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Anales de Medicina Interna
Print version ISSN 0212-7199
Abstract
MARTINEZ-VAZQUEZ, C. et al. Mycotic pseudoaneurysm by Mycobacterium tuberculosis. An. Med. Interna (Madrid) [online]. 2001, vol.18, n.11, pp.44-46. ISSN 0212-7199.
Mycobacterium tuberculosis can involve any organ of the body, including the arteries. Usually the mycobacteria infects the arterial wall spreading from a contiguous foci. We report a case of tuberculous pseudoaneurysm involving the iliac artery clinically manifested as fever of unknown origin. The diagnosis relied on abdominal CT-scanning. Tuberculous etiology was confirmed postoperatively by microbiologic and microscopic study. The antituberculous therapy was early started, but the patient died three months later as a consequence of a non-infectious abdominal aoric rupture. Clinicians should consider tuberculous etiology when the diagnosis of mycotic pseudoaneurysm is being entertained.
Keywords : Mycotic pseudoaneurysm; Tuberculosis; Pseudoaneurysm; Tubercolosis peritonitis.