MULTIPLE MYCOTIC PSEUDOANEURYSMS DUE TO YERSINIA-ENTEROCOLITICA - REPORT OF A CASE AND REVIEW OF THE LITERATURE

The etiology of mycotic aneurysms is variable but most often includes streptococci, staphylococci, Salmonella, and Pseudomonas infections. Y ersinia enterocolitica is an organism that has been infrequently assoc iated with vascular infections. We report a case of two ruptured mycot ic pseudoaneurysms occurring in the same patient in the superficial fe moral artery and the infrarenal abdominal aorta only 10 days apart. Th e literature is reviewed, and the clinical findings and pathology are discussed. The unique problem of multiple mycotic aneurysms developing at different times as a result of Yersinia bacteremia suggests the ne ed to monitor these patients longitudinally and evaluate multiple site s on the arterial tree to detect occult pseudoaneurysms and prevent la te death from rupture.