Fungal aortitis with mycotic aneurysms
Sepsis and abdominal pain.
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Stranding and wall thickening involving a 5 cm length of the distal abdominal aorta at the bifurcation. This extends to involve approximately 2 cm of the proximal aspects of both common iliac arteries. The finding is in keeping with aortitis.
There are lobulated saccular aneurysms arising from the aortitis.
There is an associated peri-aortic collection with gas extending anterior and inferior to the aorta.
CT-guided biopsy of the peri-aortic inflammatory mass was performed and Aspergillus fumigatus was isolated.
Fungal infection is a rare cause of aortitis, with Candida and Aspergillus the most common fungi.
- 1. Deitch J, Plonk G, Peacock J et-al. Journal of Vascular Surgery. 1999;30 (1): . doi:10.1016/S0741-5214(99)70191-6