TITLE:
Mycotic Aneurysm from Abiotrophia Defectiva Causing Subdural Hematoma with Herniation
AUTHORS:
Nihit Mehta, Matthew Baskind, Keith Collins, Jose Maria Acostamadiedo
KEYWORDS:
Abiotrophia Defectiva, Subdural Hematoma with Herniation, Mycotic Aneurysm
JOURNAL NAME:
Advances in Infectious Diseases,
Vol.12 No.4,
November
10,
2022
ABSTRACT: This case describes a ruptured mycotic aneurysm from Abiotrophia defectiva that led to a subdural hematoma and subsequent herniation. In the current literature, there have been cases highlighting mycotic aneurysms leading to subdural hematoma. Several others describe similar topics; however, none were caused by Abiotrophia defectiva, leading to a herniation event. Abiotrophia defectiva, while not common, is an insidious bacterium that is difficult to detect and leads to a poor prognosis. In their paper, Ding et al. described a hematoma formation from a ruptured aneurysm of the distal middle cerebral artery [1]. Similar cases include two instances published by Boukobza et al. [2]. These prior articles and our report summarizes that this diagnosis typically warrants careful evaluation of etiologies and close management of the patient.