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Volume 28, Number 7—July 2022
Dispatch

Determining Infected Aortic Aneurysm Treatment Using Focused Detection of Helicobacter cinaedi

Saito JienComments to Author , Rimbara Emiko, Inaguma Shingo, Hasegawa Chihiro, Kamiya Shinji, Mizuno Akihiro, Sone Yoshiaki, Ogawa Tatsuhito, Numata Yukihide, Takahashi Satoru, and Asano Miki
Author affiliations: Nagoya City University East Medical Center, Aichi, Japan (S. Jien, I. Shingo, H. Chihiro, K. Shinji, M. Akihiro, S. Yoshiaki, O. Tatsuhito, N. Yukihide, A. Miki); National Institute of Infectious Diseases, Tokyo, Japan (R. Emiko); Nagoya City University, Aichi (T. Satoru)

Main Article

Table 2

Bacteriological examination, method of treatment, and outcomes for 10 patients with infected aortic aneurysms with or without Helicobacter cinaedi, Aichi, Japan, September 2017–January 2021*

Patient no. Age, y/sex Location Blood cultures ID Comorbidity Procedure‡ Antimicrobial
use period
Outcome
H. cinaedi group, n = 4†
1 72/M Aortic arch 75.3/negative ST6 DM TAR (positive) 6 mo Survival at 4 y
2 64/F Right common iliac Negative Unknown DM Y graft (negative) 6 mo Survival at 3 y
3 83/M Infrarenal aorta 86.5/160.8 ST18 Malignant lymphoma EVAR (NA) 6 mo Survival at 2 y
4
88/M
Infrarenal aorta
90.6/93.0
ST21
CKD
Medical treatment only (NA)
3 mo
Survival at 1 y
Non–H. cinaedi group, n = 6§
1 70/M Infrarenal aorta Negative MSSA None Y graft 6 mo Survival at 4 y
2 74/M Infrarenal aorta Negative Listeria monocytogenes None Y graft 6 mo Survival at 4 y
3 67/M Infrarenal aorta 12.6/12.6 Enterobacter cloacae AEF Y graft 6 mo Survival at 3 y
4 83/M Infrarenal aorta 12.3/12.3 MSSA DM Y graft 3 mo Survival at 3 y
5 86/F Thoracoabdominal aorta Negative MSSA None Medical treatment only 3 mo Survival at 1 y
6 80/M Infrarenal aorta 28.3/28.3 Salmonella enteritidis None Y graft Until death Death at POD 5

*DM, diabetes mellitus; CKD, chronic kidney disease; TAR, total arch replacement; EVAR, endovascular aortic repair; NA, not applicable; MSSA, methicillin-susceptible Staphylococcus aureus; AEF, aorto-enteric fistula; POD, postoperative day; ST, sequence type. †16S RNA results were positive for all patients. ‡Y graft replacement for abdominal aortic aneurysm. §Tissue culture results for all patients returned in 1 d; patient 5 had an abscess.

Main Article

Page created: May 05, 2022
Page updated: June 18, 2022
Page reviewed: June 18, 2022
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