (see arrow). Journal of Vascular Surgery 2010 52, 456-459DOI: (10.1016/j.jvs.2010.03.033) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 2 A and B, Computed tomography (CT) scan of the second patient showing typical saccular morphology and surrounding inflammatory soft tissue mass (see arrows). Journal of Vascular Surgery 2010 52, 456-459DOI: (10.1016/j.jvs.2010.03.033) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 3 Histopathological findings (H&E stain) of infected aortic aneurysms from patient 1 (A-D) and patient 2 (E-F). A, Extensive atherosclerosis with calcifications (note thrombotic material in upper right field). B, Dense neutrophil aggregates at higher magnification bordering calcified plaques. C, Inflamed mural thrombus containing cholesterol clefts (lower midfield) and fibrin clots with dense bacterial aggregates (upper midfield). D, Higher magnification of bacterial organisms (seen as violet clumps). E, Overview of case 2 showing inflammation within fibroadipose adventitial tissue. F, Higher magnification of E. Journal of Vascular Surgery 2010 52, 456-459DOI: (10.1016/j.jvs.2010.03.033) Copyright © 2010 Society for Vascular Surgery Terms and Conditions