Bacillus Calmette-Guérin (BCG) is a live attenuated strain of Mycobacterium bovis that has been widely used for the treatment of superficial transitional cell carcinoma of the bladder. We describe a rare case of supra-renal mycotic aortic aneurysm secondary to BCG instillation in a 75-year-old male. Patients presenting with systemic symptoms post-instillation, possibly with an aneurysm, should ...

Figure 2. Gram stain of a blood culture showing a gram-negative rod with bipolar staining, giving the cell a distinctive " safety pin " appearance (original magnification, ϫ1000). Figure 1. Magnetic resonance angiography showing a mycotic aneu-rysm of the left common iliac artery caused by Burkholderia pseudomallei. Diagnosis: A mycotic aneurysm due to Burkholderia pseudomallei. Laboratory and ...

An 83-year-old febrile woman presented with leg pain. Her lateral right thigh was swollen, but no neurological or ischemic findings were noted. A computed tomography scan showed an abnormal right internal iliac artery leading directly into the posterior aspect of the thigh, which was determined to be a persistent sciatic artery (PSA) (Picture). The PSA was thrombosed, dilated, and surrounded by...

BACKGROUND AND PURPOSE Patients with infective endocarditis may develop intracranial mycotic aneurysms. Whether these patients should undergo cerebral angiography followed by prophylactic surgery if an aneurysm is detected is an unresolved question. METHODS We estimated the probability of survival 12 weeks after the diagnosis of infective endocarditis on the basis of data available in the lit...

In order to study the effects of septic embolism on the brain, silicone rubber emboli of various types were injected into the carotid arteries of 35 dogs. Pathologic and angiographic studies were performed to assess the resultant arterial and parenchymal lesions. Pure silicone rubber emboli (14 dogs) produced occasional intra-arterial thrombosis but no arteritis. Sterile and bacterially contami...

Mycotic aneurysm of the abdominal aorta is an uncommon disease that carries a high mortality rate. In this report, two patients with this disease are presented. In the first case, Salmonella sp was cultured from an atherosclerotic aneurysm, and in the second patient, the aneurysm was a complication of Staphylococcus aureus bacterial endocarditis. Both presented suggestive clinical findings of t...

arteritis with aneurysm formation of the left common iliac. Extrinsic compression of the left ureter resulted in ureteral obstruction and Salmonella bacteremia secondary to pyelonephritis. An excision was performed, followed by an extra-anatomic bypass with an autologous superficial femoral vein. Salmonella septicemia after acute pyelonephritis in a patient aged over 50 years should raise the s...

A 61-year-old diabetic woman presented with a mycotic aneurysm of the aortic arch, also involving the left subclavian and vertebral arteries, caused by Staphylococcus aureus. Two months before, she had suffered from staphylococcal septic arthritis in her left knee. The patient was treated with antibiotics and an emergency operation was performed involving aneurysm excision and in situ synthetic...

We report two cases of distal cerebral aneurysms that were treated by parent artery occlusion with short Guglielmi detachable coils (GDCs). One patient had a presumed mycotic aneurysm of the distal left posterior cerebral artery, and the other had a partially clipped aneurysm of the distal right anterior inferior cerebellar artery that had hemorrhaged. Short GDCs allow controlled, accurate occl...