TITLE:
A palpable tender abdominal mass in a patient with endocarditis on antibiotics for 5 weeks
AUTHORS:
Stephanie L. Smeltzer, Lourdes C. Corman
KEYWORDS:
Mycotic Aneurysm; Pseudoaneurysm; Enterococcal Endocarditis
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.2 No.1,
March
25,
2013
ABSTRACT: Mycotic aneurysms are a rare finding in the
post-antibiotic era but must still be considered as a cause of abdominal pain
in a patient with endocarditis. We present a
case of a 47-year-old man with a history of IV drug use and a prior episode of endocarditis who developed a mycotic aneurysm while hospitalized on IV
antibiotic therapy for aortic valve endocarditis. Due to their
life-threatening character and often lack of evident clinical picture,
mycotic aneurysms should still remain in high suspicion for a patient with
abdominal pain in the setting of endocarditis.