Management of an infected native aortic aneurysm secondary to an extremely rare pathogen - Cutibacterium acnes infection

A 76-year-old male was treated for an incidentally diagnosed 6.6 cm infective native aortic aneurysm (INAA). He reported significant chronic back pain; but had no other clinical or radiological features of an infective or inflammatory aneurysm. He underwent open repair; aortic tissue culture was pos...

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Bibliographic Details
Main Authors: Drake Giese, Buddhi P Hatharaliyadda, Tiziano Tallarita, Noora Jabeen, Yasser Almadani, Jason Beckermann, Indrani Sen
Format: Article
Language:English
Published: Elsevier 2025-09-01
Series:Annals of Vascular Surgery - Brief Reports and Innovations
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Online Access:http://www.sciencedirect.com/science/article/pii/S277268782500039X
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Summary:A 76-year-old male was treated for an incidentally diagnosed 6.6 cm infective native aortic aneurysm (INAA). He reported significant chronic back pain; but had no other clinical or radiological features of an infective or inflammatory aneurysm. He underwent open repair; aortic tissue culture was positive for Cutibacterium acnes. C. Acnes (previously known as Propionibacterium acnes) is an extremely rare etiology for INAA, there are no reports of long-term outcomes after open repair.1-4 He was treated with 6 weeks of IV ceftriaxone and remains on oral amoxicillin for chronic suppression with no reinfection on imaging and improvement in back pain.
ISSN:2772-6878