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Lawsonella clevelandensis is a rare cause of infected chronic contained rupture of abdominal aortic aneurysm
Lawsonella clevelandensis is an anaerobic, partially acid-fast, Gram-positive bacillus associated with abscess formation. We present the case of a 70-year-old male with chronic contained rupture of abdominal aortic aneurysm (CCR-AAA) complicated by intra-abdominal abscess formation. An abdominal com...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Microbiology Society
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8115980/ https://www.ncbi.nlm.nih.gov/pubmed/33997614 http://dx.doi.org/10.1099/acmi.0.000183 |
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author | Ahmed, Wissam Dewar, Simon Williams, Robin Stansby, Gerard Harris, Kathryn Weiand, Daniel |
author_facet | Ahmed, Wissam Dewar, Simon Williams, Robin Stansby, Gerard Harris, Kathryn Weiand, Daniel |
author_sort | Ahmed, Wissam |
collection | PubMed |
description | Lawsonella clevelandensis is an anaerobic, partially acid-fast, Gram-positive bacillus associated with abscess formation. We present the case of a 70-year-old male with chronic contained rupture of abdominal aortic aneurysm (CCR-AAA) complicated by intra-abdominal abscess formation. An abdominal computed tomography scan revealed a rim-enhancing retroperitoneal collection tracking into the subcutaneous layer of the left flank and buttock, suggestive of CCR-AAA with infected haematoma. He underwent ultrasound-guided needle aspiration of the intra-abdominal collection. Conventional culture techniques failed to isolate L. clevelandensis , and the diagnosis was only confirmed by means of 16S rRNA PCR. The patient underwent branched endovascular repair of his aneurysm, and was commenced on treatment with co-amoxiclav, resulting in significant reduction in the size of the infected collection. This is only the second reported case of infection with L. clevelandensis in the UK, and the first reported case of this organism causing infected CCR-AAA. |
format | Online Article Text |
id | pubmed-8115980 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Microbiology Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-81159802021-05-13 Lawsonella clevelandensis is a rare cause of infected chronic contained rupture of abdominal aortic aneurysm Ahmed, Wissam Dewar, Simon Williams, Robin Stansby, Gerard Harris, Kathryn Weiand, Daniel Access Microbiol Case Report Lawsonella clevelandensis is an anaerobic, partially acid-fast, Gram-positive bacillus associated with abscess formation. We present the case of a 70-year-old male with chronic contained rupture of abdominal aortic aneurysm (CCR-AAA) complicated by intra-abdominal abscess formation. An abdominal computed tomography scan revealed a rim-enhancing retroperitoneal collection tracking into the subcutaneous layer of the left flank and buttock, suggestive of CCR-AAA with infected haematoma. He underwent ultrasound-guided needle aspiration of the intra-abdominal collection. Conventional culture techniques failed to isolate L. clevelandensis , and the diagnosis was only confirmed by means of 16S rRNA PCR. The patient underwent branched endovascular repair of his aneurysm, and was commenced on treatment with co-amoxiclav, resulting in significant reduction in the size of the infected collection. This is only the second reported case of infection with L. clevelandensis in the UK, and the first reported case of this organism causing infected CCR-AAA. Microbiology Society 2020-11-25 /pmc/articles/PMC8115980/ /pubmed/33997614 http://dx.doi.org/10.1099/acmi.0.000183 Text en © 2021 The Authors https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License. The Microbiology Society waived the open access fees for this article |
spellingShingle | Case Report Ahmed, Wissam Dewar, Simon Williams, Robin Stansby, Gerard Harris, Kathryn Weiand, Daniel Lawsonella clevelandensis is a rare cause of infected chronic contained rupture of abdominal aortic aneurysm |
title |
Lawsonella clevelandensis is a rare cause of infected chronic contained rupture of abdominal aortic aneurysm |
title_full |
Lawsonella clevelandensis is a rare cause of infected chronic contained rupture of abdominal aortic aneurysm |
title_fullStr |
Lawsonella clevelandensis is a rare cause of infected chronic contained rupture of abdominal aortic aneurysm |
title_full_unstemmed |
Lawsonella clevelandensis is a rare cause of infected chronic contained rupture of abdominal aortic aneurysm |
title_short |
Lawsonella clevelandensis is a rare cause of infected chronic contained rupture of abdominal aortic aneurysm |
title_sort | lawsonella clevelandensis is a rare cause of infected chronic contained rupture of abdominal aortic aneurysm |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8115980/ https://www.ncbi.nlm.nih.gov/pubmed/33997614 http://dx.doi.org/10.1099/acmi.0.000183 |
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